Welcome to the SWSLHD Libraries Research Repository, an institutional repository which showcases the research output of South Western Sydney Local Health District staff, both past and present. The repository supports the SWSLHD Strategic Plan in their vision for the SWSLHD to be a leader in research and innovation.
Please use this identifier to cite or link to this item:
https://swslhd.intersearch.com.au/swslhdjspui/handle/1/12650| Title: | Return on investment of fracture liaison services: a systematic review and analysis |
| Authors: | Xu, L. Zhao, T. Perry, L. Frost, S. A. Di Tanna, G. L. Wang, S. Chen, M. Kolt, G. S. Jan, S. Si, L. |
| Affiliates: | The George Institute for Global Health, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia South Eastern Sydney Local Health District, Randwick, NSW, Australia University of Wollongong and South Western Sydney Local Health District, Wollongong, NSW, Australia Department of Business Economics, Health & Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland School of Health Policy and Management, Nanjing Medical University, No. 101, Longmian Avenue, Nanjing, 211166, China School of Health Sciences, Western Sydney University, Campbelltown, NSW, Australia Translational Health Research Institute, Western Sydney University, Penrith, NSW, Australia |
| Issue Date: | 2024 |
| Journal: | Osteoporosis International |
| Publisher: | Springer Science and Business Media Deutschland GmbH |
| Abstract: | Fracture liaison services (FLS) have been proven clinically effective and cost-effective in preventing subsequent fractures among patients with an existing fragility fracture. Little is known about their monetary benefits such as their return on investment (ROI). This systematic review aimed to investigate the ROI of FLS and identify the FLS characteristics with better ROI. Studies on the cost-effectiveness of FLS published between January 2000 and December 2022 were searched from MEDLINE, EMBASE, PubMed, and Cochrane Central. Two independent reviewers conducted study selection and data extraction. ROI was calculated based on the difference between monetary benefits and FLS costs divided by the FLS costs. Subgroup analysis of ROI was performed across FLS types and FLS design details. A total of 23 FLS were included in this review. The majority of them were targeting patients aged over 50 years having fractures without identified sites. The mean ROI of these FLS was 10.49 (with a median ROI of 7.57), and 86.96% of FLS had positive ROI. FLS making treatment recommendations yielded the highest ROI (with a mean ROI of 18.39 and a median of 13.60). Incorporating primary care providers (with a mean ROI of 16.04 and a median of 13.20) or having them as program leaders (with a mean ROI of 12.07 and a median of 12.07) has demonstrated a high ROI. FLS for specific fracture sites had great monetary return. Intensive FLS such as type A and B FLS programs had higher ROI than non-intensive type C and D FLS. This review revealed a 10.49-fold monetary return of FLS. Identified characteristics contributing to greater economic return informed value-for-money FLS designs. Findings highlight the importance of FLS and the feasibility of expanding their contribution in mitigating the economic burden of osteoporotic fracture and are conducive to the promotion of FLS internationally. � 2024, International Osteoporosis Foundation and Bone Health and Osteoporosis Foundation. |
| URI: | https://swslhd.intersearch.com.au/swslhdjspui/handle/1/12650 |
| ISSN: | 0937941X (ISSN) |
| Digital object identifier: | 10.1007/s00198-024-07027-2 |
| Appears in Collections: | South Western Sydney Local Health District |
Files in This Item:
There are no files associated with this item.
Items in Prosentient are protected by copyright, with all rights reserved, unless otherwise indicated.
