Fracture Liaison Services (FLS)

The aim of the System is to decrease the numer of fractures in Poland. The system will be organized as in the systems operating in other countries – Fracture Liaison Services (FLS).

The essence of the system is the fact that patients who sustained a fracture are the most at risk of an osteoporotic fracture (low-energy facture). Unfortunately, only 10-15% of patients who underwent low-energy fractures are treated. The implementation of the system in Scotland made the number of patients treated after sustaining a proximal femur fracture as high as 97%, and the number of proximal femur fractures in the country decreased by 7.3%. Currently, the FLS System operates in most European countries, including 37% of hospitals in the UK as well as in the USA and Canada.

The implementation of the system by Kaiser Permanente in 2002 caused a reduction in the number of proximal femur fractures by 40% and savings of $27 million. The latest reports (MS Cooper 2012) denote an approx. 80% reduction in the risk of secondary fractures. All the reports document a good cost-effectiveness ratio.

The implementation of the System in Poland has a potential of increasing the number of patients treated for low-energy fractures by 10% to at least 60%, which will reduce the number of fractures of at least 25% over 3 years. We estimate that if the system would be implemented across the country and would be effectively enforced, it could achieve a 40% reduction in secondary fractures, which would save 286 million PLN per year [details: Czerwiński E., Amarowicz A. i wsp.: Skuteczne zapobieganie złamaniom osteoporotycznym. Medycyna po Dyplomie; 9 (222) 2014: 33-37].

The organizer of the system in Poland is the European Foundation of Osteoporosis and Musculoskeletal Diseases (EFOM).