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The Fracture Liaison Service Database (FLS-DB) Jan to June 2016Data from the FLS-DB

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FLS Name Number of cases submitted Uploaded in bulk (Y/N) Number of fields (out of 29) with 20% or more missing data Number of fields (out of 29) with 50% or more missing data From NHFD - Hip From NHFD - Non-hip From FLS-DB - Hip From FLS-DB - Non-hip FLS-DB case identification % - Hip FLS-DB case identification % - Non-hip Diagnosis to FLS assessment within 7 days (n) Diagnosis to FLS assessment within 7 days (%) Diagnosis to FLS assessment within 30 days (n) Diagnosis to FLS assessment within 30 days (%) Diagnosis to FLS assessment within 90 days (n) Diagnosis to FLS assessment within 90 days (%) Diagnosis to FLS assessment 91 days or more (n) Diagnosis to FLS assessment 91 days or more (%) Diagnosis to FLS assessment (days)Missing (n) Diagnosis to FLS assessment (days)Missing (%) Time to DXA scan from fracture diagnosis Within 7 days (n) Time to DXA scan from fracture diagnosis Within 7 days (%) Time to DXA scan from fracture diagnosis Within 30 days (n) Time to DXA scan from fracture diagnosis Within 30 days (%) Time to DXA scan from fracture diagnosis Within 90 days (n) Time to DXA scan from fracture diagnosis Within 90 days (%) Time to DXA scan from fracture diagnosis Within 91 days or more(n) Time to DXA scan from fracture diagnosis Within 91 days or more(%) Time to DXA scan from fracture diagnosis days missing (n) Time to DXA scan from fracture diagnosis days missing (%) Total DXA recommended Number of cases submitted (n) Q4.01 Ð Bone therapy recommended after index fracture - Treated (oral bisphosphonates , denosumab, zolendronate) (n) Q4.01 Ð Bone therapy recommended after index fracture - Treated (oral bisphosphonates , denosumab, zolendronate) (%) Q4.01 Ð Bone therapy recommended after index fracture - Inappropriate (n) Q4.01 Ð Bone therapy recommended after index fracture - Inappropriate (%) Q4.01 Ð Bone therapy recommended after index fracture - Informed decline (n) Q4.01 Ð Bone therapy recommended after index fracture - Informed decline (%) Q4.01 Ð Bone therapy recommended after index fracture -Referred to GP to decide prescription (n) Q4.01 Ð Bone therapy recommended after index fracture - Referred to GP to decide prescription (%) Q4.01 Ð Bone therapy recommended after index fracture -Referred for further clinical opinion(n) Q4.01 Ð Bone therapy recommended after index fracture - Referred for further clinical opinion (%) Q4.01 Ð Bone therapy recommended after index fracture -Don't know (n) Q4.01 Ð Bone therapy recommended after index fracture - Don't know (%) Q4.01 Ð Bone therapy recommended after index fracture -Missing (n) Q4.01 Ð Bone therapy recommended after index fracture - Missing (%) Q4.01 Ð Bone therapy recommended after index fracture - Alendronate (n) Q4.01 Ð Bone therapy recommended after index fracture - Alendronate (%) Q4.01 Ð Bone therapy recommended after index fracture - Risedronate (n) Q4.01 Ð Bone therapy recommended after index fracture - Risedronate (%) Q4.01 Ð Bone therapy recommended after index fracture - Ibandronate (n) Q4.01 Ð Bone therapy recommended after index fracture - Ibandronate (%) Q4.01 Ð Bone therapy recommended after index fracture - Raloxifene (n) Q4.01 Ð Bone therapy recommended after