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. 2010 Jan 20;2010(1):CD006094. doi: 10.1002/14651858.CD006094.pub2

Majumdar 2007.

Methods Type of targeted behaviour: increase in test ordering (BMD test) + prescribing
Study design: RCT
Country: Canada
Participants Setting: hospital (inpatient)
220 patients
Condition: people 50 years and older with hip fracture undergoing surgical fixation (high likelihood of osteoporosis)
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
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
Notes Justification for intervention type: literature reviews and qualitative in‐depth interviews with health professionals
Intervention fidelity: not reported
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