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19 November 2008 
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A pragmatic randomised controlled trial of the effectiveness and cost effectiveness of Screening for Osteoporosis in Older women for the Prevention of fractures (SCOOP)
ISRCTN ISRCTN55814835
ClinicalTrials.gov identifier
Public title A pragmatic randomised controlled trial of the effectiveness and cost effectiveness of Screening for Osteoporosis in Older women for the Prevention of fractures (SCOOP)
Scientific title
Acronym SCOOP
Serial number at source To be confirmed
Study hypothesis To investigate whether a community based screening programme for osteoporosis reduces the incidence of fractures, and is cost effective, in older women (aged 70 - 85 years).
Ethics approval To be submitted as of 14/05/2007.
Study design Two group, pragmatic randomised controlled trial.
Countries of recruitment United Kingdom
Disease/condition/study domain Musculoskeletal Diseases
Participants - inclusion criteria 1. Female
2. Aged 70 to 85 years
3. Able to provide informed consent
Participants - exclusion criteria 1. Currently known to be on treatment for osteoporosis (other than calcium and vitamin D)
2. Any known co-morbidity that would make entry to the trial inadvisable, in GP’s opinion
Anticipated start date 01/02/2007
Anticipated end date 30/04/2014
Status of trial Ongoing
Patient information material
Target number of participants 11,580
Interventions Intervention subjects will have a 10 year absolute risk of fracture calculated from a World Health Organization (WHO) risk algorithm based on data from a screening questionnaire and, for some subjects, results from a Dual energy X-ray Absorptiometry (DXA) scan. GPs will be advised of those at high risk and whether to consider treatment.

The control group will have ‘usual care’.

Both intervention and control groups will be provided with lifestyle advice through an Arthritis Research Campaign (ARC) booklet on osteoporosis.
Primary outcome measure(s) All osteoporosis-related fractures (excluding those of hands, feet, nose and skull), assessed at the annual follow-up visits for five years post randomisation.
Secondary outcome measure(s) 1. All clinical fractures (including hip fractures)
2. Quality of life, assessed by the European Quality of life (EQ-5D) and Short Form 12 (SF-12) questionnaires at baseline (immediately prior to randomisation), 6 and 12 months and then annually for 5 years post randomisation
3. Psychological anxiety, assessed by the State-Trait Anxiety Index at baseline, 6 and 12 months and then annually for 5 years post randomisation
4. Mortality (assessed annually for 5 years post randomisation)

A process measure will be treatment adherence as ascertained by an ad-hoc questionnaire at follow-up visits.
Sources of funding Co-funded by Medical Research Council (G0601019, UK) and Arthritis Research Campaign (UK)
Trial website
Publications
Contact name Dr  Lee  Shepstone
  Address Elizabeth Fry Building,
University of East Anglia
  City/town Norwich
  Zip/Postcode NR4 7TJ
  Country United Kingdom
  Email l.shepstone@uea.ac.uk
Sponsor University of East Anglia (UK)
  Address Research & Business Services
University of East Anglia
  City/town Norwich
  Zip/Postcode NR4 7TJ
  Country United Kingdom
  Email Sue.steel@uea.ac.uk
Date applied 14/05/2007
Last edited 25/04/2008
Date ISRCTN assigned 19/06/2007
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