Randomized Trial of Osteoporosis Intervention Strategies in Hip Fracture Patients

Randomized Trial of Osteoporosis Intervention Strategies in Hip Fracture Patients

Patients with hip fractures have suffered the most devastating consequence of osteoporosis; and yet, they are rarely if ever tested or treated for the condition, even though they remain at high risk of recurrent fracture.

We hypothesize that, compared with usual care, an allied health professional-run osteoporosis service (case management) will be able to increase testing and treatment of osteoporosis in patients at high risk of fracture.

Patients with hip fractures have suffered the most devastating consequence of osteoporosis; and yet, they are rarely if ever tested or treated for the condition, even though they remain at high risk of recurrent fracture.

We hypothesize that, compared with usual care, an allied health professional-run osteoporosis service (case management) will be able to increase testing and treatment of osteoporosis in patients at high risk of fracture.

Inclusion Criteria:

• hip fracture patient > 50 years of age
• able to give consent (or proxy consent available)
• lives within health region
• no contraindications to bisphosphonate therapy

Exclusion Criteria:

• refuses to participate or consent
• dementia or delirium without a proxy consent available
• nursing home or longterm care
• pathologic fracture
• chronic glucocorticoid use
• already receiving prescription osteoporosis treatment (calcium and vitamin D do not preclude inclusion)