The development of national registries for the secondary prevention of fragility fractures has emerged as a key mechanism to enhance the quality of secondary fracture prevention worldwide. With the increasing burden of fragility fractures driven by demographic shifts, there is an urgent need for systematic approaches to post-fracture care. This presentation will explore how secondary fracture prevention registries in Ireland, Japan, New Zealand, and the UK contribute to improved care quality and overall health system performance.
In New Zealand, adherence to clinical standards has been facilitated by benchmarking the performance of Fracture Liaison Services (FLS) within the New Zealand arm of the Australian and New Zealand Fragility Fracture Registry. Similarly, the UK's FLS Database and the Irish FLS Database have successfully standardised care and reduced regional variability, providing valuable insights into how consistency in secondary fracture prevention can be achieved. In Japan, the establishment of a national hip fracture registry marks a significant step in the systematic approach to hip fracture care and secondary prevention, which has also supported the introduction of post-fracture quality incentive payments to hospitals.
By collecting and benchmarking comprehensive patient data, national registries enable healthcare systems to identify care gaps, monitor performance against established standards, and drive continuous improvements in clinical practice. This presentation will assess the impact of these registries on secondary fracture prevention and examine their potential for replication in other countries.