Clinical trial NCT00226031: Optimal Management of Women With Wrist Fractures
Official title: Optimal Management of Older Women With Distal Forearm Fractures
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Osteoporosis
Osteopenia
Keywords: Osteoporosis
Wrist fractures
Knowledge translation
Implementation
Educational reminder
Lead sponsor: Queen's University
Sponsor class: OTHER
Collaborators: name: Canadian Institutes of Health Research (CIHR)
First posted: 2005-09-26
Enrollment: 270
Sex: FEMALE
Minimum age (years): 50
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: To evaluate the effectiveness of a multifaceted intervention (reminder and educational material) in improving the evaluation of osteoporosis follow-up care of post-menopausal women with wrist fractures by their primary care physicians. The intervention is directed at improving the gap in continuity of care between emergency/fracture clinics and family physicians, and reducing knowledge gaps.

Detailed description: Numerous studies have demonstrated that women with wrist fractures have lower bone mineral density. Despite new guidelines for the care of such women, research has shown that they are not generally evaluated for osteoporosis. This care gap exists although it is known that wrist fractures are an important marker for subsequent fractures, such as a hip fracture, which represents a significant socio-economic burden to society.

Comparison: Cluster randomized trial of women and their physicians, both of whom receive educational material and reminder on post fracture osteoporosis evaluation. Comparison is to women and their physicians who receive standard post fracture information. Family practices are randomized to intervention or non-intervention group.

Eligibility criteria: Inclusion Criteria:

1. Postmenopausal women with low trauma distal radius fracture (confirmed by x-ray).
2. Can be taking Didrocal (etidronate), Miacalcin (calcitonin),or hormone replacement therapy .

Exclusion Criteria:

1. Women with fractures of the elbow, mid radius, scaphoid, or injury to wrists (without actual fracture).
2. Significant cognitive impairment (which would preclude them from filling out simple questionnaires).
3. Women already taking osteoporosis therapy, ie. either Fosamax (alendronate), Actonel (risedronate), or the selective estrogen receptor modulator, Evista (raloxifene).

Primary outcomes:
measure: Proportion of women who are prescribed anti-osteoporosis therapy within 6 months of sustaining a forearm fracture.
timeFrame: 6 months
Secondary outcomes:
measure: Proportion of women in whom a bone density scan is ordered and the proportion of women who receive counseling advice about osteoporosis from their family physicians.
timeFrame: 6 months
measure: Women's knowledge about osteoporosis and fractures (Osteoporosis Knowledge Questionnaire).
timeFrame: 6 months
Other outcomes:
Locations:
city: Kingston
country: Canada
facility: Queen's University
state: Ontario
Study officials:
affiliation: Queen's University
name: Ann B Cranney, MD
role: PRINCIPAL_INVESTIGATOR
References: