Physiotherapist Led Triage in Primary Care for Patients With Hip or Knee Osteoarthritis
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 276
- 主要终点
- "I received the best possible examination and treatment (as far as I can tell)"
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
- •Inclusion Criteria:
- •primary OA in hip or knee
- •understands and speak Swedish
排除标准
- •(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
结局指标
主要结局
"I received the best possible examination and treatment (as far as I can tell)"
时间窗: Within a week after assessment
One item from the questionnaire Quality from the Patients Perspective (QPP). The patients rate how they perceive the quality of care on a 4-point Likert scale ranging from 1 (do not agree at all) to 4 (completely agree). This item was chosen as main outcome since it was found the be representative of quality of care, and as it assess the desired outcome, by the subjective judgement of experts in the field (five physiotherapists and one orthopaedic surgeon).
次要结局
- Quality from the Patients Perspective (QPP)(Within a week after assessment)
- Waiting times(12 months after the assessment)
- EuroQol 5 D (EQ-5D-5L)(Change from baseline to 12 months after assessment)
- Forgotten Joint Score (FJS)(Change from baseline to 12 months after assessment)
- Management outcome incl Surgery Conversion Rate (SCR)(12 months after the assessment)
- Costs(Within 24 months after assessment)
- Hip / Knee injury and Osteoarthritis Outcome Score (HOOS-12/KOOS-12)(Change from baseline to 12 months after assessment)