Osteoporosis
Conditions
Interventions
Control Group:Conventional follow-up: telephone follow-up every 3 months, recording medication adherence, symptom and sign changes, lifestyle, diet, exercise, risk assessment, and quality of life. Res
Intervention Group:Comprehensive intervention using the AI follow-up system: Information is pushed to patients via the WeChat mini-program, including effective interventions (phone calls, face-to-face
Sponsors
Beijing Hospital
Eligibility
Sex/Gender
All
Age
60 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Age >= 60 years and <= 80 years; 2. Diagnosed with osteoporosis according to the diagnostic criteria specified in the *Chinese Guidelines for the Diagnosis and Treatment of Primary Osteoporosis* (2022 Edit); 3. Availability of a DXA bone density test result from Beijing Hospital within the past 3 months.
Exclusion criteria
Exclusion criteria: 1. Secondary osteoporosis; endocrine diseases affecting bone metabolism (parathyroid diseases, gonadal, adrenal, thyroid diseases, etc.); autoimmune diseases like rheumatoid arthritis; gastrointestinal and renal diseases affecting calcium and vitamin D absorption and metabolism; neuromuscular diseases; malignant diseases like multiple myeloma; various congenital and acquired bone metabolism abnormalities; long-term use of glucocorticoids or other drugs affecting bone metabolism. 2. Inability to use a smartphone or WeChat mini-program for registration and follow-up; 3. Incomplete data. Signed informed consent is required.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage change in lumbar spine (L1-L4) bone mineral density (BMD) from baseline at 12 months; | — |
Secondary
| Measure | Time frame |
|---|---|
| Behavioral adherence: Treatment adherence (treatment rate, follow-up rate, medication adherence score, medication possession ratio), disease awareness level (questionnaire survey), adequacy rate of calcium/vitamin D intake, exercise prescription compliance rate, satisfaction score;Clinical outcomes: Pain VAS score, incidence of new vertebral/hip fractures at 12 months, incidence of fall events, quality of life score;Incidence rate of new vertebral/hip fractures;Health economics: Annual per capita medical costs (medications + examinations + hospitalization), physician follow-up time cost (minutes per case); | — |
Countries
China
Contacts
Public ContactDuan Xiaoye
Beijing Hospital
Outcome results
None listed