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Australian and New Zealand Fragility Fracture Registry 2024 report released today

The Australian and New Zealand Fragility Fracture Registry (ANZFFR) are delighted to share the first annual report.

Preventing fragility fractures delivers wide-ranging economic, health-system, societal and personal healthcare benefit, especially as the number of fragility fractures in NZ is predicted to rise by ~75% in the next ten years. People admitted with fragility fracture and fall-related injury required over 300,000 hospital bed days in 2022, equivalent to every bed in Christchurch Hospital occupied for the entire year. Best-practice prevention has been shown to reduce fractures by 30-40% and falls by up to 30% in patients suitable for intervention, potentially saving tens of thousands of bed days.

In New Zealand, Fracture Liaison Services (FLS) have had publicly funded support from the Accident Compensation Corporation (ACC), since before the launch of ANZFFR in March 2022, which has helped us achieve near-complete national FLS coverage and Registry participation within a year. The situation is quite different in Australia, where, without defined funding or a national Clinical Standard as a benchmark for care quality, progress has been much slower.

The ultimate goal of the ANZFFR is to use data to improve health system performance and maximise outcomes for people with fragility fractures by improving secondary fracture prevention, reducing rates of further fragility fractures and their associated morbidity and mortality. This will be achieved by:

– Evaluating Fracture Liaison Services performance against the Clinical Standards for Fracture Liaison Services in New Zealand, published in December 2021. www.osteoporosis.org.nz

– Preventing future fragility fractures by monitoring secondary prevention interventions. – Standardising care across Australia and New Zealand by addressing barriers to the use of the best available evidence. Providing publicly available information so that patients can be reassured they receive the standard of care they need after a fragility fracture.

– Provide data for research questions or projects, nationally and internationally, as required.

This 2024 report contains data for 11,600 patients who presented with 12, 285 fragility fractures in New Zealand only. The data covers the first year of Registry recruitment from 1st July 2022 to 30th June 2023 and 16 week follow up of all participants, to 31st October 2023.

The Registry in New Zealand has got off to a flying start, with a 55% capture rate of fragility fractures expected in NZ each year. As FLS went live on the Registry at different in the year, the “true” capture rate of participating FLS was >90%. Key highlights from the report included > 90% of patients having a bone health and falls risk assessment and a treatment recommendation rate >80% within 12 weeks post fragility fracture, with >80% of follow ups conducted within 16 weeks. As with all quality improvement programmes there is room for improvement. By next year’s report, the aim will be to show that FLS are making a difference to fracture rates and therefore to the people whose lives are affected by them.

The report highlights the FLS team’s passion for their patients and commitment to quality improvement is visible. The ANZFFR would like to thank all of the staff in the 19 New Zealand and one Australian Fracture Liaison Service teams, ACC and also those at Health NZ – Te Whatu Ora for their dedication to improving fragility fracture care and for their hard work participating in the ANZFFR. To view the full ANZFFR 2024 report, both print and electronic copy: visit www.fragilityfracture.co.nz/www.fragilityfracture.com.au  


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