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Osteoporosis: assessing the risk of fragility fracture [CG146]

Measuring the use of this guidance

Recommendation: 1.1

Consider assessment of fracture risk: - In all women aged 65 years and over and all men aged 75 years and over - In women aged under 65 years and men aged under 75 years in the presence of risk factors, for example: previous fragility fracture current use or frequent recent use of oral or systemic glucocorticoids history of falls family history of hip fracture other causes of secondary osteoporosis low body mass index (BMI) (less than 18.5 kg/m2) smoking alcohol intake of more than 14 units per week for women and more than 21 units per week for men.

What was measured: Proportion of patients aged 50-74 years who had sustained a fragility fracture who had a DXA scan ordered or recommended, or had undergone a DXA in the previous 2 years.
Data collection end: December 2016
68%
Area covered: England
Source: Royal College of Physicians. Fracture Liaison Service Database (FLS-DB) Facilities audit

What was measured: Proportion of patients aged 50 years and over who had sustained a fragility fracture who were assessed by the FLS within 90 days of their fracture
Data collection end: December 2016
67%
Data collection end: December 2017
70%
Area covered: England and Wales
Source: Royal College of Physicians. Fracture Liaison Service Database (FLS-DB) clinical audit

What was measured: Proportion of patients aged 50 years and over who had sustained a fragility fracture who had a DXA ordered or recommended and were scanned within 90 days of fracture
Data collection end: December 2016
43%
Data collection end: December 2017
46%
Area covered: England and Wales
Source: Royal College of Physicians. Fracture Liaison Service Database (FLS-DB) clinical audit



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