Preventing re-fractures in Western Sydney: three-year outcomes of an Australian fracture liaison service utilising a novel automated fracture-finding Tool
Authors' conclusion
FLS attendance was associated with a significant reduction in refractures, with less than half the risk at three years, despite the higher prior incidence of fractures. No benefit was seen at one year, indicating that FLS evaluation may require a longer latency period to establish anti-fracture efficacy.
Study context
- Population
- Patients who presented to the Westmead Emergency Department with a minimal-trauma fracture between 2019 and 2022, Western Sydneypatients who presented to the Westmead Emergency Department with a minimal-trauma fracture between 2019 and 2022
- Participants
- 406 patients
- Comparison
- One and three-year refracture rates between patients managed by the FLS and a control group
- FLSn = 279
- CONTROLn = 127reference
- Outcome
- Refracture rates
- Follow-up
- Three years
Methodological detailsautomated ICD-10/SNOMED-based fracture finding tool
- Automated ICD-10/SNOMED-based fracture finding tool
Main finding
As reported in the abstract
P < 0.001
Further findings
Refracture rates · one year · no difference
P = 0.61
Fracture within the preceding three years (baseline) · Baseline characteristics otherwise similar across groups
P < 0.005
| Outcome | HR | P value |
|---|---|---|
| Refracture risk between 1 and 3 years after index fracture≈70% reduction in refracture risk | 0.309 | P < 0.0005 |
Original publication
Preventing re-fractures in Western Sydney: three-year outcomes of an Australian fracture liaison service utilising a novel automated fracture-finding Tool. Osteoporos Int. Published 28 October 2026. doi:10.
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