A territorially coordinated, eHealth-supported fracture liaison service following femur fragility fracture: a pilot randomised controlled trial
Authors' conclusion
A territorially coordinated, eHealth-supported FLS was feasible and was associated with better functional recovery and more sustained osteoporosis treatment prescription than usual care in the first year after femur fragility fracture. No significant differences were observed in refractures or readmissions
Study context
- Population
- Adults aged ≥65 years with surgically treated femur fragility fractures, Integrated Health Area
- Participants
- 119 adults
- Comparison
- eHealth-supported FLS pathway vs usual care
- FLSn = 60
- Usual caren = 59reference
- Primary endpoint
- Refractures and hospital readmissions
- Follow-up
- 1 year
Methodological detailspilot, multicentre, open-label, prospective
- Pilot
- Multicentre
- Open-label
- Prospective
Primary result
As reported in the abstract
Refractures and readmissions
- Readmissions similar and refractures infrequent, without significant differences
Secondary outcomes
| Outcome | FLS | Usual care | P value |
|---|---|---|---|
| Functional recovery (Barthel Index) · 12 monthsSignificantly higher at 3, 6 and 12 months | 80.1 | 61.2 | P ≤ 0.01 |
| Deaths | 8 events | 0 events |
- Functional recovery (Barthel Index): FLS group had a more favourable pre-fracture functional profile
- Deaths: given the small sample, this should not be read as a causal effect
Osteoporosis treatment prescription
- More sustained in the FLS group
Original publication
A territorially coordinated, eHealth-supported fracture liaison service following femur fragility fracture: a pilot randomised controlled trial. Osteoporos Int. Published 28 September 2026. doi:10.
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