Majumdar 2007.
Methods | Type of targeted behaviour: increase in test ordering (BMD test) + prescribing Study design: RCT Country: Canada |
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Participants | Setting: hospital (inpatient) 220 patients Condition: people 50 years and older with hip fracture undergoing surgical fixation (high likelihood of osteoporosis) |
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Interventions | 1. Organisational intervention (case management: case manager, profession not reported + scheduling BMD test) + patient education (provided in hospital about BMD testing and medication) 2. Standard practice control group |
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Outcomes | Professional practice: proportion of patients who had BMD testing within 6 months; bisphosphonate therapy Patient level: recurrent fractures; admission to hospital; death Cost: intervention cost per patient |
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Notes | Justification for intervention type: literature reviews and qualitative in‐depth interviews with health professionals Intervention fidelity: not reported |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Unclear risk | From report: “Patients who met inclusion and exclusion criteria and provided informed consent were randomized (allocation‐concealed) to either the case manager intervention or usual care.” |
Allocation concealment? | Low risk | |
Blinding? All outcomes | Low risk | From report: “investigators and analysts... were masked to allocation status at all times.” |
Incomplete outcome data addressed? All outcomes | Low risk | |
Free of selective reporting? | Unclear risk | Insufficient information provided |
Free of other bias? | Low risk |