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A Tiered Management System of Osteoporosis in China

Conditions
Osteopenia
Osteoporosis
Registration Number
NCT03916289
Lead Sponsor
Peking Union Medical College Hospital
Brief Summary

There is a management gap in China. This study aims to establish a tiered management system of osteoporosis for Chinese patients. Including:

1. Developing a national hierarchical health management network platform for middle-aged and elderly osteoporosis patients. With this platform, the data of medical records, laboratory results would be shared between medical institutions. And primary hospitals can refer the patients to the nearest medical centre for advanced auxiliary examinations and diagnosis.

2. Establishing a muti-level hospital collaboration, doctor-patient interaction management model of osteoporosis.

3. To explore and establish a early warning and screening pathways for osteoporosis.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
15000
Inclusion Criteria
  • Postmenopausal women or men aged 50 years or older

Conform to the diagnosis of osteoporosis or osteopenia as followings:

  1. Bone mineral density measured by dual-energy X-ray absorptiometry show a T-score ≤ -1.0 at neck of femur or total hip or lumber 1-4 OR
  2. Have at least once major osteoporotic fracture
Exclusion Criteria
  • Screened people who do not meet the inclusion criteria

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of patients enrolled at year 1Year 1

The number of patients with osteoporosis or osteopenia enrolled in each medical centre at year 1

Number of patients enrolled at year 2Year 2

The number of patients with osteoporosis or osteopenia enrolled in each medical centre at year 2

Number of patients enrolled at year 3Year 3

The number of patients with osteoporosis or osteopenia enrolled in each medical centre at year 3

Secondary Outcome Measures
NameTimeMethod
Number of patients screened at year 1Year 1

The number of patients screened for osteoporosis in each medical centre at year 1

Number of patients screened at year 2Year 2

The number of patients screened for osteoporosis in each medical centre at year 2

The proportion of patients treated in compliance with guidelines at year 2Year 2

The proportion of patients treated in compliance with guidelines at year 2

The proportion of patients treated in compliance with guidelines at year 3Year 3

The proportion of patients treated in compliance with guidelines at year 3

Data integrity in network platform at year 1Year 1

The integrity of data recorded in network platform. Including general characteristics (name, sex, age, height, weight and race), medical history (onset age, chief complaint, history of fractures, medication history, previous history and family history), results of auxiliary examinations (DXEA is mandatory required, and other examinations may differ between medical centres, usually including serum calcium, serum phosphorus, serum total alkaline phosphatase, urine calcium, urine phosphorus, serum parathyroid hormone, X ray of vertebrae and so on), prescriptions, and follow-up data. At year 1.

Number of patients screened at year 3Year 3

The number of patients screened for osteoporosis in each medical centre at year 3

The proportion of patients treated in compliance with guidelines at year 1Year 1

The proportion of patients treated in compliance with guidelines at year 1

Data integrity in network platform at year 2Year 2

The integrity of data recorded in network platform. Including general characteristics (name, sex, age, height, weight and race), medical history (onset age, chief complaint, history of fractures, medication history, previous history and family history), results of auxiliary examinations (DXEA is mandatory required, and other examinations may differ between medical centres, usually including serum calcium, serum phosphorus, serum total alkaline phosphatase, urine calcium, urine phosphorus, serum parathyroid hormone, X ray of vertebrae and so on), prescriptions, and follow-up data. At year 2.

Data integrity in network platform at year 3Year 3

The integrity of data recorded in network platform. Including general characteristics (name, sex, age, height, weight and race), medical history (onset age, chief complaint, history of fractures, medication history, previous history and family history), results of auxiliary examinations (DXEA is mandatory required, and other examinations may differ between medical centres, usually including serum calcium, serum phosphorus, serum total alkaline phosphatase, urine calcium, urine phosphorus, serum parathyroid hormone, X ray of vertebrae and so on), prescriptions, and follow-up data. At year 3.

Trial Locations

Locations (25)

West China hospital of sichuan university

🇨🇳

Chengdu, Sichuan, China

Shanghai first people's hospital affiliated to Shanghai jiaotong university

🇨🇳

Shanghai, Shanghai, China

Peking Union Medical College Hospital

🇨🇳

Beijing, Beijing, China

Beijing Friendship Hospital

🇨🇳

Beijing, Beijing, China

Beijing Jishuitan Hospital

🇨🇳

Beijing, Beijing, China

Chinese PLA General Hospital

🇨🇳

Beijing, Beijing, China

Peking University Third Hospital

🇨🇳

Beijing, Beijing, China

Beijing shijingshan hospital

🇨🇳

Beijing, Beijing, China

Fujian Provincial Hospital

🇨🇳

Fuzhou, Fujian, China

Guangdong Provincial People's Hospital

🇨🇳

Guangzhou, Guangdong, China

The third hospital of hebei medical university

🇨🇳

Shijiazhuang, Hebei, China

The fourth hospital of jilin university

🇨🇳

Changchun, Jilin, China

The Second Hospital of Xiangya,Central South University

🇨🇳

Changsha, Hunan, China

The Second Affiliated Hospital of Soochow University

🇨🇳

Suzhou, Jiangsu, China

Nanjing Drum Tower Hospital

🇨🇳

Nanjing, Jiangsu, China

Jiangxi Provincial People's Hospital

🇨🇳

Nanchang, Jiangxi, China

Shengjing hospital affiliated to China medical university

🇨🇳

Shenyang, Liaoning, China

People's hospital of ningxia hui autonomous region

🇨🇳

Yinchuan, Ninxia, China

The Sixth People's Hospital Affiliated to Shanghai Jiaotong University

🇨🇳

Shanghai, Shanghai, China

Huadong hospital affiliated to fudan university

🇨🇳

Shanghai, Shanghai, China

The first affiliated hospital of shanxi medical university

🇨🇳

Taiyuan, Shanxi, China

Xi'an Red Cross hospital

🇨🇳

Xi'an, Shannxi, China

Tianjin hospital

🇨🇳

Tianjin, Tianjin, China

Western theater general hospital

🇨🇳

Chengdu, Sichuan, China

Tongji hospital affiliated to tongji university

🇨🇳

Shanghai, Shanghai, China

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