Fracture Screening and Prevention Program: Improving Care for Fragility Fracture Patients

November 01, 2018

The Ontario Osteoporosis Strategy (OOS) launched the newest site of the Fracture Screening and Prevention Program (FSPP) at Scarborough and Rouge Hospital – Centenary site, on September 25th, 2018. The FSPP is a secondary fracture prevention program designed to improve the care of people who have had a fragility fracture and to reduce their risk of having another fracture.

Developed through the OOS, the FSPP is operated by Osteoporosis Canada in collaboration with the Ontario Orthopaedic Association, the Ontario College of Family Physicians, the Ministry of Health and Long-Term Care and participating hospital sites.The OOS was launched to reduce morbidity, mortality and costs from osteoporotic fractures using a patient-centred, inter-disciplinary approach that is integrated across health care sectors. The Strategy aims to reduce osteoporotic hip fractures in Ontario by 20% by 2020.

Each year, hundreds of thousands of Canadians needlessly fracture because their osteoporosis goes undiagnosed and untreated. Osteoporosis is a condition that causes bones to become thin and porous, decreasing bone strength and leading to an increased risk of breaking a bone. It is known as "the silent thief" because bone loss occurs without symptoms. Annually, Ontarians sustain almost 60,000 osteoporotic fractures, and of those, 13,000 are admitted to hospital for hip fractures.

Twenty-eight Fracture Prevention Coordinators (FPC) working in 37 fracture clinics across Ontario identify and assess men and women aged 50 and over who have had fragility fractures (broken bones) from incidents that would not normally cause bones to break, such as falling out of bed or slipping on ice.

At Scarborough and Rouge Hospital, Winsome Way, FPC, speaks with patients about their personal risk factors for osteoporosis and their broken bone. She also highlights the need for appropriate bone mineral density testing which can assist in determining patients' future fracture risk.

"People often do not make the connection between their fracture and their bone health," says Winsome.  "Without a bone health assessment and appropriate treatment, the patient may be at risk for a future, potentially debilitating, fracture."

FPCs screen fragility fracture patients while working with orthopaedic surgeons, allied health professionals, diagnostic imaging, fracture clinic staff and primary care providers to help improve patient access to integrated and appropriate post-fracture care such as Bone Mineral Density testing and/or follow up with an osteoporosis specialist.

"I am thrilled to work with the orthopaedic team at Scarborough and Rouge Hospital, including our Orthopaedic Champion, Dr. Justin Hodgins.  We are looking forward to building the connections with hospital staff, primary and community care and our long-term care partners to create a truly integrated program in this area and improve the quality of care for our patients," says Winsome.

For more information about the Ontario Osteoporosis Strategy, visit www.osteostrategy.on.ca or Osteoporosis Canada at www.osteoporosis.ca

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