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Protocol - Fracture History

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Description:

This protocol is divided into two parts. Part I consists of the Study of Osteoporotic Fractures (SOF) Fractures and Falls History: History of Fractures Questionnaire, which is a self-administered questionnaire to assess the location of the respondent's broken bone(s) and the age(s) at which the break(s) occurred. Part II contains the Framingham Osteoporosis Study Fracture Assessment form to confirm the respondent's self-reported fracture history.

Protocol:

Part I: Study of Osteoporotic Fractures (SOF) Fractures and Falls History: History of Fractures Questionnaire

FAMILY HISTORY OF BROKEN BONES AND FRACTURES

Clinic use only

ID

Date

1. Has a doctor ever said that you had a broken or fractured bone? (MARK ONE BOX.)

[ ] Yes

[ ] No PLEASE GO TO QUESTION 2

[ ] Don't Know PLEASE GO TO QUESTION 2

IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone.

Broken Bone

Age When Broken

  
  
  
  
  

HAS A DOCTOR EVER TOLD YOU THAT YOU HAD:

2. Osteoporosis, sometimes called thin or brittle bones?

[ ] Yes

[ ] No PLEASE GO TO QUESTION 3

[ ] Don't Know PLEASE GO TO QUESTION 3

IF YES, how old were you when a doctor first told you this? I was___years old.

3. Fracture of the spine or fracture of the vertebrae?

[ ] Yes

[ ] No

[ ] Don't Know

IF YES, how old were you when a doctor first told you this? I was____years old.

© 2010 SOF Online, produced by the Coordinating Center, University of California San Francisco

Part II: Framingham Osteoporosis Study Fracture Assessment Form

Note: The PhenX Skin, Bone, Muscle and Joint Working Group recommends that this form be completed by personnel trained in performing medical records review.

HIP FRACTURE FORM

DATE HIP FRACTURE OCCURRED: ____/____/____ (Month/Day/Year)

1. SOURCE(S) OF HIP FRACTURE CONFIRMATION:

1.1. Orthopedic notes

[ ] 0 No

[ ] 1 Yes

1.2. X-ray report

[ ] 0 No

[ ] 1 Yes

1.3. Discharge summary

[ ] 0 No

[ ] 1 Yes

1.4. OR report

[ ] 0 No

[ ] 1 Yes

1.5. ER notes

[ ] 0 No

[ ] 1 Yes

1.6. Other ________________________

[ ] 0 No

[ ] 1 Yes

2. HIP FACTURE SIDE:

[ ] 1 Right

[ ] 2 Left

[ ] 9 Unknown

3. HIP FRACTURE LOCATION:

1.0
[ ]
Unknown
1.1
[ ]
Intertrochanteric
1.2
[ ]
Femoral neck (subcapital)
1.3
[ ]
Other ___________________________

4. HIP FRACTURE TREATMENT:

[ ] 1 Open Reduction Internal Fixation (ORIF or pinning)

[ ] 2 Arthroplasty/hemiarthroplasty (femoral head replacement)

[ ] 3 Other ___________________________

[ ] 4 Cast or other immobilization

[ ] 5 None

[ ] 9 Unknown

5. OTHER FRACTURE(S) OCCURED AT SAME TIME:

[ ] 0 No

[ ] 1 Yes

[ ] 9 Unknown

6. CIRCUMSTANCES OF HIP FRACTURE:

[ ] 1 Fall from standing height or less

[ ] 2 Motor vehicle accident or fall from greater than standing height

[ ] 3 Other

[ ] 9 Unknown

7. LOCATION OF FALL OR TRAUMA:

[ ] 1 Outside

[ ] 2 Inside

[ ] 3 Other _______________________

[ ] 8 n/a _______________________

[ ] 9 Unknown

8. TIME OF DAY FRACTURE OCCURRED:

[ ] 1 Daytime (6am-6pm)

[ ] 2 Night (6:01pm to 5:59am)

[ ] 3 Other _______________

[ ] 9 Unknown

9. DEATH OCCURED DURING HIP FRACTURE HOSPITALIZATION:

[ ] 0 No

[ ] 1 Yes

[ ] 8 n/a (no hospitalization)

