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

This study is currently recruiting participants.
Verified April 2012 by Chinese University of Hong Kong
Sponsor:
Collaborator:
Queen Elizabeth Hospital, Hong Kong
Information provided by (Responsible Party):
Kwok-Sui Leung, Chinese University of Hong Kong
ClinicalTrials.gov Identifier:
NCT01382875
First received: June 23, 2011
Last updated: April 23, 2012
Last verified: April 2012

June 23, 2011
April 23, 2012
September 2009
December 2012   (final data collection date for primary outcome measure)
Cost effectiveness of the multi-disciplinary management program and conventional care program [ Time Frame: 1 year ] [ Designated as safety issue: No ]
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.
Same as current
Complete list of historical versions of study NCT01382875 on ClinicalTrials.gov Archive Site
Mobility [ Time Frame: 1 year ] [ Designated as safety issue: No ]
The patients will be asked to perform mobility assessments according to our established protocol, including timed-up-to-go, mobility score, Berg balance scale and fall risk screening. The result of the above assessments will be reported as a scoring to show the level of fall risk of the patient.
Same as current
Not Provided
Not Provided
 
The Comparison of Comprehensive Multi-disciplinary Program and Conventional Care Program on Fragility Fracture Elderly
Medico-social Impact of a Comprehensive Multi-disciplinary Program for the Care of Fragility Fracture of the Elderly -Implications for Healthcare Policy in Hong Kong

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.

Not Provided
Interventional
Phase 3
Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Health Services Research
Hip Fracture
Other: Multi-disciplinary management program
conventional healthcare program for fragility fracture patients plus vibration treatment, exercise class and educational talk
  • No Intervention: Conventional care program
  • Experimental: Multi-disciplinary management program
    Intervention: Other: Multi-disciplinary management program
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
160
December 2012
December 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Fragility hip fracture patients within age 65-90

Exclusion Criteria:

  • 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
Both
65 Years to 90 Years
No
Contact: Kwok-Sui Leung, MD (852)26322724 ksleung@cuhk.edu.hk
Contact: Wing Hoi Cheung, PhD (852)26321559 louis@ort.cuhk.edu.hk
China
 
NCT01382875
4013-PPR-09
No
Kwok-Sui Leung, Chinese University of Hong Kong
Chinese University of Hong Kong
Queen Elizabeth Hospital, Hong Kong
Principal Investigator: Kwok-Sui Leung, MD Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong
Chinese University of Hong Kong
April 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP