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Strategies Targeting Osteoporosis to Prevent recurrent Fractures
ISRCTN ISRCTN88402931
ClinicalTrials.gov identifier NCT00152321
Public title Strategies Targeting Osteoporosis to Prevent recurrent Fractures
Scientific title
Acronym STOP-Fracture Study
Serial number at source CIHR-MOP #62906
Study hypothesis An evidence-based quality improvement intervention will overcome multiple barriers to best practice and improve rates of diagnosis and effective treatment for osteoporosis in high-risk patients. The intervention will be directed at patients (education and counseling) and their primary care physicians (reminders and opinion leader generated and endorsed single page guidelines).
Lay summary
Ethics approval University of Alberta Health Research Ethics Board, first approved 1st December 2003, updated annually on anniversary date, most recent 1st December 2006 (ref: HREB#4478).
Study design Randomised controlled trial
Countries of recruitment Canada
Disease/condition/study domain Fragility fracture patients with osteoporosis
Participants - inclusion criteria All patients 50 years of age or older, either sex, with a wrist fracture who present to the Emergency Departments or Fracture Clinics at our two study sites will be eligible for study enrollment.
Specifically:
1. Age 50 years or greater
2. Any distal forearm fracture
Participants - exclusion criteria 1. Unable to give simple informed consent
2. Unwilling to participate in the study
3. Unable to understand, read, or converse in English
4. Place of residence outside Capital Health
5. Already receiving osteoporosis treatment with a bisphosphonate
6. Previously documented allergy or intolerance to a bisphosphonate
7. Currently enrolled in the pilot study or other osteoporosis study
Anticipated start date 01/09/2003
Anticipated end date 30/05/2006
Status of trial Completed
Patient information material
Target number of participants 220
Interventions Multifaceted intervention that consists of the following: patient specific reminders; single page treatment guidelines generated and endorsed by local opinion leaders; patient education and counseling.
Control group is 'usual care', defined as provision of generic osteoporosis-related educational leaflets at time of fracture.
Primary outcome measure(s) The proportion of patients starting bisphosphonate treatment within 6 months of fracture
Secondary outcome measure(s) 1. Starting any effective osteoporosis treatment (bisphosphonates, calcitonin, raloxifene, or hormone therapy)
2. Bone mineral density testing
3. Self reported diagnosis of osteoporosis and other knowledge
4. Satisfaction with care
5. Health related quality of life
Sources of funding 1. Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MOP-62906)
2. Alberta Heritage Foundation for Medical Research (AHFMR) (Canada) - in the form of salary support for investigator(s)
Trial website
Publications 2008 results in http://www.ncbi.nlm.nih.gov/pubmed/18299546
Contact name Dr  Sumit  Majumdar
  Address 2E3.07 WMC
University of Alberta Hospital
8440-112th Street
  City/town Edmonton, Alberta
  Zip/Postcode T6G 2B7
  Country Canada
  Tel +1 780 407 1399
  Email me2.majumdar@ualberta.ca
Sponsor University of Alberta, Research Services Office (Canada)
  Address 222 Campus Tower
8625 - 112 Street NW
  City/town Edmonton
  Zip/Postcode AB T6G
  Country Canada
  Tel +1 780 492 5787
  Fax +1 780 492 0949
  Email loreesa.tenove@ualberta.ca
Date applied 27/08/2005
Last edited 28/10/2008
Date ISRCTN assigned 09/09/2005
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