[ ] 9 Unknown

10. DETAILED CIRCUMSTANCES OF HIP FRACTURE:

[ ] 1 Fall from standing height or less-includes most injuries due to tripping over something, slips in the shower or bathtub, or falling out of a chair or bed (unless standing on it), in which the participant lands on the surface at the same height as the surface he/she was standing on

[ ] 2 Falls on stairs, steps or curbs-includes all falls during change of level, such as stepping up or down stairs, steps, or curbs

[ ] 3 Fall from more than standing height, but NOT on stairs-includes falls from heights such as off a ladder or while standing on a table or chair, off a porch, out of a window, etc.

[ ] 4 Minimal trauma other than a fall-includes vertebral fractures associated with coughing, stepping down a step, etc., and rib or other fractures associated with turning over in bed, etc.

[ ] 5 Moderate trauma other than a fall-includes collisions with objects during normal activities (e.g. stub toe, hit hand against door frame, walking into door), twisting or turning ankle (or ankle fractures).

[ ] 6 Severe trauma other than a fall-includes motor vehicle accidents, struck by a car, hit by rapidly moving projectile (golf ball, golf club), assault

[ ] 7 Pathologic fracture-usually associated with cancer in bone

[ ] 8 Unknown/Don't know

11. DATE DATA RETRIEVAL COMPLETED: ____/____/____ (Month/Day/Year)

12. DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: ____/____/____ (Month/Day/Year)

13. FINAL ADJUDICATION BY ENDPOINTS COMMITTEE REQUIRED:

[ ] 0 No

[ ] 1 Yes

14. DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: ____/____/____ (Month/Day/Year)

15. Comments (not for data entry):

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

NON-HIP FRACTURE FORM

DATE FRACTURE OCCURRED: ____/____/____ (Month/Day/Year)

16. SOURCE(S) OF FRACTURE CONFIRMATION:

16.1. Orthopedic notes

[ ] 0 No

[ ] 1 Yes

16.2. X-ray report

[ ] 0 No

[ ] 1 Yes

16.3. Discharge summary

[ ] 0 No

[ ] 1 Yes

16.4. OR report

[ ] 0 No

[ ] 1 Yes

16.5. ER notes

[ ] 0 No

[ ] 1 Yes

16.6. Other ________________________

[ ] 0 No

[ ] 1 Yes

17. FRACTURE SIDE:

[ ] 1 Right

[ ] 2 Left

[ ] 3 Axial (vertebral, pelvis, nasal, sacrum, sternum, skull)

[ ] 9 Unknown

18. FRACTURE LOCATION:

(see fracture location codes, write in) ________________________________

19. FRACTURE TREATMENT:

[ ] 1 Open Reduction Internal Fixation (ORIF or pinning)

[ ] 2 Arthroplasty/hemiarthroplasty (femoral head replacement)

[ ] 3 Other ___________________________

[ ] 4 Cast or other immobilization

[ ] 5 None

[ ] 9 Unknown

20. OTHER FRACTURE(S) OCCURED AT SAME TIME:

[ ] 0 No

[ ] 1 Yes

[ ] 9 Unknown

21. CIRCUMSTANCES OF FRACTURE:

[ ] 1 Fall from standing height or less

[ ] 2 Motor vehicle accident or fall from greater than standing height

[ ] 3 Other

[ ] 9 Unknown

22. LOCATION OF FALL OR TRAUMA:

[ ] 1 Outside

[ ] 2 Inside

[ ] 3 Other _______________________

[ ] 8 n/a _______________________

[ ] 9 Unknown

23. TIME OF DAY FRACTURE OCCURRED:

[ ] 1 Daytime (6am-6pm)

[ ] 2 Night (6:01pm to 5:59am)

[ ] 3 Other _______________

[ ] 9 Unknown

24. DEATH OCCURRED DURING FRACTURE HOSPITALIZATION:

[ ] 0 No

[ ] 1 Yes

[ ] 8 n/a (no hospitalization)

[ ] 9 Unknown

25. DETAILED CIRCUMSTANCES OF FRACTURE:

[ ] 1 Fall from standing height or less-includes most injuries due to tripping over something, slips in the shower or bathtub, or falling out of a chair or bed (unless standing on it), in which the participant lands on the surface at the same height as the surface he/she was standing on

[ ] 2 Falls on stairs, steps or curbs-includes all falls during change of level, such as stepping up or down stairs, steps, or curbs

[ ] 3 Fall from more than standing height, but NOT on stairs-includes falls from heights such as off a ladder or while standing on a table or chair, off a porch, out of a window, etc.

