Appendix I
Version 1 – October 20, 2013
This appendix will be updated as new information becomes available.
Algorithms for FLS by fracture type
The algorithms for FLS comply with Osteoporosis Canada’s 2010 clinical practice guidelines for the diagnosis and management of osteoporosis1 and they also incorporate the standards described in the IOF Capture the Fracture Best Practice Framework for FLS2 (for more details, see Appendix L). These algorithms will be updated whenever there are relevant updates to Osteoporosis Canada guidelines, recommendations or position statements or when new global standards are set.
The proposed algorithms are designed with an FLS Model A (3i) or Model B (2i) in mind. These algorithms assume an FLS Coordinator (typically a nurse or nurse practitioner) working independently, by protocol, with relatively limited access to an osteoporosis specialist or Metabolic Bone Disease Clinic. In order to avoid duplication of services, in these algorithms, a patient is discharged from the FLS whenever he/she is referred to an osteoporosis specialist or Metabolic Bone Disease Clinic.
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1. Papaioannou A, Morin S, Cheung AM, et al. 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. CMAJ. Nov 23 2010;182(17):1864-1873.2. Akesson K, Marsh D, Mitchell PJ, et al. Capture the Fracture: a Best Practice Framework and global campaign to break the fragility fracture cycle. Osteoporos Int. Apr 16 2013.