Zinnige zorg en samenwerking

1. 20-01-2021
Prof Willem F Lems,
Department of Rheumatology
Amsterdam UMC, location Vumc;
Educational Officer ARC
Zinnige Zorg en samenwerking IWO met IOF, Amgen/UCB
Over Implementatie

2. Besproken tijdens IWO door Prof Dr Joop van den Berg, 22 april 2019

9. Capture the Fracture
A global campaign for the
prevention of secondary
fractures by facilitating the
implementation of
Fracture Liaison Services (FLS)
• www.capturethefracture.org

10. The Fracture cascade + The care gap
What we know

11. … And the time to act is at the first fracture
A fragility fracture in
patients 50 years or over
signals the need for
further testing and
possible treatmant

12. The Fracture Liaison Service
1. British Orthopaedic Association, British Geriatrics Society. The care of patients with fragility fracture 2007.
2. McLellan AR, Gallacher SJ, Fraser M, McQuillian C. The fracture liaison service: success of a programme for the evaluation and
management of patients with osteoporotic fracture. Osteoporos Int. Dec 2003;14(12):1028-1034.

13. The Fracture Liaison Service
1. British Orthopaedic Association, British Geriatrics Society. The care of patients with fragility fracture 2007.
2. McLellan AR, Gallacher SJ, Fraser M, McQuillian C. The fracture liaison service: success of a programme for the evaluation and
management of patients with osteoporotic fracture. Osteoporos Int. Dec 2003;14(12):1028-1034.
N=120.000 jaar in
Nederland!
Zinnige Zorg: DXA na fractuur bij < 30%!!

16. CAPTURE THE FRACTURE PARTNERSHIP OVERVIEW
This effort combines ‘Top Down’ with ‘Bottom Up’
activities and seeks to:
• Reduce hip and vertebral fractures by 25% by
2025.
• Increase patients served by PFC/FLS programs
• Double the number of FLS by 2022
• The Netherlands 11  22
Drive fracture prevention policy change and prioritization
with government and payers at international, regional and
national levels
POLICY
CHANGE
With IOF as lead, create global, regional and local secondary
fracture coalitions between societies, governments, and
NGOs
ADVOCACY
ALLIANCES
Leverage a PFC digital global dataset to obtain consistent
understanding across Capture the Fracture sites of PFC
effectiveness
Provide best practices, support, and mentorship to establish
new PFC programs and improve current programs to ensure
sustainability
Serve as global resource center for improved, scalable PFC
solutions
MENTOR-
SHIP
SCALABLE
SOLUTIONS
DIGITAL
TOOL/
DATASET

19. Evaluation Methodology
Fragility fracture
domains
Achievement &
Valuation
Hip
Inpatient
outpatient
Vertebral
Organizational
= >90%
= >70%
= >50%
= 0-50%
13 standards
5 domains
1 star

20. Evaluation Methodology: Example

23. Thank you for your attention! Questions?? Or wf.lems@amsterdamumc.nl
Amsterdam , in COVID-
first wave