[ ] 4 Minimal trauma other than a fall-includes vertebral fractures associated with coughing, stepping down a step, etc., and rib or other fractures associated with turning over in bed, etc.

[ ] 5 Moderate trauma other than a fall-includes collisions with objects during normal activities (e.g. stub toe, hit hand against door frame, walking into door), twisting or turning ankle (or ankle fractures).

[ ] 6 Severe trauma other than a fall-includes motor vehicle accidents, struck by a car, hit by rapidly moving projectile (golf ball, golf club), assault

[ ] 7 Pathologic fracture-usually associated with cancer in bone

[ ] 8 Unknown/Don't know

26. DATE DATA RETRIEVAL COMPLETED: ____/____/____ (Month/Day/Year)

27. DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: ____/____/____ (Month/Day/Year)

28. FINAL ADJUDICATION BY ENDPOINTS COMMITTEE REQUIRED:

[ ] 0 No

[ ] 1 Yes

29. DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: ____/____/____ (Month/Day/Year)

30. Comments (not for data entry):

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

FRACTURE LOCATION CODES

  • 1.0 - Hip (USE HIP FRACTURE FORM)
    • 1.1 - femoral neck
    • 1.2 - intertrochanteric
    • 1.3 – other
  • 2.0 - Wrist (unspecified)
    • 2.1 - distal radius (Colles'; Smith)
    • 2.2 - distal ulna
    • 2.3 - both distal radius and ulna
  • 3.0 – Skull
  • 4.0 - Facial bones (includes jaw, nose, cheek)
  • 5.0 - Neck
    • 5.1 - first cervical vertebra
    • 5.2 - second cervical vertebra
    • 5.3 - thrid cervical vertebra
    • 5.4 - fourth cervical vertebra
    • 5.5 - fifth cervical vertebra
    • 5.6 - sixth cervical vertebra
    • 5.7 - seventh cervical vertebra
    • 5.8 - multiple cervical vertebrae
  • 6.0 - Shoulder
    • 6.1 - clavicle or collar bone
    • 6.2 - scapula (shoulder blade)
  • 7.0 - Arm (unspecified)
    • 7.1 - humerus (upper arm)
    • 7.2 - elbow
    • 7.3 - radius a/o ulna, proximal or mid shaft
  • 8.0 – Hand
  • 9.0 – Fingers
  • 10.0 - Other small bones in wrist
  • 11.0 – Ribs
  • 12.0 - Chest/Sternum
  • 13.0 - Thoracic Spine (unspecified)
    • 13.1 - first thoracic vertebra
    • 13.2 - second thoracic vertebra
    • 13.3 - third thoracic vertebra
    • 13.4 - fourth thoracic vertebra
    • 13.5 - fifth thoracic vertebra
    • 13.6 - sixth thoracic vertebra
    • 13.7 - seventh thoracic vertebra
    • 13.8 - eighth thoracic vertebra
    • 13.9 - ninth thoracic vertebra
    • 13.10 - tenth thoracic vertebra
    • 13.11 - eleventh thoracic vertebra
    • 13.12 - twelfth thoracic vertebra
    • 13.13 - multiple thoracic vertebrae
  • 14.0 - Lumbar Spine (unspecified)
    • 14.1 - first lumbar vertebra
    • 14.2 - second lumbar vertebra
    • 14.3 - third lumbar vertebra
    • 14.4 - fourth lumbar vertebra
    • 14.5 - fifth lumbar vertebra
    • 14.6 - multiple lumbar vertebrae
  • 15.0 – Pelvis
  • 16.0 - Tailbone/Coccyx/Sacrum
  • 17.0 - Leg (unspecified)
    • 17.1 - femur (not hip)
    • 17.2 - patella
    • 17.3 - tibia
    • 17.4 - fibula
    • 17.5 - both tibia/fibula
  • 18.0 - Ankle (includes distal tibia and fibula)
  • 19.0 - Foot/Metatarsal
  • 20.0 – Toes
  • 21.0 - Heel/Os Calcis

