RCT: Added Value of Coordinator for the Management of Hip Fracture Patients

Study Overview
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Brief Summary
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Introduction: Hip fracture due to osteoporosis is associated with an extremely high mortality morbidity and loss of quality of life. The risk of future fracture after a first hip fracture is increased. Several studies reported that patients who suffered from a fracture are not optimally treated and do not receive osteoporosis treatment after the first fracture episode. Aim: To evaluate whether a coordinator increases the optimal management of osteoporotic fracture patients and hip fracture patients.

Detailed Description
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Material and methods: Population: Identification in the IRIS public hospital network of all patients above 50 years who suffer from hip fracture. Exclusion of those due to high energy fractures and due to known cancer. First observational phase of treatment followed by randomized controlled trials of 2 years. Intervention (RCT): Added value of a coordinator. Measured outcomes : A. New fractures. B. A score of optimal management of osteoporosis. Definition of the score and management: 1. Realization of a bone density measurement. 2. Identification of secondary osteoporosis. 3. Identification of risk factors and calculation of the probability of a future fracture using FRAX score. 4. Attempt to correct risk factors of osteoporosis when possible. 5. Prevention of falls. 6. Prescription of calcium and vitamin D. 7. Prescription of a medical osteoporosis treatment. 8. Report to the general practitioner.

Official Title
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Randomized Controlled Trial: Added Value of Coordinator for the Management of Hip Fracture Patients in a Network of Public Hospitals in Brussels.

Conditions
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Osteoporosis

Intervention / Treatment
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* Other: Added value of coordinator


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Identification in the IRIS public hospital network of all patients above 50 years who suffer from hip fracture. Exclusion Criteria: Exclusion of those due to high energy fractures and due to known cancer.

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: usual care<br>usual care | |
| Other: Added value of coordinator<br>Added value of coordinator | Other: Added value of coordinator<br>* Added value of coordinator<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| A score of optimal management of osteoporosis. | Definition of the score and management: 1. Realization of a bone density measurement. 2. Identification of secondary osteoporosis. 3. Identification of risk factors and calculation of the probability of a future fracture using FRAX score. 4. Attempt to correct risk factors of osteoporosis when possible. 5. Prevention of falls. 6. Prescription of calcium and vitamin D. 7. Prescription of a medical osteoporosis treatment. 8. Report to the general practitioner. | 3-6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| New fractures. |  | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Osteoporosis, hip fracture, fractures, Bone density