Members of the public
Bibliography for Breaking Point website
Fracture Liaison Services
McLellan AR, Wolowacz SE, Zimovetz EA et al. Fracture liaison services for the evaluation and management of patients with osteoporotic fracture: a cost-effectiveness evaluation based on data collected over 8 years of service provision. Osteoporos Int. 2011 [E-publication ahead of print] May 24. PubMed ID 21607809
Clunie G and Stephenson S. Implementing and running a fracture liaison service: An integrated clinical service providing a comprehensive bone health assessment at the point of fracture. J Ortho Nursing. 2008;12(3-4):159-165. doi:10.1016/j.joon.2008.09.001 [Last accessed 03-06-2011]
Gallacher SJ. Setting up an osteoporosis fracture liaison service: background and potential outcomes. Best Prac Res Clin Rheum. 2005;19(6):1081-1094. PubMed ID 16301198
Langridge CR, McQuillian C, Watson WS et al. Refracture following Fracture Liaison Service Assessment illustrates the Requirement for Integrated Falls and Fracture Services. Calcif Tissue Int. 2007;81(2):85-91. PubMed ID 17629737
McLellan A, Gallacher S, Fraser M et al. The fracture liaison service: success of a program for the evaluation and management of patients with osteoporotic fracture. Osteoporosis International. 2003;14(12):1028-1034. PubMed ID 14600804 [Last accessed 03-06-2011]
Policy
Oliver D. Development of services for older patients with falls and fractures in England: successes, failures, lessons and controversies. Arch Gerontol Geriatr. 2009 Dec;49 Suppl 2:S7-12. PubMed ID 20005429
Willett KM. The future of trauma care in the UK. Br J Hosp Med (Lond). 2009;70(11):612-3. PubMed ID 20081583
Martin FC. Next steps for falls and fracture reduction. Age Ageing. 2009;38(6):640-3. PubMed ID 19840993
Department of Health in England. Fracture prevention services: An economic evaluation. Prevention Package for Older People. 2009. Available for download from:
http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/ [Last accessed 03-06-2011]
Department of Health in England. Falls and fractures: Effective interventions in health and social care. Prevention Package for Older People. Available for download from:
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/DH_103146 [Last accessed 02-06-2011]
National Institute for Health and Clinical Excellence
Denosumab for the prevention of osteoporotic fractures in postmenopausal women. NICE technology appraisal guidance 204. 2010. http://www.nice.org.uk/Guidance/TA204 [Last accessed 03-06-2011]
Alendronate (review), etidronate (review), risedronate (review), raloxifene (review), strontium ranelate and teriparatide (review) for the secondary prevention of osteoporotic fragility fractures in postmenopausal women. Technology Appraisal 161. 2008. Available for download from: http://www.nice.org.uk/Guidance/TA161 [Last accessed 03-06-2011]
Alendronate, etidronate, risedronate, raloxifene and strontium ranelate for the primary prevention of osteoporotic fragility fractures in postmenopausal women. Technology Appraisal 160. 2008. Available for download from: http://www.nice.org.uk/Guidance/TA160 [Last accessed 03-06-2011]
Falls: the assessment and prevention of falls in older people. Clinical Guideline 21. 2004. Available for download from: http://www.nice.org.uk/CG21 [Last accessed 03-06-2011]
National Hip Fracture Database
Gunasekera N, Boulton C, Morris C, Moran C .Hip fracture audit: the Nottingham experience. Osteoporos Int. 2010;21(Suppl 4):S647-53.
PubMed ID 21058005
Edwards GA, Metcalfe AJ, Johansen A. Performance monitoring in hip fracture surgery–how big a database do we really need? Injury. 2010;41(4):374-6. PubMed ID 19897187
Sahota S, Currie C. Hip fracture care: all change. Age Ageing. 2008;37(2):128-9. PubMed ID 18349006
Professional guidance
Cooper C, Mitchell P, Kanis JA. Breaking the fragility fracture cycle. Osteoporos Int. 2011. [Epublication ahead of print] May 24. PubMed ID 21607806
Marsh D, Akesson K, Beaton DE et al. Coordinator-based systems for secondary prevention in fragility fracture patients. Osteoporos Int. 2011 [E-publication ahead of print] May 24. PubMed ID 21607807
British Orthopaedic Association. The care of patients with fragility fracture. 2007. Available for download from: http://www.fractures.com/pdf/BOA-BGS-Blue-Book.pdf [Last accessed 02-06-2011]
British Orthopaedic Association. BOAST 1: Hip fracture in the Older Person. British Orthopaedic Association Standards for Trauma. British Orthopaedic Association. September 2007. Available for download from:
http://www.boa.ac.uk/shared/download.aspx [Last accessed 03-06-2011]
Patient Society Guidance
National Osteoporosis Society. Protecting fragile bones: A strategy to reduce the impact of osteoporosis and fragility fractures in England/Scotland/Wales/Northern Ireland. 2009. Available for download from: http://www.nos.org.uk/page.aspx?pid=818 [Last accessed 02-06-2011]
National Audit
Royal College of Physicians’ Clinical Effectiveness and Evaluation Unit. Falling standards, broken promises: Report of the national audit of falls and bone health in older people 2010. Royal College of Physicians. 2011. Available for download from:
http://www.rcplondon.ac.uk/resources/national-audit-falls-and-bone-health-older-people [Last accessed 03-06-2011]
Royal College of Physicians’ Clinical Effectiveness and Evaluation Unit. National Audit of the Organisation of Services for Falls and Bone Health for Older People. 2009. Available for download from: http://www.rcplondon.ac.uk/sites/default/files/ [Last accessed 03-06-2011]
Regional Implementation
Bose S and Chrisopoulos S. Benchmarking quality of care for fragility fractures in the South Central SHA area. Bose S and Chrisopoulos S. South East Public Health Observatory and NHS South Central. Available for download from: http://www.sepho.org.uk/Download/Public/13796/ [Last accessed 03-06-2011]
Skelton D and Neil F. NHS Greater Glasgow and Clyde Strategy for Osteoporosis and Falls Prevention 2006‐2010: An Evaluation 2007‐2009. Available for download from:
http://library.nhsggc.org.uk/mediaAssets [Last accessed 03-06-2011]
The Breaking Point Report provided a snapshot of the current situation for women with osteoporosis in the UK.
Breaking Point described the practical steps that must be taken by healthcare professionals, policy makers and commissioners, as well as the public to prevent avoidable suffering and cost of osteoporotic fractures.





