骨折联络服务在骨质疏松性骨折中的应用现状及成本效益分析的研究进展

Research progress in the application status and cost-benefit analysis of fracture liaison services in osteoporotic fractures

社会老龄化不可避免地增加了骨质疏松性骨折(OPF)的发生率。OPF二次骨折风险大,治疗费用高,严重威胁着老年人的生命和财产安全。尽管如此,及时确诊骨质疏松并得到规范治疗的患者仍占少数。骨折联络服务(FLS)是国际骨质疏松基金会倡导在全球推广的一种OPF管理模式,有望提高OPF患者骨质疏松确诊率、治疗启动率和患者治疗依从性,国内尚处于起步阶段,相关研究甚少。FLS是一种高强度的OPF干预模式,较高的成本可能是FLS实施的障碍因素,国外对FLS成本效益进行广泛研究,本文综述FLS在管理OPF中的应用现状及成本效益研究进展,旨在为FLS在我国开展和推广提供参考。

The aging society inevitably increases the incidence of osteoporotic fractures(OPF).OPF with a high risk of secondary fractures and cost of treatment,which seriously threatens the life and property safety of the elderly.However,the number of patients with timely diagnosis of osteoporosis and standardized treatment is still minority.Fracture liaison service(FLS)is an osteoporotic fracture management model advocated and promoted in worldwide by the International Osteoporosis Foundation,which expected to improve the rate of diagnosis,treatment initiation and OPF patients,treatment compliance.It is still in its infancy in China,there are few related studies.But FLS as a high-intensity OPF management model,the high cost may be as an obstacle to the implementation of FLS.The cost-effectiveness of FLS has been extensively studied abroad.This article reviews the application status and cost-effectiveness of FLS in management of osteoporotic fractures aim to provides a reference for the development and promotion of FLS in China.