Fracture Adjudication

When data retrieval for a reported fracture has been completed, the individual investigating the reported fracture will attach all relevant materials to the fracture form and complete the form. The packet will then be passed on to Dr. (FILL IN NAME) for review and fracture adjudication. Dr. (FILL IN NAME) will decide if the reported fracture should be coded as a "fracture" or a "non-fracture". Dr. (FILL IN NAME) may determine there is not sufficient evidence to determine fracture status. In this case, the packet will be returned to the field coordinator for further investigation.

If Dr. (FILL IN NAME) decides an additional opinion on fracture status is warranted, he/she may send the fracture in question to the Endpoints Committee for final adjudication. The Committee, comprised of Drs. (FILL IN NAME OF PHYSICIAN, FILL IN NAME OF SECOND PHYSICIAN) and a consulting orthopedic surgeon, will review the fracture information and come to a final decision on the status of the reported fracture.

If a reported fracture is deemed a true "fracture" by Dr. (FILL IN NAME) or the Endpoints Committee, the fracture form will be sent to be entered into the official fracture database. Those coded as a "non-fracture" will be stored in the field coordinator's office.

Protocol Name from Source:

The Expert Review Panel has not reviewed this measure yet.

Availability:

Publicly available

Personnel and Training Required

The Study of Osteoporotic Fractures (SOF) Fractures and Falls History: History of Fractures Questionnaire: None

Framingham Osteoporosis Study Fracture Ascertainment Form: Personnel should be trained in performing medical records review

Equipment Needs

The Study of Osteoporotic Fractures (SOF) Fractures and Falls History: History of Fractures Questionnaire: None

Framingham Osteoporosis Study Fracture Ascertainment Form:None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training Yes
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire and medical record abstraction

Life Stage:

Adult, Senior

Participants:

The Study of Osteoporotic Fractures (SOF) Fractures and Falls History: History of Fractures Questionnaire: Adult females, aged 65 or older

Framingham Osteoporosis Study Fracture Assessment Form: Adults, aged 18 or older

Specific Instructions:

Although the Fractures and Falls History: History of Fractures Questionnaire was originally developed for women ages 65 and older, the PhenX Skin, Bone, Muscle and Joint Working Group recommends that it could be used on adults of all ages.

Self-report questionnaires have been found to have variable rates of false positives. These rates are decreased when self-reports are coupled with confirmation/adjudication. Therefore, the Working Group recommends that the Fractures and Falls History: History of Fractures Questionnaire be corroborated with a medical record confirmation and adjudication from the Framingham Osteoporosis Study. This study also includes a fracture index to classify fracture locations.

Selection Rationale

The Fractures and Falls History: History of Fractures Questionnaire was selected because it was used in a large prospective multisite study focusing on osteoporosis.

The Framingham Osteoporosis Study Fracture Assessment Questionnaire was vetted against other protocols and selected because it was used in a large longitudinal study involving hip and non-hip fractures of men and women.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Bone Fracture History Assessment Description Text 3158250 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Fracture hx proto 64390-8 LOINC
Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

The Study of Osteoporotic Fractures (SOF) Fractures and Falls History: History of Fractures Questionnaire:

Question numbers 18, 38, and 39.

San Francisco Coordinating Center
185 Berry St.
Lobby 4, Suite 5700
San Francisco, CA 94107
(415) 514-8000

© 2010 SOF Online, produced by the Coordinating Center, University of California San Francisco

Framingham Osteoporosis Study Fracture Assessment Form:

The Framingham Osteoporosis Study Fracture Assessment Questionnaire was developed as part of the Framingham Osteoporosis Study. Questions Offspring Hip Fracture Form Q1A-E (1.1-1.5), Q1I (1.6), Q2-Q9 (2-9), and Q12-Q17 (10-15). Questions Offspring Non-Hip Fracture Form Q1A-E (16.1-16.5), Q1I (16.6), Q2-Q9, (17-24), and Q12-Q17 (25-30).

