Physiotherapist Led Triage in Primary Care for Patients With Hip or Knee OA

Официальное название

Physiotherapist Led Triage in Primary Care for Patients With Hip or Knee Osteoarthritis

Обзор

The overall aim with the study is to evaluate physiotherapist led triage in primary care compared to usual care (assessment by an orthopaedic surgeon in an orthopaedic department) for patients with hip or knee osteoarthritis referred for orthopaedic consultation.

Подробное описание

The primary aim of the study is to evaluate if there is any difference in perceived quality of care using the item "I received the best possible examination and treatment (as far as I can tell)" between physiotherapist led (PT led) triage in primary care compared to usual care (assessment by an orthopaedic surgeon (OS) in an orthopaedic department) for patients with hip or knee osteoarthritis (OA) referred for orthopaedic consultation. Furthermore, to evaluate whether there is any difference in 2) perceived quality of care as a whole, 3) management outcome and hip/knee replacement surgery conversion rate, 4) patient reported outcome measures such as health related quality, pain and function in short and long term and 5) costs between the two care models.

Вмешательства

• Другое Physiotherapist consultation
  The consultation with the PT is 40-45 minutes long according to usual care and includes patient history, assessment and management according to an assessment template. If the patient is found not to be appropriate for surgery they can receive the following; 1) self-care without follow up appointment, 2) referral to PT in primary care for rehabilitation, 3) referral back to general practitioner (GP) for new tests/assessments/medication. If the patient is found to be appropriate for surgery, and w
• Другое Orthopaedic surgeon consultation
  The consultation with the OS is 20-30 minutes long and includes medical history, assessment and management plan, all according to usual care. It the patient is found not to be appropriate for surgery they can receive the following; 1) self-care without follow up appointment, 2) referral to PT in primary care for rehabilitation, 3) referral back to GP for new tests/assessments/medication. If the patient is found appropriate for surgery, and wishes to undergo surgery, the patient is 4) scheduled f

Первичные конечные точки

• "I received the best possible examination and treatment (as far as I can tell)" [Срок оценки: Within a week after assessment]

Вторичные конечные точки (12)

• Quality from the Patients Perspective (QPP) [Срок оценки: Within a week after assessment]
• Waiting times [Срок оценки: 12 months after the assessment]
• Management outcome incl Surgery Conversion Rate (SCR) [Срок оценки: 12 months after the assessment]
• EuroQol 5 D (EQ-5D-5L) [Срок оценки: Baseline]
• EuroQol 5 D (EQ-5D-5L) [Срок оценки: Change from baseline to three months after assessment]
• EuroQol 5 D (EQ-5D-5L) [Срок оценки: Change from baseline to 12 months after assessment]
• Forgotten Joint Score (FJS) [Срок оценки: Baseline]
• Forgotten Joint Score (FJS) [Срок оценки: Change from baseline to three months after assessment]
• Forgotten Joint Score (FJS) [Срок оценки: Change from baseline to 12 months after assessment]
• Hip / Knee injury and Osteoarthritis Outcome Score (HOOS-12/KOOS-12) [Срок оценки: Baseline]
• Hip / Knee injury and Osteoarthritis Outcome Score (HOOS-12/KOOS-12) [Срок оценки: Change from baseline to three months after assessment]
• Hip / Knee injury and Osteoarthritis Outcome Score (HOOS-12/KOOS-12) [Срок оценки: Change from baseline to 12 months after assessment]

Критерии участия

Patients with hip or knee OA assessed by a GP at any of the included health care centers in the study, and referred on for orthopaedic consultation to any of the included hospitals in the Västra Götaland.

Критерии включения

• primary OA in hip or knee
• understands and speak Swedish

Exclusion Criteria (if stated in the referral)

• Previously been assessed for the same condition by an orthopaedic surgeon
• Referred by an orthopaedic surgeon
• Secondary OA due to fractures or osteonecrosis of the femoral head
• Referral to a specific orthopaedic surgeon

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Диагностика

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT06187116 · PT-triage primary care OA

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