THE ROLE OF THE REPEATED FRACTURE LIAISON SERVICE IN INCREASING THE ADHERENCE TO THERAPY OF PATIENTS WITH SEVERE OSTEOPOROSIS
The article presents the results of work on the prevention of recurrent fractures in patients of rheumatology and trauma departments. The effectiveness of the initiation of prevention and therapy of osteoporosis under various conditions of recommendations for patients with low-energy fractures was evaluated. The analysis showed that accompanying the patient in the mode of periodic reminders of the need for treatment by phone calls once every three months significantly increases the adherence to osteoporosis therapy and prevention of recurrent fractures. In order to initiate treatment, it is important to involve the medical staff (attending physician, specialist of the Fracture Liaison Service (FLS), FLS-coordinator) and the patient's environment (roommates, relatives, caregivers). If treatment is not initiated in a hospital, it does not begin after discharge from the hospital, even with repeated low-energy fractures. With the improvement of health, the successful consolidation of the fracture, the patient is not ready to discuss his state of health in the mode of telephone contact, does not come for an in-person consultation with a specialized specialist. In adherence to therapy, especially in older patients, the most important role is played by the family member with an interest in prevention and the FLS-coordinator.