Translation of best practice osteoporosis re-fracture prevention: stopping fragility fractures to keep Australians out of hospital

Not Applicable

Not yet recruiting

Conditions: osteoporosis
Musculoskeletal - Osteoporosis
Public Health - Health service research
Injuries and Accidents - Fractures

Registration Number: ACTRN12620001093976

Lead Sponsor: niversity of Technology Sydney

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Not yet recruiting

Sex: All

Target Recruitment: 172

Inclusion Criteria

Patients aged 50 years or more that have been diagnosed with osteoporosis with a minimal trauma fracture visiting the participating hospital sites.
ORP staff working within the participating hospital sites; will be identified by the primary investigators at each site and may include the ORP clinical lead and the ORP co-ordinator.
Stakeholders (e.g. geriatricians, orthopaedics, medical administration, radiologist, pharmacist).

Exclusion Criteria

Patients who are deemed ineligible for the service by the ORP staff (e.g. palliative patients, patients with metastatic bony malignancy)

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Any change in re-fracture, hospitalization and mortality rates among patients presenting to one of the participating hospital sites as assessed by comparing mortality and hospital record data held by NSW Ministry of Health (composite outcome).[1 year before and after ORP service implementation]

Secondary Outcome Measures

Name	Time	Method
Cost-effectiveness of the new ORP service by assessing the linked data identified from the NSW Admitted Patient Data Collection (APDC) and Emergency Department Data Collection (EDDC) as well as linked data related to service and medication usage obtained by linkage to the Pharmaceutical Benefits Scheme and the Medicare Benefits Scheme. Moreover, cost per secondary fracture averted and cost per quality-adjusted life years (QALYs) will also be assessed. Quality of life will be determined using EQ-5D.[Pre and 3 years post-ORP service implementation ]