Impact of a centralized osteoporosis coordinator on post-fracture osteoporosis management: a cluster randomized trial
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : S. B. Jaglal & O. S. Donescu & V. Bansod & J. Laprade & K. Thorpe & G. Hawker & S. R. Majumdar & L. Meadows & S. M. Cadarette & A. Papaioannou & M. K
- چاپ و سال / کشور: 2011
Description
Summary We conducted a cluster randomized trial evaluating the effect of a centralized coordinator who identifies and follows up with fracture patients and their primary care physicians about osteoporosis. Compared with controls, intervention patients were five times more likely to receive BMD testing and two times more likely to receive appropriate management. Introduction To determine if a centralized coordinator who follows up with fracture patients and their primary care physicians by telephone and mail (intervention) will increase the proportion of patients who receive appropriate post-fracture osteoporosis management, compared to simple fall prevention advice (attention control). Methods A cluster randomized controlled trial was conducted in small community hospitals in the province of Ontario, Canada. Hospitals that treated between 60 and 340 fracture patients per year were eligible. Patients 40 years and older presenting with a low trauma fracture were identified from Emergency Department records and enrolled in the trial. The primary outcome was ‘appropriate’ management, defined as a normal bone mineral density (BMD) test or taking osteoporosis medications.
Osteoporos Int DOI 10.1007/s00198-011-1726-7 Received: 16 March 2011 / Accepted: 1 June 2011
