UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041206
Receipt number R000047054
Scientific Title Fracture liaison service to reduce postoperative complications and to improve activity of patients with hip fracture 24 months' follow-up survey
Date of disclosure of the study information 2020/07/24
Last modified on 2020/07/24 22:16:44

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Basic information

Public title

Fracture liaison service to reduce postoperative complications and to improve activity of patients with hip fracture 24 months' follow-up survey

Acronym

Fracture liaison service to reduce postoperative complications and to improve activity of patients with hip fracture 24 months' follow-up survey

Scientific Title

Fracture liaison service to reduce postoperative complications and to improve activity of patients with hip fracture 24 months' follow-up survey

Scientific Title:Acronym

Fracture liaison service to reduce postoperative complications and to improve activity of patients with hip fracture 24 months' follow-up survey

Region

Japan


Condition

Condition

Hip fracture, neck fracture and trochnateric fracture

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We included patients with fragility hip fracture, femoral neck fracture, and trochanteric fracture, and injury aged exceeding 50 years, between January 1, 2015, and December 31, 2017. We divided patients into a control group without FLS (94 patients; age: 83.8 years; 21 men and 73 women) and an FLS group (373 patients; age: 83.3 years; 69 men and 304 women).

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Age (in years), sex, the days from injury to surgery, and the rate at which surgery occurred within 36 hours from injury, number and rate of cases that had undergone any surgery, and average hospital stay (days) were recorded. Additionally, comorbidity at surgery (as classified in our previous study: hypertension, cardiovascular disease, pulmonary disease, renal disease, diabetes, cerebrovascular disease, digestive disease), complications newly occurring after admission, including those that involved worsening of a comorbidity, and hip fracture on the opposite side within 12 months and within 24 months after the first hip fracture were also investigated.
We also examined the rate of taking anti-osteoporosis medicine, activities of daily living as evaluated by the Barthel index (BI) , and the rate of the patients whose BI was 80 and more, which was considered as indicator of independent daily activity. These parameters were evaluated at the time before injury, and 3 months, 6 months, 12 months, and 24 months after their injury. Moreover, mortality was examined within 1 month, 12 months, and 24 months after their injury, respectively. In terms of taking anti-osteoporosis medicine and activity of daily living as evaluated by the BI, the patients who died and who could not be traced were excluded from the analysis at each time-point. These data were obtained from medical records and telephone calls or by mail to the patients or their family, by a specialized liaison nurse qualified by the Japan Osteoporosis Society.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

50 years-old <=

Age-upper limit

100 years-old >

Gender

Male and Female

Key inclusion criteria

The patients with fragility hip fracture

Key exclusion criteria

Pathological fracture, high energy injury

Target sample size

500


Research contact person

Name of lead principal investigator

1st name Norio
Middle name
Last name IMAI

Organization

Niigata University Graduate School of Medical and Dental Sciences, Japan

Division name

Division of Comprehensice Muscloskeletal Medicine,

Zip code

9518510

Address

1-757, Asahimachidori, Niigata city, Niigata Prefecture, Japan

TEL

0252272272

Email

imainorio2001@med.niigata-u.ac.jp


Public contact

Name of contact person

1st name Norio
Middle name
Last name IMAI

Organization

Niigata University Graduate School of Medical and Dental Sciences, Japan

Division name

Division of Comprehensice Muscloskeletal Medicine,

Zip code

9518510

Address

1-757, Asahimachidori, Niigata city, Niigata Prefecture, Japan

TEL

0252272272

Homepage URL


Email

imainorio2001@med.niigata-u.ac.jp


Sponsor or person

Institute

Niigata University Graduate School of Medical and Dental Sciences, Japan

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Niigata University School of Medicine

Address

1-757, Asahimachidori, Niigata City, Niigata Prefecture

Tel

0252272272

Email

imainorio2001@med.niigata-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 07 Month 24 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

577

Results

The days from injury to surgery was significantly decreased, from 2.42 days to 1.83 days, after introduction of the FLS. In terms of complications after admission, a significant decrease was observed in the total number of cases, cardiovascular disease, pulmonary disease, and cerebrovascular disease in the FLS group. There was significantly more patients with a Barthel Index more than 80 in the FLS group at 6 months, 12 months, and 24 months after their injury

Results date posted

2020 Year 07 Month 24 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2015 Year 10 Month 01 Day

Date of IRB

2015 Year 09 Month 20 Day

Anticipated trial start date

2015 Year 10 Month 01 Day

Last follow-up date

2019 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2020 Year 07 Month 24 Day

Last modified on

2020 Year 07 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047054


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name