Hip Fracture, Vertebral Fracture, Other Low-trauma Fracture
Conditions
Brief summary
The main aim is to assess the effectiveness of introducing a standardized intervention program for treatment of patients with a fragility fracture as measured by changes in the fracture rates and the mortality.
Detailed description
A fracture liaison service model of care is widely recommended but data on its effectiveness regarding reduced risk of recurrent fracture and fracture related mortality are scarce. The investigators therefore aim to assess the risk of subsequent fractures and mortality after a clinical fracture in patients who present to hospitals with a standardized intervention program. Seven Norwegian hospitals will be Stepped Wedge Cluster Randomized to a standardized intervention program with startup date between May 2015 and Jan 2016. The intervention will last throughout 2018 with follow-up throughout 2019. Outcomes before and after the intervention will be compared and each hospital will act as its own control. The effect of the intervention will be measured by using national patient registries on fractures and mortality.
Interventions
OTHERFracture Liaison Service
OTHERCurrent treatment
Sponsors
Asker & Baerum Hospital
Drammen sykehus
Haukeland University Hospital
Molde Hospital
St. Olavs Hospital
University Hospital of North Norway
University of Oslo
Norwegian University of Science and Technology
Oslo University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Low-energy fracture
Exclusion criteria
* finger fracture, toe fracture, face fracture, skull fracture
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fragility fracture | 4 years | Incidence of fragility fractures per 10,000 person-years (distal forearm fractures, proximal humerus fractures and hip fractures) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | 4 years | Total number of deaths during four years after enrollment |
Countries
Norway
Outcome results
None listed