Donald Caraccio, MD, principal investigator and assistant professor medicine, and Maya Styner, MD, associate professor of medicine, will lead a clinical site for the RESTORE study- REducing future fractureS鈥�and improving ouTcOmes of fRagility fracturE.听听听
Bones in patients with osteoporosis often become fragile and have an increased risk for fracture or break. Known as fragility fractures, these events can cause severe pain and disability, and it is common for patients to experience repeat fractures.听听
听The RESTORE study will test if patients with fragility fractures who are contacted by a patient navigator and then connected with a bone health specialist (Specialist-Fracture Liaison Service) have better health outcomes compared to those educated by their primary care physician (Primary Care-Fracture Liaison Service).听
“There is an overall shortage of bone specialists such as endocrinologists and rheumatologists across the country.听This can lead to delays in care due to long wait times to schedule an appointment, or patients travelling long distances to be able to receive specialist care,” Dr. Caraccio said. 听听
Design of RESTORE听
Funded by the (PCORI), RESTORE will enroll about 2,600 adults throughout 20 sites around the country. Half of the participants will receive Specialist-Fracture Liaison Service, the others will be seen by their primary care provider.听听
Dr. Caraccio will enroll and follow around 150 patients at 黑料网鈥檚 clinical site. Dr. Styner will care for some patients as well. 听
Data sources, such as electronic medical records, will track fractures and deaths of those enrolled every 6 months, ending after 24 months. During that period, telephone surveys will also be conducted every 6-12 months to collect patient outcomes.听听
“We hope this study will clarify the effectiveness of specialist versus primary care providers for the treatment of osteoporosis in patients with fractures.听This information will help direct patients to the most efficient and effective care in the future,” Dr. Caraccio said. 听
Researchers seek to understand if Specialist-Fracture Liaison Service will:听
- Reduce the risk of fracture.听
- 滨尘辫谤辞惫别鈥痯补迟颈别苍迟-谤别辫辞谤迟别诲鈥痮耻迟肠辞尘别蝉.听
- Increase awareness of evidence-based osteoporosis care 听
- Uptake of evidence-based osteoporosis care (e.g., pharmacotherapy).听
听The role age, race, geographical location and socioeconomic status has on the effectiveness of the two care pathways will also be explored.听听
Criteria for Participants听听
- Women and men, age 50 years or older听听
- Have experienced an osteoporosis clinical fracture in the last 6 months听
- Have an established primary care provider听听
- Have not been exposed to an osteoporosis medication in the past year听听
- Cannot have end stage kidney disease, other bone diseases, cancer, or an issue limiting life expectancy to less than one year听听