The Comparison of Comprehensive Multi-disciplinary Program and Conventional Care Program on Fragility Fracture Elderly

NCT01382875 | Completed Phase 3

• 1 other identifier: 4013-PPR-09
• Study Type: interventional
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

Fragility fractures are one of the commonest injuries among elderly people in Hong Kong and account for 12% of the disease burden in elderly aged 65 or above. A good management healthcare program and training helps elderly to restore full functional level and prevent re-fracture in the following 2 years after primary fracture, but Hong Kong lacks of such program. Some reports from other countries pointed out a well-organized multi-disciplinary management programs are cost-effective to identify and treat osteoporosis, reduce the fracture rate, improve quality of life and raise awareness of fragility fracture. This study aims to compare the cost-effectiveness of multi-disciplinary management program with conventional care controls. The clinical effectiveness outcomes (re-fracture rate, fall rate, mortality, mobility, quality of life and specialist follow-up time) of the fragility hip fracture patients in New Territories East receiving the proposed management program will be compared with those from Kowloon Central with usual care as controls. The findings will provide useful data for the policy maker to evaluate the current clinical service for fragility fracture patients and consider the implementation of new multi-disciplinary management program into our healthcare system.

Conditions

Hip Fracture

Keywords

Multi-disciplinary management program; Conventional care program; Balance Ability; Quality of Life

Outcome Measures

Primary Outcomes (1)

• Cost effectiveness of the multi-disciplinary management program and conventional care program

  The expected costs of fragility fracture treatment and re-fracture at the hip are calculated from the prospective of hospital and community center cost, with a time frame of one year.

  1 year

Secondary Outcomes (1)

• Mobility

  1 year

Study Arms (2)

Conventional care program

NO INTERVENTION

Multi-disciplinary management program

EXPERIMENTAL

Other: Multi-disciplinary management program

Interventions

Multi-disciplinary management program OTHER

conventional healthcare program for fragility fracture patients plus vibration treatment, exercise class and educational talk

Multi-disciplinary management program

Eligibility Criteria

• Age: 65 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Fragility hip fracture patients within age 65-90

You may not qualify if:

• Taking medication affecting bone metabolism or intensive exercise training;
• Those living in old age homes or anyone who is not able to comply with our program

Sponsors & Collaborators

• Chinese University of Hong Kong: lead
• Queen Elizabeth Hospital, Hong Kong: collaborator

Study Sites (1)

Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong

Hong Kong, China

Location

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Study Officials

• Kwok-Sui Leung, MD

  Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chair Professor

Study Record Dates

• First Submitted: June 23, 2011
• First Posted: June 27, 2011
• Study Start: September 1, 2009
• Primary Completion: December 1, 2012
• Study Completion: December 1, 2012
• Last Updated: July 29, 2015

Record last verified: 2015-07

Locations

CN (1)