Osteoporosis Clinical Trial
Official title:
Osteoporotic Fractures in a Swiss Trauma Center - Observational Study to Improve the Diagnosis and Management of and the Persistence to Therapy.
As a tertiary hospital the Traumatology department at the Kantonsspital Aarau looks after
about 500 fracture patients hospitalized with an age over 50 years a year. First, we were
interested in the effective rate of osteoporotic fractures in this cohort. As to this
objective we offered subsequent diagnostics in suspected patients. 2012 we introduced a
diagnostic pathway for every patient over 50 years of age with a fracture, including dual
energy x-ray absorptiometry (DXA), a questionnaire about risk factors concerning osteoporosis
and risk of fracture, the WHO Fracture Risk Assessment Tool (FRAX) and a laboratory workup
focusing on this topic. Considering all these information we sent a detailed therapy-plan to
the responsible General practitioner.
The main goal of this study is to verify the persistence and compliance of the osteoporosis
therapy 12-15 months after fracture and to clarify any obstacles potentially impeding therapy
(prejudice, adverse events, contraindication overlooked, financial problems etc.). The
investigators use a postal questionnaire provided to the patient and the general
practitioner. Data collection is undertaken by a study nurse, in addition phoning for missing
data by phone-call. With the aim to ameliorate the implementation of treatment, patients and
general practitioners will be provided with the specifically tailored information found to be
missing.
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