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Spanish National Registry of Major Osteoporotic Fractures (REFRA) seen at Fracture Liaison Services (FLS): objectives and quality standards

2022; Springer Science+Business Media; Volume: 17; Issue: 1 Linguagem: Inglês

10.1007/s11657-022-01174-x

1862-3514

María-José Montoya-García, Cristina Carbonell-Abella, José Manuel Cancio Trujillo, M.J. Moro-Álvarez, Jesús Mora-Fernández, Rafael Izquierdo-Avino, Xavier Nogués, M. Mesa-Ramos, Rosa Maria San Segundo-Mozo, Elena Calero-Muñoz, Manuel Naves‐Díaz, Francisco Jesús Olmo-Montes, Enric Duaso, Luis del Río, José Luis Fernández Martín, Daniel Martínez-Laguna, Ma José Miranda, Blanca Hernández, Julia Barrera, M.A. Vázquez, Mercè Giner, Pilar Mesa-Lampre, Leticia Cebollada-Gadea, Manuel Jordan-Jarque, Diana Ovejero, Maria Jose Robles Raya, Isabel Arnau Barres, Santos Martinez Diaz, Ana María Moreno-Morillo, J L Rodríguez-García, Pilar Márquez de Torres, Natalia Angélica Barahona Garibello, Diana Carretero Dios, Antonio José Jiménez Vílchez, Francisco Ramos, Sara Isabel Copete Marín, María José Justicia Castro, Manuel Valdés Vílchez, Trinidad R. Fernández Ferreras, Urko Díaz Aristizabal, Laura Aguilera Ballester, Jesús Carnicer Cáceres, Esperanza Bienzobas Allue, Laura Fernández Sénder, Nuria del Castillo Piñol, Paulina Cuevas Messenger, Ma Dolores Martínez Águila, Carme Ros Bertomeu, Ana Lacal Martínez, Laura Fernández Sénder, Joan Pellejà Carnasa, Christian Alvarado, Andrés Gamboa, Evelyn Irene Alberca, Sofía Alejandra Arriaza, Dolors Grados, Eugènia Sopena, Sonia de Castro, Pilar Estudillo, Rami Qaneta, Ramón Fontova, Anna Marsol, Ignacio García Forcada, Gerard Jordà, Indyra Sánchez, Stefan Gálvez, Montse Fibla, Javier Rodríguez,

Bone and Joint Diseases

Abstract Summary REFRA-FLS is a new registry in Spain aimed at identifying individuals over 50 years of age with a fragility fracture. Using this registry, we found hip fracture is the most prevalent fracture. Treatment for osteoporosis was 87.7%, with 65.3% adherence. REFRA-FLS provides fundamental data in the study of fragility fractures. Purpose Fragility fractures are a growing public health concern in modern-aged societies. Fracture Liaison Services (FLS) have been shown to successfully lower rates of secondary fractures. A new registry (REFRA-FLS) has been created to monitor quality indicators of FLS units in Spain and to explore the occurrence and characteristic of fragility fractures identified by these centers. Methods We conducted a prospective cohort study based on fragility fractures recorded in the REFRA-FLS registry. Participants were individuals 50 years or above who suffered a low energy fragility fracture identified by the 10 participating FLS units during the study period. The type of FLS unit, the characteristics of the individuals at baseline, along with patient outcomes as quality indicators among those who completed 1 year of follow-up were analyzed. Results A total of 2965 patients and 3067 fragility fractures were identified, and the most frequent locations were hip ( n = 1709, 55.7%) and spine ( n = 492, 16.0%). A total of 43 refractures (4.5%) and 46 deaths (4.9%) were observed among 948 individuals in the follow-up analyses. Time from fracture to evaluation was less than 3 months in 76.7% of individuals. Osteoporosis treatment was prescribed in 87.7%, and adherence was 65.3% in Morisky–Green test. Conclusion Our results provide a comprehensive picture of fragility fractures identified in FLS units from Spain. Overall, quality indicators are satisfactory although a much higher use of DXA would be desirable. As the registry grows with the incorporation of new FLS units and longer follow-up, incoming analyses will provide valuable insight.