Enrollment in a fracture liaison service does not guarantee post fracture follow-up.

Objective: To assess post fracture outpatient follow-up adherence in a cohort of patients enrolled in a fracture liaison service (FLS).

Methods: We analyzed FLS registry data for patients who were hospitalized with fragility fractures from June 2020 through December 2022 and determined the proportion of patients who kept their follow-up appointments in outpatient endocrinology and orthopedic clinics.

Results: We identified 295 patients who were eligible for the FLS pathway; from this group, 57 declined an endocrinology follow-up visit.