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<p>Osteoporotic fragility fractures are a&#xa0;major cause of morbidity, mortality, and significant healthcare costs. Despite clear clinical guidelines, postfracture management in Austria remains inadequate as only a&#xa0;small proportion of affected individuals receive specific anti-osteoporotic therapy. The Fracture Liaison Service (FLS) provides a&#xa0;structured, interdisciplinary approach to systematic secondary fracture prevention. It enables standardized identification, assessment, initiation of therapy, and follow-up of patients after fragility fractures, and can significantly reduce refractures and healthcare expenditure. In 2020, a&#xa0;modern, digitally supported FLS was implemented at Hanusch Hospital in Vienna. It includes systematic identification of patients with fragility fractures via the hospital information system, standardized osteological diagnostics, and structured anamnesis using electronic data forms. Interdisciplinary coordination with the FLS team and a&#xa0;52-week follow-up ensure guideline-based and sustainable patient care. The implementation of such coordinated care structures requires organizational and human resources but offers substantial clinical and economic benefits. A&#xa0;nationwide expansion of FLS programs could sustainably close existing care gaps in Austria and markedly improve secondary fracture prevention.</p>

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Fracture Liaison Service (FLS)

  • 期刊论文

  • 发表日期：

    2026年1月28日

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  • Aaron Pfender,
  • Daniel Mattes,
  • Roland Kocijan

摘要

Osteoporotic fragility fractures are a major cause of morbidity, mortality, and significant healthcare costs. Despite clear clinical guidelines, postfracture management in Austria remains inadequate as only a small proportion of affected individuals receive specific anti-osteoporotic therapy. The Fracture Liaison Service (FLS) provides a structured, interdisciplinary approach to systematic secondary fracture prevention. It enables standardized identification, assessment, initiation of therapy, and follow-up of patients after fragility fractures, and can significantly reduce refractures and healthcare expenditure. In 2020, a modern, digitally supported FLS was implemented at Hanusch Hospital in Vienna. It includes systematic identification of patients with fragility fractures via the hospital information system, standardized osteological diagnostics, and structured anamnesis using electronic data forms. Interdisciplinary coordination with the FLS team and a 52-week follow-up ensure guideline-based and sustainable patient care. The implementation of such coordinated care structures requires organizational and human resources but offers substantial clinical and economic benefits. A nationwide expansion of FLS programs could sustainably close existing care gaps in Austria and markedly improve secondary fracture prevention.