Optimal Management of Older Women With Distal Forearm Fractures
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 270
- 试验地点
- 2
- 主要终点
- Proportion of women who are prescribed anti-osteoporosis therapy within 6 months of sustaining a forearm fracture.
研究概览
简要总结
To evaluate the effectiveness of a multifaceted intervention (reminder and educational material) in improving the evaluation of osteoporosis follow-up care of post-menopausal women with wrist fractures by their primary care physicians. The intervention is directed at improving the gap in continuity of care between emergency/fracture clinics and family physicians, and reducing knowledge gaps.
详细描述
Numerous studies have demonstrated that women with wrist fractures have lower bone mineral density. Despite new guidelines for the care of such women, research has shown that they are not generally evaluated for osteoporosis. This care gap exists although it is known that wrist fractures are an important marker for subsequent fractures, such as a hip fracture, which represents a significant socio-economic burden to society.
Comparison: Cluster randomized trial of women and their physicians, both of whom receive educational material and reminder on post fracture osteoporosis evaluation. Comparison is to women and their physicians who receive standard post fracture information. Family practices are randomized to intervention or non-intervention group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Postmenopausal women with low trauma distal radius fracture (confirmed by x-ray).
- •Can be taking Didrocal (etidronate), Miacalcin (calcitonin),or hormone replacement therapy .
排除标准
- •Women with fractures of the elbow, mid radius, scaphoid, or injury to wrists (without actual fracture).
- •Significant cognitive impairment (which would preclude them from filling out simple questionnaires).
- •Women already taking osteoporosis therapy, ie. either Fosamax (alendronate), Actonel (risedronate), or the selective estrogen receptor modulator, Evista (raloxifene).
结局指标
主要结局
Proportion of women who are prescribed anti-osteoporosis therapy within 6 months of sustaining a forearm fracture.
时间窗: 6 months
次要结局
- Proportion of women in whom a bone density scan is ordered and the proportion of women who receive counseling advice about osteoporosis from their family physicians.(6 months)
- Women's knowledge about osteoporosis and fractures (Osteoporosis Knowledge Questionnaire).(6 months)