Osteoporotic fracture liason service onset in trindade – Goiás – Brazil

Abstract

The aging of the world’s population brings major challenges to health systems. The bone fragility caused by osteoporosis increased the occurrence of fractures, representing a serious Public Health problem, since it increases the risks of new fractures, morbidity, mortality, and also impacts treatment costs. The objective of this study was to describe and evaluate the implantation of an osteoporotic fracture coordination service in Trindade - Goiás - Brazil. As for the method, it was a retrospective study, by analysis of medical records, convenience sample, with descriptive analysis of the data. After the implantation of the Osteoporotic Fructose Coordination Service (SCFO) known as Fracture Liaison Services (FLS) at the Clinical Diagnosis of Trindade (CDT) located in the State of Goiás at the end of 2012. The evaluation period occurred from January 2013 to December 2016 (four years). The results indicated the mean age was 70 years, ranging from 45 to 95 years. Regarding the location of the first fracture, the vertebral column was the most frequent site representing 50% of the fractures, followed by the ribs 17%, proximal humerus, distal radius, proximal femur and other sites with 8.25 each. Initially, the goal for four years would be to avoid six fractures (50%) of an expected total of 12, but nine osteoporotic fractures (75%) were avoided, with only three patients fractured during treatment, the three ones that were using generic alendronate. It is concluded that the implementation of the program provided significant data for the design of specific health actions aimed at maintaining quality of life, prevention and non-recurrence of osteoporotic fractures. The program is effective in reducing the number of future fractures, after a previous osteoporotic fracture in the evaluated patients