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| Name | Class |
|---|---|
| Department of Health, Generalitat de Catalunya | OTHER_GOV |
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BACKGROUND Recent evidence has been published about the effectiveness for the secondary prevention of osteoporotic fractures (OF) of the hospital-based fracture liaison services.
AIM To assess the effectiveness of a primary care based intervention in the secondary prevention of OF.
METHODOLOGY Prospective study of random clusters, defined at the primary-care trust (PCT) level. Total study follow-up 3 years. Sample size 1800 patients.
DESCRIPTION To launch a defined strategy for the identification of OF. To carry out a primary care based intervention about lifestyle, diet and drug prescription, if needed, with an intensive follow-up in the intervention PCT vs treatment as usual in the control branch.
ANALYSIS As the outcome are the new OF, a survival analysis will be done. Risk factors will be analyzed through Cox proportional hazard regression model stratified by age groups.
Outcomes :
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | a defined strategy for the identification of OF. To carry out a primary care based intervention about lifestyle, diet and drug prescription, if needed, with an intensive follow-up |
|
| Control | Active Comparator | Intervention as usual |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| community based integrated strategy for secondary prevention of OF | Behavioral | Educational programme on pharmacological treatment, diet recommendations, physical activity programme on OF prevention in primary care |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with osteoporotic fractures | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| economic cost | We will consider time spent by physicians and nurses, cost of treatment (hospital admissions, drug therapy, rehabilitation) | 24 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IDIAP Jordi Gol | Recruiting | Barcelona | 08007 | Spain |
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| ID | Term |
|---|---|
| D058866 | Osteoporotic Fractures |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
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| as usual | Behavioral |
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