Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2026; 93(4):219-225 | DOI: 10.55095/achot2026/005

Péče o pacienty po osteoporotické fraktuře v České republice:adherence k doporučeným postupům a postoj k programu Fracture Liaison Services

KVĚTA VRÁBLÍKOVÁ¹, VLADIMÍR PALIČKA¹, VALÉRIE TÓTHOVÁ², MARIAN RYBÁŘ³, LUDMILA BRUNEROVÁ⁴, RICHARD PIKNER⁵, MARTINA SOCHMANOVÁ⁶

¹ Institute for Clinical Biochemistry and Diagnostics, Osteocenter, University Hospital Hradec Kralove, Faculty of Medicine Charles University in Hradec Kralove, Czech Republic

² The University of South Bohemia in Ceske Budejovice, Czech Republic

³ Faculty of Biomedical Engineering CTU in Prague, Czech Republic

Purpose of the study:
Untreated osteoporosis often leads to subsequent fractures associated with high morbidity and mortality. In the Czech Republic, approximately 15,000 patients are hospitalized annually with femoral neck fractures, with up to 25% mortality within the first year after a hip fracture. Establishing a coordinated post-fracture care program, such as Fracture Liaison Services (FLS), may substantially reduce this burden. In the FLS model, the role of the coordinator is pivotal. This study aimed to assess baseline adherence to national postfracture care guidelines and to evaluate nurses’ attitudes toward the FLS program and the role of FLS coordinators in the Czech Republic.

Material and methods:
Between May 25 and July 14, 2023, an anonymous electronic questionnaire was distributed to members of the Czech Association of Nurses working in surgical, orthopedic, and trauma departments. The survey assessed adherence to guideline-recommended discharge procedures and attitudes toward FLS implementation and coordinator certification.

Results:
Adherence to national guidelines was poor across all evaluated domains of post-fracture care. Only a minority of respondents reported consistent patient education, scheduling of follow-up visits, referral for DXA examination, or prescription of vitamin D and calcium supplements. Nevertheless, 76% of participants believed that implementing an FLS program would improve the quality and effectiveness of post-fracture care, and 61% expressed interest in specialized training to become certified FLS coordinators.

Conclusions:
Despite substantial gaps in current adherence to post-fracture care guidelines, nurses demonstrated strong support for the FLS model and recognized the importance of the coordinator role. These baseline findings indicate that successful implementation of FLS programs in the Czech Republic will require both system-level coordination and motivated, trained nurse coordinators.

Klíčová slova: osteoporotic fractures; post-fracture care; FLS coordinator.

Vloženo: 27. leden 2026; Revidováno: 27. leden 2026; Přijato: 3. únor 2026; Zveřejněno: 1. srpen 2026  Zobrazit citaci