Quality of the Detection & Treatment of Osteoporotic Fractures in a Swiss Trauma Center

Completed

• Conditions: Osteoporosis; Osteoporosis, Postmenopausal

• Registration Number: NCT02157753
• Lead Sponsor: Kantonsspital Aarau

Brief Summary

As a tertiary hospital the Traumatology department at the Kantonsspital Aarau looks after about 500 fracture patients hospitalized with an age over 50 years a year. First, we were interested in the effective rate of osteoporotic fractures in this cohort. As to this objective we offered subsequent diagnostics in suspected patients. 2012 we introduced a diagnostic pathway for every patient over 50 years of age with a fracture, including dual energy x-ray absorptiometry (DXA), a questionnaire about risk factors concerning osteoporosis and risk of fracture, the WHO Fracture Risk Assessment Tool (FRAX) and a laboratory workup focusing on this topic. Considering all these information we sent a detailed therapy-plan to the responsible General practitioner.

The main goal of this study is to verify the persistence and compliance of the osteoporosis therapy 12-15 months after fracture and to clarify any obstacles potentially impeding therapy (prejudice, adverse events, contraindication overlooked, financial problems etc.). The investigators use a postal questionnaire provided to the patient and the general practitioner. Data collection is undertaken by a study nurse, in addition phoning for missing data by phone-call. With the aim to ameliorate the implementation of treatment, patients and general practitioners will be provided with the specifically tailored information found to be missing.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-07
• Study First Submitted: 2014-06-03
• Study First Submitted QC: 2014-06-05
• Study First Posted: 2014-06-06
• Primary Completion: 2015-10
• Study Completion: 2015-12
• Status Verified: 2018-03
• Last Update Submitted: 2018-03-05
• Last Update Posted: 2018-03-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 478

Inclusion Criteria

Not provided

Exclusion Criteria

• no informed consent
• age under 50 years
• not treated by traumatology department

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Persistence and compliance with treatment for osteoporosis	12-15 month after initial fracture	* percentage of persons receiving prescription vs. following completely / partially treatment advice; * both, according to self declaration vs. general practitioner information; * collection of arguments if therapy was not undertaken

Trial Locations

Locations (1)

Kantonsspital Aarau; 🇨🇭 Aarau, Switzerland