Fragility Fracture Liaison Service Project
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 600
- 试验地点
- 2
- 主要终点
- Bone Mineral Density test within 8 weeks of enrollments
研究概览
简要总结
Aims: to Establish the FLS services at the National Taiwan University Hospital (NTUH) and its Beihu Branch (BB).
Method: From Jan., 2014, two related fracture liaison services (FLSs) following the 13 'Capture the Fracture Best Practice Standards' were implemented at the National Taiwan University Hospital (NTUH) health care system. The main hospital (MH) program enrolled patient with 1) new hip fracture 2) newly identified radiographic vertebral fractures or 3) clinical vertebral fractures from both inpatients and outpatients. The Beihu branch (BB) program enrolled only the later two types of patients from outpatients. During the whole study period, two programs planed to enroll 600 fracture patients. Each patient would be assessed at baseline, and every 4 month for at least one year.
详细描述
Background:The Asia Fracture Gap Taiwan Study (AFGTS) showed that among fragility fracture sufferers, only 1/4 of them underwent bone mineral density (BMD) tests and 1/3 of them received treatments for osteoporosis. Secondary fragility fracture prevention services are needed to improve the care gaps
. Aims: to Establish the FLS services at the National Taiwan University Hospital (NTUH) and its Beihu Branch (BB).
Method: The FLS was designed following the 13 'Capture the Fracture Best Practice Standards'. The National Taiwan University Hospital (NTUH) institutional review board approved the study in Jan., 2014. Patients were eligible to be enrolled into the main hospital (MH) service if they had
- new hip fracture in orthopedic ward
- newly identified radiographic vertebral fractures from plan films in geriatric ward or
- clinical vertebral fractures in outpatient clinics.
Patients in outpatient clinics of BB were eligible to be enrolled if they had (1) clinical vertebral fractures or (2) newly identified asymtomatic radiological vertebral fractures by a routine weekly review of every plan film of thoracic or lumbar spine regardless of the reason for it.They were excluded from the service if they had life expectancy shorter than 2 years of life or not be able to complete study assessments for communication or cognitive problems.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •(Main hospital)
- •age >=50 years and
- •new hip fracture in orthopedic ward
- •newly identified radiographic vertebral fractures from plan films in geriatric ward
- •clinical vertebral fractures in outpatient clinics Inclusion criteria (Beihu branch, only outpatients)
- •age >=50 years and
- •newly identified radiographic vertebral fractures from plan films
- •clinical vertebral fractures
排除标准
- •fracture is sufer from trauma or cancer
- •atypical fractures
- •Life expectancy less than 2 years or can't be assessed for communication or cognitive problems
- •patient in other medication clinical trials
结局指标
主要结局
Bone Mineral Density test within 8 weeks of enrollments
时间窗: 8 weeks
Capture the fracture campaign provide 13 best practice standards. The above mentioned index is the limiting factor for many osteoporosis related managements after fracture. We decided to use this as the primary outcome
次要结局
未报告次要终点