General References

None

Protocol ID:

170901

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX170901_Age_When_Broken_1 PX170901010102 IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Age When Broken 4 N/A
PX170901_Age_When_Broken_2 PX170901010202 IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Age When Broken 4 N/A
PX170901_Age_When_Broken_3 PX170901010302 IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Age When Broken 4 N/A
PX170901_Age_When_Broken_4 PX170901010402 IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Age When Broken 4 N/A
PX170901_Age_When_Broken_5 PX170901010502 IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Age When Broken 4 N/A
PX170901_Broken_Bone_1 PX170901010101 IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Broken Bone 4 N/A
PX170901_Broken_Bone_2 PX170901010201 IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Broken Bone 4 N/A
PX170901_Broken_Bone_3 PX170901010301 IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Broken Bone 4 N/A
PX170901_Broken_Bone_4 PX170901010401 IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Broken Bone 4 N/A
PX170901_Broken_Bone_5 PX170901010501 IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Broken Bone 4 N/A
PX170901_Circumstances_Of_Fracture PX170901250000 CIRCUMSTANCES OF FRACTURE: 4 N/A
PX170901_Circumstances_Of_Hip_Fracture PX170901100000 CIRCUMSTANCES OF HIP FRACTURE: 4 N/A
PX170901_Date_Fracture_Occurred_Day PX170901200200 DATE FRACTURE OCCURRED - Day 4 N/A
PX170901_Date_Fracture_Occurred_Month PX170901200100 DATE FRACTURE OCCURRED - Month 4 N/A
PX170901_Date_Fracture_Occurred_Year PX170901200300 DATE FRACTURE OCCURRED - Year 4 N/A
PX170901_Date_Hip_Fracture_Occurred_Day PX170901040200 DATE HIP FRACTURE OCCURRED - Day 4 N/A
PX170901_Date_Hip_Fracture_Occurred_Month PX170901040100 DATE HIP FRACTURE OCCURRED - Month 4 N/A
PX170901_Date_Hip_Fracture_Occurred_Year PX170901040300 DATE HIP FRACTURE OCCURRED - Year 4 N/A
PX170901_Detailed_Circumstances_Of_Fracture PX170901290000 DETAILED CIRCUMSTANCES OF FRACTURE: 4 N/A
PX170901_Detailed_Circumstances_Of_Hip_Fracture PX170901140000 DETAILED CIRCUMSTANCES OF HIP FRACTURE: 4 N/A
PX170901_Doctor_Diagnosed_Fractured_Bone PX170901010000 Has a doctor ever said that you had a broken or fractured bone? (MARK ONE BOX.) 4 N/A
PX170901_Fractured_Spine_Or_Vertebrae PX170901030000 HAS A DOCTOR EVER TOLD YOU THAT YOU HAD: Fracture of the spine or fracture of the vertebrae? 4 N/A
PX170901_Fractured_Spine_Or_Vertebrae_Age PX170901030100 IF YES, how old were you when a doctor first told you this? I was____years old. 4 N/A
PX170901_FractureLocation_Fall_Trauma PX170901260000 LOCATION OF FALL OR TRAUMA: 4 N/A
PX170901_Fracture_Comments PX170901340000 Comments (not for data entry): 4 N/A
PX170901_Fracture_Confirmation_Discharge_Summary PX170901200600 SOURCE(S) OF FRACTURE CONFIRMATION: Discharge summary 4 N/A
PX170901_Fracture_Confirmation_ER_Notes PX170901200800 SOURCE(S) OF FRACTURE CONFIRMATION: ER notes 4 N/A
PX170901_Fracture_Confirmation_Orthopedic_Notes PX170901200400 SOURCE(S) OF FRACTURE CONFIRMATION: Orthopedic notes 4 N/A
PX170901_Fracture_Confirmation_OR_Report PX170901200700 SOURCE(S) OF FRACTURE CONFIRMATION: OR report 4 N/A
