Implementation of a strategy of osteoporosis screening in patients over 50 years of age with a first fracture

• Conditions: osteoporosis (osteoporose, botontkalking) fracture (fractuur, botbreuk) implementation (implementatie) nurse-practitioner (fractuur verpleegkundige)

• Registration Number: NL-OMON29608
• Lead Sponsor: VUmc

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 28 February 2024

Recruitment & Eligibility

• Status: Pending
• Sex: Not specified
• Target Recruitment: 1650

Inclusion Criteria

All patients 50 years of age or older, who have a clinical fracture and a low BMD defined as a T score smaller or equal 2.

Exclusion Criteria

1. Patients with a fracture after a traffic accident
2. Patients with a pathological fracture
3. Patients with fractures of hand, foot or scull
4. Serious comorbidity or dementia
5. Incapable of visiting the out patient clinic

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Is it possible to improve routine detection and treatment of osteoporosis after an initial fracture?<br>1.Is it possible to increase the proportion of patients adequately screened and categorized as to the presence of osteoporosis from current practice of 5-40% to at least 70%?<br>2. In patients found to have osteoporosis, is it possible to:<br>a. start treatment in nearly all applicable patients?<br>b. maintain the proportion of patients still on anti osteoporotis treatment after 1 year at 70% of those starting treatment?

Secondary Outcome Measures

Name	Time	Method
1. Are the data on subsequent fracture rates compatible with a reduction to 4%?<br>2. Is the proportion of patients screened for osteoporosis with a DXA measurement significantly higher in the implementation group (with fracture nurse) than in the control group (without a fracture nurse; 'usual care')?<br>3. Is the proportion of patients still on anti osteoporosis treatment after 1 year significantly higher in the implementation group than in the control group?<br>4. What are the costs associated with the implementation of an osteoporosis nurse and how do these costs compare to the health benefits obtained.<br>5. What are the practical barriers encountered in trying to achieve the above mentioned goals?<br>6. What are the practical barriers in the implementation of an osteoporosis nurse, and how can these be overcome?