Effectiveness of a new model of primary care management on knee pain and function in patients with knee osteoarthritis: the PARTNER project

niversity of Sydney0 个研究点目标入组 217 人开始时间: 2017年12月1日最近更新: 2024年7月8日

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•We will recruit General Practices, GPs and their patients to participate in the trial. The criteria for each group is:
•a) General Practices
•At least one GP from the practice agree to be involved.
•The practice uses a general practice clinical desktop system compatible with the electronic medical record decision support tool (cdmNet).
•Practice has current public liability insurance.
•Practice consents to be randomised.
•Works in a participating practice.
•Registered and has current professional indemnity insurance.
•Provides written informed consent.
•Willing to undertake the study as per protocol.
•Treats patients with knee OA.
•c) Patients
•These inclusion criteria are based on those recommended by the National Institute for Health and Care Excellence (NICE) Guidelines for Osteoarthritis Care and Management in Adults:
•aged 45 years or older.
•had activity related knee pain for at least 3 months.
•has knee pain of 4 or greater on an 11-point numerical rating scale (NRS) at the time of screening.
•are a patient of a GP recruited to the trial or agree to see a recruited GP in the same practice

•We will recruit General Practices, GPs and their patients to participate in the trial. The exclusion criteria for each group is:
•a)General Practices:
•Participated in the pilot study.
•The practice principal or practice manager refuses participation.
•The practice does not have one or more GPs who treat patients with knee OA.
•Works at more than one of the general practices included in the trial.
•Participated in the pilot study.
•non-English speaker or unable to give informed consent (including patients in high level care, or with any medical condition which precludes giving informed consent (e.g. dementia, intellectual disability, mental health issues).
•non-ambulatory or limited mobility.
•has had knee replacement surgery in the affected knee or is booked for surgery. Patients may still be included if their other knee meets the inclusion criteria and it has not undergone a knee replacement.
•is terminally ill, has rheumatoid arthritis or gout, or any other severe inflammatory condition, or is undergoing active treatment for serious medical conditions which would preclude participation in this study (e.g. cancer treatment).

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