Secondary Prevention of Osteoporotic Fractures in Residents of Long-Term Care Facilities
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Purpose
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.
| Condition | Intervention | Phase |
|---|---|---|
|
Hip Fractures Osteoporosis |
Behavioral: Long-term care facilities in the intervention arm will receive education and feedback audit on performance |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Single Blind Primary Purpose: Prevention |
| Official Title: | Secondary Prevention of Osteoporotic Fractures in Residents of Long-Term Care Facilities Written for FDA Approved Medications for Osteoporosis Treatment. |
- Number of new prescriptions for FDA-Approved osteoporosis medications.
- 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.
| Estimated Enrollment: | 64 |
| Study Start Date: | January 2005 |
| Study Completion Date: | March 2007 |
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Any North Carolina long-term care facility with ten residents who had had a hip fracture or osteoporosis diagnosis
Contacts and Locations| United States, North Carolina | |
| Duke University Medical Center | |
| Durham, North Carolina, United States, 27710 | |
| Principal Investigator: | Kenneth W Lyles, M.D. | Duke University |
| Principal Investigator: | Cathleen S. Colon-Emeric, MD, MHSc | Duke University |
More Information
Additional Information:
Publications:
| ClinicalTrials.gov Identifier: | NCT00280943 History of Changes |
| Other Study ID Numbers: | 4686-05-7R2ER |
| Study First Received: | January 20, 2006 |
| Last Updated: | October 16, 2007 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Duke University:
|
All NC LTC facilities having ten residents with a hip fracture or osteoporosis on the MDS will be invited to participate in the trial |
Additional relevant MeSH terms:
|
Fractures, Bone Hip Fractures Osteoporosis Osteoporotic Fractures Wounds and Injuries Femoral Fractures |
Hip Injuries Leg Injuries Bone Diseases, Metabolic Bone Diseases Musculoskeletal Diseases |
ClinicalTrials.gov processed this record on May 21, 2013