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May 31, 2026Open Access

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

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Authors

JVJuan M. Viruega-AvalosRCRoberto Coronado‐ZarcoChina Rehabilitation Research CenterALAndrea Olascoaga Gómez de LeónInstituto Nacional de Rehabilitación

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Implication

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.

synapsesocial.com/papers/6a1bd2375783ba022b6fda7chttps://doi.org/10.17605/osf.io/e5qm2
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Secondary osteoporosis prevention: three-year outcomes from a Fracture Liaison Service in elderly hip fracture patients2024 · 15 citations
  2. 2A Multidisciplinary Approach to Hip Fractures: Evaluating Outcomes on Mortality and Secondary Hip Fractures.2024 · 3 citations
  3. 3Fracture Liaison Service to Reduce Postoperative Complications and Improve the Activity of Patients With Hip Fracture: A 24-month Follow-up Survey2020
  4. 43694 Upholding equitable access to secondary fracture prevention for adults 80 years and older2026
  5. 5Health Outcomes in Fragility Fractures in the Spanish Registry of Osteoporotic Fractures According to the FLS Care Model2025 · 1 citations