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Osteoporotic fractures of the hip are a major cause of admission to long-term care facilities. Such fractures put patients at high risk for further fractures, pain and disability. Current data show that many patients in long-term care facilities do not receive FDA medications for their osteoporosis. This trial will test whether a multi-model intervention (which provides feedback about provider use of osteoporosis medications, information about osteoporosis, and currently approved osteoporosis medications)directed at physicians, other health care providers, and nurses will improve the number of prescriptions written for FDA approved medications for osteoporosis treatment.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Long-term care facilities in the intervention arm will receive education and feedback audit on performance | Behavioral |
| Measure | Description | Time Frame |
|---|---|---|
| Number of new prescriptions for FDA-Approved osteoporosis medications. |
| Measure | Description | Time Frame |
|---|---|---|
| Secondary Outcome Measures: Changes in number of bone mineral density test ordered, change in the number of hip protectors issued, change in the number of prescriptions for calcium and vitamin D, changes in the rate of new osteoporotic fractures. |
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Inclusion Criteria:
Any North Carolina long-term care facility with ten residents who had had a hip fracture or osteoporosis diagnosis
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| Name | Affiliation | Role |
|---|---|---|
| Kenneth W Lyles, M.D. | Duke University | Principal Investigator |
| Cathleen S. Colon-Emeric, MD, MHSc | Duke University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duke University Medical Center | Durham | North Carolina | 27710 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17904460 | Result | Colon-Emeric CS, Lyles KW, House P, Levine DA, Schenck AP, Allison J, Gorospe J, Fermazin M, Oliver K, Curtis JR, Weissman N, Xie A, Saag KG. Randomized trial to improve fracture prevention in nursing home residents. Am J Med. 2007 Oct;120(10):886-92. doi: 10.1016/j.amjmed.2007.04.020. |
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| D010024 | Osteoporosis |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
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| ID | Term |
|---|---|
| D006701 | Home Nursing |
| ID | Term |
|---|---|
| D009732 | Nursing Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D006699 | Home Care Services |
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| D007869 |
| Leg Injuries |
| D001851 | Bone Diseases, Metabolic |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D003153 |
| Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |