Osteoporotic refracture prevention

Clinical priorities and organisational models

Health services and clinicians can use these models, clinical priorities and additional resources to improve best-practice care for people with osteoporotic refractures.

Osteoporosis is a chronic disease that reduces bone density and strength. The reduced bone strength increases the risk of fracturing a bone from a slip, trip or fall, these are known as minimal trauma fractures (or fragility fractures). Having a minimal trauma fracture is a warning sign for osteoporosis and have a greater risk of refracture.

These resources were originally developed as one of the 13 clinical initiatives of Leading Better Value Care, a program accelerating value-based healthcare in NSW.

This initiative aims to intervene at the identification of the first minimal trauma fracture to prevent future fractures through provision of a fracture liaison service. It is based on the ACI’s Osteoporotic Refracture Prevention Model of Care. Its clinical aims are:

  • improving identification of those requiring refracture prevention services
  • improving uptake of medication, exercise and calcium intake
  • fewer preventable fractures
  • better quality of life.

Note: The information on this page is for clinicians and service providers. If you are a patient seeking a service in NSW, visit the Osteoporotic Refracture Prevention Service Directory.

Model of care

Osteoporotic Refracture Prevention Service Model of Care

Published: October 2019. Next review: 2026/2027.

This evidence-based model supports a consistent approach to identifying and managing minimal trauma fractures in NSW.

Download the model of care (PDF 1.5 MB)

For clinicians and services

What to improve

A summary of the 4 clinical components:

  • identification and triage
  • assessment and diagnosis
  • treatment initiation
  • coordination of ongoing care

How to improve

Explore options for different organisational models to tailor clinical services for your local requirements:

  • coordinated multidisciplinary configuration
  • GP shared care configuration

Additional resources

Contact us

Email ACI-Musculoskeletal@health.nsw.gov.au

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