Fracture, Osteoporosis
Conditions
Keywords
Osteoporosis, Fracture, Fracture liaison service, Digital medicine
Brief summary
The purpose of this study is to compare web FLS model (e\_FLS) to conventional FLS in terms of increasing the proportion of patients receiving an antiosteoporotic treatment in the year after a low trauma fracture.
Detailed description
Osteoporotic fractures such as hip fractures and severe fractures are associated with increased morbidity and mortality and impose a large financial burden on healthcare systems. Patients with osteoporosis-related fractures are at higher risk of subsequent fractures. Other severe fractures (pelvis, vertebrae, humerus) have similar consequences, pelvis. The risk of refracture after fracture depends on the time: it is 5 times higher in the first 2-3 years, and 2 times higher after. This notion of Imminent Fracture Risk is the basis for the development of post-fracture care pathways called fracture liaison. The implementation of FLS is the most effective way to reduce the risk of secondary fracture. Despite their success, FLS programs are not an integral part of post-fracture care throughout the France. The investigators believe that the barriers to the implementation of such a pathway are multiple and are largely related to the lack of accessibility for patients to FLS, and to the mobilization of important and unsustainable human resources. Some French public hospitals or institutions are currently building some e\_FLS models based on an automatic detection of patients with fractures, and a on a cloud-based system where practitioners across the health care sector can communicate and jointly manage osteoporotic patients. The investigators' hypothesis is that this web FLS (e\_FLS) is at least as effective as the classical FLS for the secondary fracture prevention. The objective of the investigators' study is to compare web FLS model (e\_FLS) to conventional FLS in terms of increasing the proportion of patients receiving an antiosteoporotic treatment in the year after a low trauma fracture (evAB project).
Interventions
None listed
Sponsors
French Society of Rheumatology
URC-CIC Paris Descartes Necker Cochin
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Men and women aged above 60 years, living in France, with fragility fractures in response to low-energy trauma (e.g., a fall from standing height). * The patient or his legal representative does not object to the patient's participation in the research Note: Patients in guardianship or curatorship can be included in this protocol
Exclusion criteria
* Pathological fractures, high trauma fractures and per prosthetic fractures. * Non registration with a social security scheme (holder or beneficiary).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To compare the efficacy of eFLS to conventional FLS to initiate an antiosteoporotic treatment after a recent fracture (<3 months) at one year in patients aged 60 years and more | one year | Number of patients receiving an antiosteoporotic treatment at one year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To compare the number of patients with recent fracture (less of 3 months) in the eFLS and conventional FLSs | one year | Number of patients seen in the FLS |
| To compare the proportion of patients with incident fracture over one year seen in the eFLS and in conventional FLS | one year | Incident fracture rate over 1 year |
| To compare the proportion of patients with deaths over one year in the eFLS and in conventional FLS | one year | Mortality rate over 1 year |
| To compare the proportion of patients with bone densitometry performed over one year in the eFLS and in conventional FLS | one year | Bone densitometry at 1 year |
Countries
France
Outcome results
None listed