PX170901_Fracture_Confirmation_Other PX170901200900 SOURCE(S) OF FRACTURE CONFIRMATION: Other 4 N/A
PX170901_Fracture_Confirmation_Other_Specify PX170901200901 Other, specify 4 N/A
PX170901_Fracture_Confirmation_Xray_Report PX170901200500 SOURCE(S) OF FRACTURE CONFIRMATION: X-ray report 4 N/A
PX170901_Fracture_Data_Retrieval_Completed_Day PX170901300200 DATE DATA RETRIEVAL COMPLETED: Day 4 N/A
PX170901_Fracture_Data_Retrieval_Completed_Month PX170901300100 DATE DATA RETRIEVAL COMPLETED: Month 4 N/A
PX170901_Fracture_Data_Retrieval_Completed_Year PX170901300300 DATE DATA RETRIEVAL COMPLETED: Year 4 N/A
PX170901_Fracture_Date_Committee_Day PX170901330200 DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: Day 4 N/A
PX170901_Fracture_Date_Committee_Month PX170901330100 DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: Month 4 N/A
PX170901_Fracture_Date_Committee_Year PX170901330300 DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: Year 4 N/A
PX170901_Fracture_Date_Of_Adjudication_Day PX170901310200 DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: Day 4 N/A
PX170901_Fracture_Date_Of_Adjudication_Month PX170901310100 DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: Month 4 N/A
PX170901_Fracture_Date_Of_Adjudication_Year PX170901310300 DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: Year 4 N/A
PX170901_Fracture_Death_During_Hospitalization PX170901280000 DEATH OCCURRED DURING FRACTURE HOSPITALIZATION: 4 N/A
PX170901_Fracture_Final_Adjudication_Required PX170901320000 FINAL ADJUDICATION BY ENDPOINTS COMMITTEE REQUIRED: 4 N/A
PX170901_Fracture_Location PX170901220000 FRACTURE LOCATION: 4 N/A
PX170901_Fracture_Location_Fall_Trauma_Specify PX170901260100 LOCATION OF FALL OR TRAUMA: Other, specify 4 N/A
PX170901_Fracture_Side PX170901210000 FRACTURE SIDE 4 N/A
PX170901_Fracture_Treatment PX170901230000 FRACTURE TREATMENT: 4 N/A
PX170901_Fracture_Treatment_Other_Specify PX170901230100 FRACTURE TREATMENT: Other, specify 4 N/A
PX170901_Hip_Facture_Side PX170901060000 HIP FACTURE SIDE: 4 N/A
PX170901_Hip_Fracture_Comments PX170901190000 Comments (not for data entry): 4 N/A
PX170901_Hip_Fracture_Committee_Ajudication_Day PX170901180200 DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: Day 4 N/A
PX170901_Hip_Fracture_Committee_Ajudication_Month PX170901180100 DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: Month 4 N/A
PX170901_Hip_Fracture_Committee_Ajudication_Year PX170901180300 DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: Year 4 N/A
PX170901_Hip_Fracture_Confirmation_Discharge_Summary PX170901050300 SOURCE(S) OF HIP FRACTURE CONFIRMATION: Discharge summary 4 N/A
PX170901_Hip_Fracture_Confirmation_ER_Notes PX170901050500 SOURCE(S) OF HIP FRACTURE CONFIRMATION: ER notes 4 N/A
PX170901_Hip_Fracture_Confirmation_Orthopedic_Notes PX170901050100 SOURCE(S) OF HIP FRACTURE CONFIRMATION: Orthopedic notes 4 N/A
PX170901_Hip_Fracture_Confirmation_OR_Report PX170901050400 SOURCE(S) OF HIP FRACTURE CONFIRMATION: OR report 4 N/A
PX170901_Hip_Fracture_Confirmation_Other PX170901050600 SOURCE(S) OF HIP FRACTURE CONFIRMATION: Other 4 N/A
