Randomized Trial of Osteoporosis Intervention Strategies in Hip Fracture Patients

Study Overview
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Brief Summary
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Patients with hip fractures have suffered the most devastating consequence of osteoporosis; and yet, they are rarely if ever tested or treated for the condition, even though they remain at high risk of recurrent fracture. We hypothesize that, compared with usual care, an allied health professional-run osteoporosis service (case management) will be able to increase testing and treatment of osteoporosis in patients at high risk of fracture.

Detailed Description
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Patients with hip fractures have suffered the most devastating consequence of osteoporosis; and yet, they are rarely if ever tested or treated for the condition, even though they remain at high risk of recurrent fracture. We hypothesize that, compared with usual care, an allied health professional-run osteoporosis service (case management) will be able to increase testing and treatment of osteoporosis in patients at high risk of fracture.

Official Title
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Randomized Trial of Osteoporosis Intervention Strategies in Hip Fracture Patients

Conditions
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Osteoporosis, Hip Fracture

Intervention / Treatment
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* Behavioral: Allied health professional-run osteoporosis service (case-management)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: hip fracture patient > 50 years of age able to give consent (or proxy consent available) lives within health region no contraindications to bisphosphonate therapy Exclusion Criteria: refuses to participate or consent dementia or delirium without a proxy consent available nursing home or longterm care pathologic fracture chronic glucocorticoid use already receiving prescription osteoporosis treatment (calcium and vitamin D do not preclude inclusion)

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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: Allied health professional-run osteoporosis service (case-management)|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The proportion of patients taking bisphosphonate therapy within 6 months of hip fracture |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of patients taking prescription osteoporosis treatment at 6 months and 12 months |  |  | 
| Proportion in receipt of a BMD test at 6 months and 12 months |  |  | 
| Proportion still adherent to osteoporosis treatments at 6 months and 12 months |  |  | 
| Proportion of patients with recurrent fractures at 6 months and 12 months |  |  | 
| Cost effectiveness analyses |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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osteoporosis treatment, osteoporosis testing, hip fracture, quality improvement