The effectiveness of strategies for the Secondary Prevention of
This project started in June 2001 and finished in May 2004.
The project grant-holder was Dr Alastair R McLellan, Consultant
Physician, Western Infirmary, Glasgow.
The aims of this project were to determine:
- The current provision of osteoporosis services in Scotland in
secondary and primary care and how they function with regard to:
- interaction with orthopaedic and A&E fracture services
- case finding of fracture cases
- provision of assessment for osteoporosis and
- how they effect changes in therapy
- The effectiveness of current services in targeting patients
presenting with fractures (of hip, spine and forearm) and in
delivering strategies (either investigation such as DXA scanning or
prescription of antiresorptive treatment) for the secondary
prevention of osteoporotic fractures in the presence and absence of
- Barriers that prevent assessment or treatment of patients for
the secondary prevention of osteoporotic fractures.
- The costs of providing appropriate services for assessment for
the secondary prevention of fractures.
- Copies of the report have been distributed to key individuals
- Preliminary data were presented at the Ninth Bath Conference on
Osteoporosis (June 2003).
- The complete data were presented at the October 2004 SIGN
guideline implementation meeting.
- Two abstracts summarising key final outcomes were presented at
the Tenth National Osteoporosis Society Conference on Osteoporosis,
Harrogate (November/December 2004)
- Two articles for submission to peer reviewed journals are in
Future of the Work
The report recommends that a further audit should be
commissioned following the introduction of further fracture liaison
services to determine the relative rates of fractures in centres
where patients over the age of 50 with fractures have only recently
been identified and treated compared to the established
The report also recommends research into the most effective
methods of vertebral fracture identification to enable therapeutic
intervention and a reduction of future morbidity and excess
Published Date: 19 October 2005