General Practitioner's Place in the Treatment of Fracture Osteoporosis in the Elderly

NCT03402958 | Completed

• 1 other identifier: 35RC17_309_GEOFRAGE
• Study Type: observational
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

Osteoporosis is a major public health problem. Its screening and its treatment remain largely insufficient while therapies have demonstrated their effectiveness. In the event of a severe fracture, the update of the 2016/2017 recommendations, prepared by the Research and Information Group on Osteoporosis and the French Rheumatology Society, concerning osteoporosis recommends a specific treatment with bisphosphonates as first-line treatment, without bone densitometry, regardless of age. The frequency of prescribing anti-osteoporotic treatment as an outpatient after a fracture of the upper extremity of the femur is very low (2% to 21% according to the studies). The main factors associated with non-prescription found are co-morbidities (charlson score\> 6), dementia, obesity (BMI\> 30), chronic alcoholism, male sex, polypharmacy\> 4, age. Conversely, the factors associated with prescribing are recurrent falls (\> 2 / year), a history of osteoporotic fracture, an Iso Resource Group\> 3, female sex, and corticosteroid therapy.

Conditions

Osteoporosis

Outcome Measures

Primary Outcomes (1)

• Frequency of prescription of anti-osteoporosis treatments.

  6 months after surgical management for fracture of the upper end of the femur

Secondary Outcomes (1)

• Factors associated with the sub-prescription.

  Through study completion, an average of 4 months

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients treated for a fracture of the upper extremity of the femur, included consecutively and retrospectively, during the period of October 2016 - June 2017 at the Saint-Malo Hospital Center

You may qualify if:

• Subjects aged 75 or over (hospitalization criteria in the pathway), admitted to the ortho-geriatric ward of the Saint Malo Hospital Center, treated for a fracture of the upper extremity of the femur.

You may not qualify if:

• High-energy fracture, pathological fractures (infection, tumor), persons of legal age subject to legal protection (safeguard of justice, guardianship, guardianship), persons deprived of their liberty.

Sponsors & Collaborators

• Rennes University Hospital: lead

Study Sites (1)

Hospital Center of Saint-Malo

St-Malo, Britain, 35400, France

Location

MeSH Terms

Conditions

Osteoporosis

Condition Hierarchy (Ancestors)

Bone Diseases, Metabolic; Bone Diseases; Musculoskeletal Diseases; Metabolic Diseases; Nutritional and Metabolic Diseases

Study Officials

• Nicolas Belhomme

  Rennes University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 10, 2018
• First Posted: January 18, 2018
• Study Start: March 28, 2018
• Primary Completion: March 28, 2018
• Study Completion: March 28, 2018
• Last Updated: September 21, 2018

Record last verified: 2018-09

Locations

FR (1)