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Osteoporosis International

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Open Access 01-03-2021 | Osteoporosis | Original Article

Efficiency of coordinator-based osteoporosis intervention in fragility fracture patients: a prospective randomized trial

Authors: M. Osaki, R. Okuda, Y. Saeki, T. Okano, K. Tsuda, T. Nakamura, Y. Morio, H. Nagashima, H. Hagino

Published in: Osteoporosis International | Issue 3/2021

Abstract

Summary

We examined the effectiveness of coordinators’ interventions to prevent secondary fractures in patients with fragility fractures. These coordinator-based interventions improved bone density assessment implementation and treatment rates, and enhanced treatment persistence rates in the early stages following fractures.

Introduction

This study aimed to determine the efficiency of coordinator-based osteoporosis intervention in fragility fracture patients during a 2-year period.

Methods

A prospective intervention randomized control study was conducted at seven medical facilities from January 2015 to March 2017. Postmenopausal women and men over 50 years old with fragility fractures were randomly divided into the coordinator intervention (LI; 70 patients) and without intervention (non-LI; 71 patients) groups. The osteoporosis treatment rate, osteoporosis treatment persistence rate, fall rate, fracture incidence rate, and bone density measurement rate 3 months, 6 months, 1 year, and 2 years after registration were compared between the two groups. Non-parametric tests were used to analyze data at each inspection period.

Results

The osteoporosis treatment initiation rate was significantly higher in the LI group than in the non-LI group (85.7% vs. 71.8%; p = 0.04). The LI group had significantly higher bone density assessment implementation rates than the non-LI group at the time of registration (90.0% vs. 69.0%; p = 0.00) and 6 months after registration (50.0% vs. 29.6%; p = 0.01), but not 1 or 2 years after registration. In addition, no significant differences in fall or fracture incidence rates were found between the two groups.

Conclusion

The coordinator-based interventions for fragility fractures improved bone density assessment implementation and treatment rates and enhanced treatment persistence rates in the early stages following bone fractures. The findings suggest that liaison intervention may help both fracture and osteoporosis physicians for the evaluation of osteoporosis and initiation and continuation of osteoporosis medication.

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Title: Efficiency of coordinator-based osteoporosis intervention in fragility fracture patients: a prospective randomized trial
Authors: M. Osaki
R. Okuda
Y. Saeki
T. Okano
K. Tsuda
T. Nakamura
Y. Morio
H. Nagashima
H. Hagino
Publication date: 01-03-2021
Publisher: Springer London
Keywords: Osteoporosis
Osteoporosis
Published in: Osteoporosis International / Issue 3/2021
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-021-05825-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Efficiency of coordinator-based osteoporosis intervention in fragility fracture patients: a prospective randomized trial

Abstract

Summary

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Summary

Introduction

Methods

Results

Conclusion

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