Evaluation of the Fracture Liaison Service within the Canadian Healthcare Setting
Table 3
Bone mineral density, fracture history, and fracture risk.
Participant characteristics
FLS group
PCP group
value
Mean (SD) BMD lumbar spine (g/cm2)
0.952 (0.175)
0.881 (0.170)
<0.001
Mean (SD) BMD femoral neck (g/cm2)
0.687 (0.140)
0.646 (0.115)
<0.001
Mean (SD) BMD total hip (g/cm2)
0.822 (0.160)
0.746 (0.117)
<0.001
Mean (SD) T-score lumbar spine
−0.991 (1.551)
−1.70 (1.470)
<0.001
Mean (SD) T-score femoral neck
−1.580 (1.145)
−2.111 (0.884)
<0.001
Mean (SD) T-score total hip
−1.112 (1.21)
−1.780 (0.900)
<0.001
Family history of osteoporosis, n (%)
66 (29.7)
91 (40.1)
0.02
Family history of hip fracture, n (%)
42 (18.9)
38 (16.7)
0.55
Fracture at assessment, n (%)
223 (99.1)
45 (19.8)
<0.001
Nature of fracture, n (%)
<0.001
Ankle
7 (3.1)
2 (0.9)
Clavicle
4 (1.8)
0 (0.0)
Elbow
24 (10.7)
1 (0.4)
Femur
2 (0.9)
0 (0.0)
Foot
1 (0.4)
5 (1.1)
Forearm
4 (1.8)
0 (0.0)
Hip
12 (5.3)
5 (2.2)
Humerus
21 (9.3)
0 (0.0)
Leg
11 (4.9)
2 (0.9)
Pelvis
3 (1.3)
1 (0.4)
Shoulder
23 (10.2)
0 (0.0)
Spine
22 (9.8)
19 (8.4)
Wrist
89 (39.6)
5 (2.2)
Other
2 (0.9)
5 (2.2)
None
0 (0.0)
182 (80.2)
Fall at assessment, n (%)
206 (91.6)
37 (16.3)
<0.001
On prior bone medication therapy, n (%)
24 (10.7)
92 (40.5)
<0.001
Bone medication initiated n (%)
137 (60.9)
165 (72.7)
0.01
History of a vertebral fracture, n (%)
28 (12.4)
28 (12.3)
0.97
History of a hip fracture, n (%)
3 (1.3)
9 (4.0)
0.08
History of a wrist fracture, n (%)
34 (15.1)
30 (13.2)
0.56
History of a shoulder fracture, n (%)
11 (4.9)
8 (3.5)
0.47
History of major osteoporotic fracture, n (%)
79 (35.1)
68 (29.9)
0.24
History of other fractures (nonmajor osteoporotic fractures), n (%)
71 (31.6)
5 (2.2)
<0.001
Mean (SD) major osteoporotic fractures
1.3 (0.9)
0.5 (0.8)
<0.001
Mean (SD) other fractures
0.7 (1.0)
0.6 (1.0)
0.25
Mean (SD) total lifetime fractures
2.0 (1.2)
1.1 (1.4)
<0.001
FRAX score (major osteoporotic fracture)
15.6 (10.2)
15.3 (10.3)
0.72
FRAX score (hip fracture)
4.7 (8.3)
4.7 (6.8)
1.00
For categorical variables: Chi-squared test was used to determine differences between groups. For continuous outcomes: two-sample t-test was used to determine differences between groups.
