Comparison of the implementation of the FLS care model and the perception of quality of life in patients over 50 years old who suffered a hip fracture due to bone fragility
Randomized trial compares FLS and usual care impacts on fracture incidents and quality of life in older adults, implying better outcomes with FLS.
Key Points
To compare the effectiveness of a Fracture Liaison Service (FLS) versus usual care in reducing second fractures and refractures while evaluating functional status and quality of life.
Conducted an open-label, controlled, non-randomized clinical trial with 12-month follow-up at a second-level hospital in Mexico City
Analyzed 779 patients (FLS, n=317; usual care, n=462)
Compared second fracture and refracture rates using risk ratios (RRs), odds ratios, and functional status assessed via Barthel Index and quality of life with WHOQOL-OLD.
Second fracture incidence was significantly lower in FLS group (5.0%) compared to usual care (10.4%) with RR of 0.49 (95% CI, 0.28–0.84; p=0.0077)
Refracture rates were markedly reduced with FLS (0.6%) versus usual care (10.4%), RR of 0.06 (95% CI, 0.01–0.25; p<0.001)
At 12 months, mean Barthel scores were higher in FLS participants (72.22±4.10) compared to controls (70.68±6.75; p<0.001).
Cite This Study
Viruega-Avalos et al. (2026) studied this question.