Quality of the Detection & Treatment of Osteoporotic Fractures in a Swiss Trauma Center

Osteoporotic Fractures in a Swiss Trauma Center - Observational Study to Improve the Diagnosis and Management of and the Persistence to Therapy.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02157753

Enrollment

478

Registered

2014-06-06

Start date

2012-07-31

Completion date

2015-12-31

Last updated

2018-03-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Osteoporosis, Osteoporosis, Postmenopausal

Keywords

Osteoporotic fracture, treatment for osteoporosis, adherence and compliance

Brief summary

As a tertiary hospital the Traumatology department at the Kantonsspital Aarau looks after about 500 fracture patients hospitalized with an age over 50 years a year. First, we were interested in the effective rate of osteoporotic fractures in this cohort. As to this objective we offered subsequent diagnostics in suspected patients. 2012 we introduced a diagnostic pathway for every patient over 50 years of age with a fracture, including dual energy x-ray absorptiometry (DXA), a questionnaire about risk factors concerning osteoporosis and risk of fracture, the WHO Fracture Risk Assessment Tool (FRAX) and a laboratory workup focusing on this topic. Considering all these information we sent a detailed therapy-plan to the responsible General practitioner. The main goal of this study is to verify the persistence and compliance of the osteoporosis therapy 12-15 months after fracture and to clarify any obstacles potentially impeding therapy (prejudice, adverse events, contraindication overlooked, financial problems etc.). The investigators use a postal questionnaire provided to the patient and the general practitioner. Data collection is undertaken by a study nurse, in addition phoning for missing data by phone-call. With the aim to ameliorate the implementation of treatment, patients and general practitioners will be provided with the specifically tailored information found to be missing.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

50 Years to No maximum

Healthy volunteers

Inclusion criteria

* age over 50 years * any peripheral fracture, which led to hospitalisation in Kantonsspital Aarau, traumatology department

Exclusion criteria

* no informed consent * age under 50 years * not treated by traumatology department

Design outcomes

Primary

Measure	Time frame	Description
Persistence and compliance with treatment for osteoporosis	12-15 month after initial fracture	* percentage of persons receiving prescription vs. following completely / partially treatment advice * both, according to self declaration vs. general practitioner information * collection of arguments if therapy was not undertaken

Countries

Switzerland

Outcome results