An Orthopaedic Surgeon Led Osteoporosis (OSLO) Model of Care reduces early recurrent fracture rates and improves treatment compliance in patients treated for osteoporotic fractures
Main finding · Secondary fracturesResult — go to the resultOdds ratio 0.14 95% CI 0.03–0.66Authors' conclusion
The OSLO-MOC has shown to be effective in reducing the rate of re-fracture and osteoporotic medication initiation and compliance of patients.
Study context
- Population
- Patients screened and treated for secondary osteoporotic fracture prevention at an orthopaedic surgical unit, 2008 to 20187,388 screened
- Participants
- 2,855 patients
- Exposure
- Orthopaedic Surgeon Led Osteoporosis Model of Care vs Case Manager Led Osteoporosis Model of Care
- OSLO-MOCn = 1,621
- Case Manager Led Osteoporosis Model of Care (CMLO-MoC)n = 1,234reference
- Outcome
- Secondary fractures
- Follow-up
- 12 months
Methodological detailssingle centre, comparative, logistic regression
- Single centre
- Comparative
- Logistic regression
Main finding
As reported in the abstract
Odds ratio
0.14
95% CI 0.03–0.66
P = 0.013
OSLO-MOCvs CMLO-MoC
OR 0.14 (95% CI 0.03–0.66); P = 0.013
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Compliance to medication · 12 months | 2.61 (2.03–3.36) | P < 0.001 | |
| Patient recruitment | 1.26 (1.06–1.49) | P = 0.007 | |
| 0.20.5125Odds ratio (log scale) |
- Compliance to medication — Higher level of education, OR (95%CI 1.02-1.43), P = 0.037
- 1.428
Original publication
An Orthopaedic Surgeon Led Osteoporosis (OSLO) Model of Care reduces early recurrent fracture rates and improves treatment compliance in patients treated for osteoporotic fractures. Osteoporos Int. Published 21 November 2022. doi:10.
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