Montoya-García, María JoséCarbonell-Abella, C.Cancio-Trujillo, José ManuelMoro-Álvarez, María JesúsMora-Fernández, JesúsIzquierdo-Avino, RafaelNogués Solan, Francesc XavierMesa-Ramos, ManuelSan Segundo Mozo, Rosa MaríaCalero-Muñoz, ElenaNaves-Diaz, ManuelOlmo-Montes, F. JesúsDuaso, EnricGRUPO REFRA-FLS2023-02-222023-02-222022Montoya-Garcia MJ, Carbonell-Abella C, Cancio-Trujillo JM, Moro-Álvarez MJ, Mora-Fernández J, Izquierdo-Avino R, et al. Spanish national registry of major osteoporotic fractures (REFRA) seen at fracture liaison services (FLS). Objectives and quality standards. Arch Osteoporos. 2022 Nov 1; 17(1): 138. DOI: 10.1007/s11657-022-01174-x1862-3522http://hdl.handle.net/10230/55838REFRA-FLS is a new registry in Spain aimed at identifying individuals over 50 years of age with a fragility fracture. Using this registry, we found hip fracture is the most prevalent fracture. Treatment for osteoporosis was 87.7%, with 65.3% adherence. REFRA-FLS provides fundamental data in the study of fragility fractures. Purpose: fragility fractures are a growing public health concern in modern-aged societies. Fracture Liaison Services (FLS) have been shown to successfully lower rates of secondary fractures. A new registry (REFRA-FLS) has been created to monitor quality indicators of FLS units in Spain and to explore the occurrence and characteristic of fragility fractures identified by these centers. Methods: we conducted a prospective cohort study based on fragility fractures recorded in the REFRA-FLS registry. Participants were individuals 50 years or above who suffered a low energy fragility fracture identified by the 10 participating FLS units during the study period. The type of FLS unit, the characteristics of the individuals at baseline, along with patient outcomes as quality indicators among those who completed 1 year of follow-up were analyzed. Results: a total of 2965 patients and 3067 fragility fractures were identified, and the most frequent locations were hip (n = 1709, 55.7%) and spine (n = 492, 16.0%). A total of 43 refractures (4.5%) and 46 deaths (4.9%) were observed among 948 individuals in the follow-up analyses. Time from fracture to evaluation was less than 3 months in 76.7% of individuals. Osteoporosis treatment was prescribed in 87.7%, and adherence was 65.3% in Morisky-Green test. Conclusion: our results provide a comprehensive picture of fragility fractures identified in FLS units from Spain. Overall, quality indicators are satisfactory although a much higher use of DXA would be desirable. As the registry grows with the incorporation of new FLS units and longer follow-up, incoming analyses will provide valuable insight.application/pdfengCopyright © Montoya-Garcia MJ, Carbonell-Abella C, Cancio-Trujillo JM, Moro-Álvarez MJ, Mora-Fernández J, Izquierdo-Avino R, et al. 2022. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.info:eu-repo/semantics/articlehttp://dx.doi.org/10.1007/s11657-022-01174-xAdherenceFracture Liaison ServicesFragility fracturesOsteoporosisinfo:eu-repo/semantics/openAccess