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临床试验/NCT05120492
NCT05120492招募中不适用

Optimal Management of Extreme Obesity and Severe Knee Osteoarthritis Feasibility Trial

Nova Scotia Health Authority2 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2022年4月22日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
20
试验地点
2
主要终点
Pain, mobility and quality of Life

研究概览

简要总结

Does weight loss surgery in patients with morbid obesity prior to knee replacement surgery improve outcomes from knee replacement surgery

详细描述

RCT involving patients who have severe knee osteoarthritis and have a body-mass index (BMI; the weight in kilograms divided by the square of the height in meters) of 45 to 60 and are randomly assigned to receive dietary and lifestyle counseling for 9 to 13 months followed by total knee replacement (control arm) or sleeve gastrectomy with dietary and lifestyle counseling for 9 to 13 months followed by total knee replacement (treatment arm).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Health Services Research
盲法
None

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • severe knee osteoarthritis body-mass index of 45 to 60

排除标准

  • previous total replacement of the same knee, a need for bilateral total knee replacement, and knee pain during the previous week that the patient rated at higher than 60 mm on a 100-mm visual-analogue scale. Also,prior bariatric or complex foregut surgery, significant cardiovascular, pulmonary, renal, liver, gastrointestinal, psychiatric disorders, pregnancy, malignancy within last 5 years, anemia, coagulopathy requiring anti-coagulation therapy.

结局指标

主要结局

Pain, mobility and quality of Life

时间窗: 1 year

Knee Injury and Osteoarthritis Outcome Score (KOOS4)

次要结局

  • EuroQol Group 5-Dimension Self Report Questionnaire (EQ-5D)(1 year)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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