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dc.contributor.authorGill, Christine Ellen
dc.contributor.authorMitchell, Paul James
dc.contributor.authorClark, Jan
dc.contributor.authorCornish, Jillian
dc.contributor.authorFergusson, Peter
dc.contributor.authorGilchrist, Nigel
dc.contributor.authorHayman, Lynne
dc.contributor.authorHornblow, Sue
dc.contributor.authorKim, David
dc.contributor.authorMackenzie, Denise
dc.contributor.authorMilsom, Stella
dc.contributor.authorvon Tunzelmann, Adrienne
dc.contributor.authorBinns, Elizabeth
dc.contributor.authorFergusson, Kim
dc.contributor.authorFleming, Stewart
dc.contributor.authorHurring, Sarah
dc.contributor.authorLilley, Rebbecca
dc.contributor.authorMiller, Caroline
dc.contributor.authorNavarre, Pierre
dc.contributor.authorPettett, Andrea
dc.contributor.authorSankaran, Shankar
dc.contributor.authorSeow, Min Yee
dc.contributor.authorSincock, Jenny
dc.contributor.authorWard, Nicola
dc.contributor.authorWright, Mark
dc.contributor.authorClose, Jacqueline Clare Therese
dc.contributor.authorHarris, Ian Andrew
dc.contributor.authorArmstrong, Elizabeth
dc.contributor.authorHallen, Jamie
dc.contributor.authorHikaka, Joanna
dc.contributor.authorKerse, Ngaire
dc.contributor.authorVujnovich, Andrea
dc.contributor.authorGanda, Kirtan
dc.contributor.authorSeibel, Markus Joachim
dc.contributor.authorJackson, Thomas
dc.contributor.authorKennedy, Paul
dc.contributor.authorMalpas, Kirsten
dc.contributor.authorDann, Leona
dc.contributor.authorShuker, Carl
dc.contributor.authorDunne, Colleen
dc.contributor.authorWood, Philip
dc.contributor.authorMagaziner, Jay
dc.contributor.authorMarsh, David
dc.contributor.authorTabu, Irewin
dc.contributor.authorCooper, Cyrus
dc.contributor.authorHalbout, Philippe
dc.contributor.authorJavaid, Muhammad Kassim
dc.contributor.authorÅkesson, Kristina
dc.contributor.authorMlotek, Anastasia Soulié
dc.contributor.authorBrûlé-Champagne, Eric
dc.contributor.authorHarris, Roger
dc.date.accessioned2022-08-05T11:49:20Z
dc.date.available2022-08-05T11:49:20Z
dc.date.issued2022-08-02
dc.identifier.urihttp://hdl.handle.net/10713/19520
dc.description.abstractThis narrative review describes efforts to improve the care and prevention of fragility fractures in New Zealand from 2012 to 2022. This includes development of clinical standards and registries to benchmark provision of care, and public awareness campaigns to promote a life-course approach to bone health. Purpose: This review describes the development and implementation of a systematic approach to care and prevention for New Zealanders with fragility fractures, and those at high risk of first fracture. Progression of existing initiatives and introduction of new initiatives are proposed for the period 2022 to 2030. Methods: In 2012, Osteoporosis New Zealand developed and published a strategy with objectives relating to people who sustain hip and other fragility fractures, those at high risk of first fragility fracture or falls and all older people. The strategy also advocated formation of a national fragility fracture alliance to expedite change. Results: In 2017, a previously informal national alliance was formalised under the Live Stronger for Longer programme, which includes stakeholder organisations from relevant sectors, including government, healthcare professionals, charities and the health system. Outputs of this alliance include development of Australian and New Zealand clinical guidelines, clinical standards and quality indicators and a bi-national registry that underpins efforts to improve hip fracture care. All 22 hospitals in New Zealand that operate on hip fracture patients currently submit data to the registry. An analogous approach is ongoing to improve secondary fracture prevention for people who sustain fragility fractures at other sites through nationwide access to Fracture Liaison Services. Conclusion: Widespread participation in national registries is enabling benchmarking against clinical standards as a means to improve the care of hip and other fragility fractures in New Zealand. An ongoing quality improvement programme is focused on eliminating unwarranted variation in delivery of secondary fracture prevention.en_US
dc.description.urihttps://doi.org/10.1007/s11657-022-01138-1en_US
dc.language.isoenen_US
dc.publisherSpringer Natureen_US
dc.relation.ispartofArchives of Osteoporosisen_US
dc.rights© 2022. International Osteoporosis Foundation and Bone Health and Osteoporosis Foundation.en_US
dc.subjectFracture liaison serviceen_US
dc.subjectFragility fractureen_US
dc.subjectRegistryen_US
dc.subjectSystematic approachen_US
dc.titleExperience of a systematic approach to care and prevention of fragility fractures in New Zealand.en_US
dc.typeArticleen_US
dc.identifier.doi10.1007/s11657-022-01138-1
dc.identifier.pmid35917039
dc.source.journaltitleArchives of osteoporosis
dc.source.volume17
dc.source.issue1
dc.source.beginpage108
dc.source.endpage
dc.source.countryEngland


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