PX170901_Hip_Fracture_Confirmation_Other_Specify PX170901050601 SOURCE(S) OF HIP FRACTURE CONFIRMATION: Other, specify 4 N/A
PX170901_Hip_Fracture_Confirmation_Xray_Report PX170901050200 SOURCE(S) OF HIP FRACTURE CONFIRMATION: X-ray report 4 N/A
PX170901_Hip_Fracture_Date_Adjudication_Day PX170901160200 DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: Day 4 N/A
PX170901_Hip_Fracture_Date_Adjudication_Month PX170901160100 DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: Month 4 N/A
PX170901_Hip_Fracture_Date_Adjudication_Year PX170901160300 DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: Year 4 N/A
PX170901_Hip_Fracture_Death_During_Hospitalization PX170901130000 DEATH OCCURED DURING HIP FRACTURE HOSPITALIZATION: 4 N/A
PX170901_Hip_Fracture_Final_Adjudication_Required PX170901170000 FINAL ADJUDICATION BY ENDPOINTS COMMITTEE REQUIRED: 4 N/A
PX170901_Hip_Fracture_Location PX170901070000 HIP FRACTURE LOCATION: 4 N/A
PX170901_Hip_Fracture_Location_Fall_Trauma PX170901110000 LOCATION OF FALL OR TRAUMA: 4 N/A
PX170901_Hip_Fracture_Location_Other_Specify PX170901070100 HIP FRACTURE LOCATION: Other, specify 4 N/A
PX170901_Hip_Fracture_Other_Fracture PX170901090000 OTHER FRACTURE(S) OCCURED AT SAME TIME: 4 N/A
PX170901_Hip_Fracture_Retrieval_Completed_Day PX170901150200 DATE DATA RETRIEVAL COMPLETED: Day 4 N/A
PX170901_Hip_Fracture_Retrieval_Completed_Month PX170901150100 DATE DATA RETRIEVAL COMPLETED: Month 4 N/A
PX170901_Hip_Fracture_Retrieval_Completed_Year PX170901150300 DATE DATA RETRIEVAL COMPLETED: Year 4 N/A
PX170901_Hip_Fracture_Treatment PX170901080000 HIP FRACTURE TREATMENT: 4 N/A
PX170901_Hip_Fracture_Treatment_Other_Specify PX170901080100 HIP FRACTURE TREATMENT: Other, specify 4 N/A
PX170901_Hip_Location_Fall_Trauma_Specify PX170901110100 LOCATION OF FALL OR TRAUMA: Other, specify 4 N/A
PX170901_Osteoporosis PX170901020000 HAS A DOCTOR EVER TOLD YOU THAT YOU HAD: Osteoporosis, sometimes called thin or brittle bones? 4 N/A
PX170901_Osteoporosis_Age PX170901020100 IF YES, how old were you when a doctor first told you this? I was___years old. 4 N/A
PX170901_Other_Fracture_Occured_At_Same_Time PX170901240000 OTHER FRACTURE(S) OCCURED AT SAME TIME: 4 N/A
PX170901_Time_Fracture_Occurred PX170901270000 TIME OF DAY FRACTURE OCCURRED: 4 N/A
PX170901_Time_Fracture_Occurred_Other_Specify PX170901270100 TIME OF DAY FRACTURE OCCURRED: Other, specify 4 N/A
PX170901_Time_Hip_Fracture_Occurred PX170901120000 TIME OF DAY FRACTURE OCCURRED: 4 N/A
PX170901_Time_Hip_Fracture_Occurred_Specify PX170901120100 TIME OF DAY FRACTURE OCCURRED: Other, specify 4 N/A
Research Domain Information
Measure Name:

Fracture History

Release Date:

January 21, 2010

Definition

This measure contains a questionnaire to determine the respondent's history of bone fractures and follow up confirmation by medical record abstraction.

Purpose

Fractures are a disabling, painful, and may be a life-threatening consequence of osteoporosis.

Keywords

Fracture, Broken Bone, Osteopenia, Osteoporosis, Brittle bones, Study of Osteoporotic Fractures, SOF, Framingham Osteoporosis Study, Framingham Heart Study, FHS, movement, physical activity, arthritis, older adults, elderly, senior citizen, physical functioning, seniors, tremor