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No more excuses: fracture liaison services work and are cost-effective

Nikolai Bogduk
Med J Aust 2012; 197 (3): 147. || doi: 10.5694/mja12.10690
Published online: 6 August 2012

To the Editor: In their letter, Spencer, Howe and Manolios call for investment in fracture liaison services.1 Our own business plan showed that for an investment of $55 000 to hire a nurse, the dividend is $1.5 million in second surgeries prevented. This plan has failed to impress successive chief executive officers or their finance managers, and for good reason. The obstacle is a financial paradox.

  • Nikolai Bogduk

  • Newcastle Bone and Joint Institute, Royal Newcastle Centre and University of Newcastle, Newcastle, NSW.


Competing interests:

No relevant disclosures.

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