index fracture - Raloxifene (%) Q4.01 Ð Bone therapy recommended after index fracture - Teriparatide (n) Q4.01 Ð Bone therapy recommended after index fracture - Teriparatide (%) Q4.01 Ð Bone therapy recommended after index fracture - Strontium (n) Q4.01 Ð Bone therapy recommended after index fracture - Strontium (%) Q4.01 Ð Bone therapy recommended after index fracture - Denosumab (n) Q4.01 Ð Bone therapy recommended after index fracture - Denosumab (%) Q4.01 Ð Bone therapy recommended after index fracture - Zoledronate (n) Q4.01 Ð Bone therapy recommended after index fracture - Zoledronate (%) Q4.01 Ð Bone therapy recommended after index fracture - Other hormone therapies (n) Q4.01 Ð Bone therapy recommended after index fracture - Other hormone therapies (%) Q4.01 Ð Bone therapy recommended after index fracture - Activated vitamin D (n) Q4.01 Ð Bone therapy recommended after index fracture - Activated vitamin D (%) Q4.01 Ð Bone therapy recommended after index fracture - Total recommended bone therapy(n) Number of cases submitted (n) Q5.01 Falls risk assessment performed by FLS - Not done (n) Q5.01 Falls risk assessment performed by FLS - Not done (%) Q5.01 Falls risk assessment performed by FLS - Falls risk assessment done/referred/ recommended (n) Q5.01 Falls risk assessment performed by FLS - Falls risk assessment done/referred/ recommended (%) Q5.01 Falls risk assessment performed by FLS - Not recorded (n) Q5.01 Falls risk assessment performed by FLS - Not recorded (%) Q5.01 Falls risk assessment performed by FLS - Missing (n) Q5.01 Falls risk assessment performed by FLS - Missing (%) Total patient records (n) Patients followed-up (of those prescribed bone therapy or referred for further clinical opinion or to GP) (n) Patients followed-up (of those prescribed bone therapy or referred for further clinical opinion or to GP) (%) Total recommended bone therapy (n) Proportion of patients with a valid bone therapy recommendation, reported as starting treatment within 4 months of index fracture by FLS from January to June 2016 (n) Proportion of patients with a valid bone therapy recommendation, reported as starting treatment within 4 months of index fracture by FLS from January to June 2016 (%)
Barnet Hospital Fracture Liaison Service 156 N 3 0 212 848 3 151 1.4 17.8 32 20.5 93 59.6 146 93.6 7 4.5 3 1.9 * * 13 13.5 74 77.1 14 14.6 9 8.3 96 156 63 40.4 48 30.8 6 3.8 0 0 6 3.2 * * 32 20.5 58 92.1 * * 0 0 0 0 0 0 0 0 0 0 * * 0 0 0 0 63 156 * * 143 91.7 * * 9 5.8 54 45 83.3 63 13 20.6
Bromley Healthcare Falls and Fracture Prevention Service 283 Y 2 1 175 700 12 271 6.9 38.7 44 15.5 222 78.4 283 100 0 0 0 0 0 0 18 17.1 97 92.4 7 5.7 * * 105 283 93 32.9 78 27.6 4 1.4 6 2.1 14 4.9 0 0 88 31.1 92 97.8 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 283 0 0 283 100 0 0 0 0 78 61 78.2 93 83 89.2
Broomfield Hospital 382 N 9 9 229 916 63 283 27.5 30.9 306 80.1 348 91.1 358 93.7 10 2.6 14 3.7 * * * * 54 15.9 271 79.7 15 4.4 340 382 9 2.6 80 20.9 * * 251 65.7 21 5.5 0 0 19 5 6 60 0 0 0 0 0 0 0 0 0 0 4 40 0 0 0 0 0 0 10 382 358 93.7 6 1.6 0 0 18 4.7 209 0 0 10 0 0
Dorset County Hospital 536 N 20 15 166 664 135 397 81.3 59.8 48 9 271 50.6 487 90.9 22 4.1 27 5 0 0 * * 116 63 56 30.4 13 6.5 184 536 112 20.9 118 22 * * 89 16.6 * * 21 3.9 194 36.2 104 92.9 * * 0 0 0 0 0 0 0 0 * * * * 0 0 0 0 112 536 82 15.3 5 0.9 0 0 449 83.8 122 0 0 112 0 0