NCT00499278

Brief Summary

  1. 1.What are the characteristics of joint replacement patients (DRGs 209 \& 210) served in IRFs and SNFs? How are they similar or different?
  2. 2.How are the interventions and processes of care for joint replacement patients different in IRFs and SNFs?
  3. 3.What specific interventions or combinations of interventions in IRFs and SNFs make the biggest difference in outcomes for joint replacement patients taking into account patient differences?
  4. 4.Which joint replacement patients do better in an IRF and which do better in a SNF?
  5. 5.What is the relative cost-effectiveness of IRF and SNF care for joint replacement patients?
  6. 6.Are comorbidities among joint replacement patients an adequate indicator of additional medical need during the rehabilitation process? Can a severity-of-illness measure serve as a better indicator of medical need? Are patients with greater medical needs served better in an IRF or a SNF?
  7. 7.Can we design a more efficient course of rehabilitation interventions for joint replacement patients in IRFs and SNFs to reduce the length of stay and costs?

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
2,384

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Nov 2005

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2005

Completed
1.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2007

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

July 9, 2007

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 11, 2007

Completed
Last Updated

July 11, 2007

Status Verified

July 1, 2007

First QC Date

July 9, 2007

Last Update Submit

July 9, 2007

Conditions

Osteoarthritis

Keywords

Osteoarthritisjointkneehipsurgery

Interventions

Rehabilitation after joint replacement surgeryBEHAVIORAL

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Are 21 years of age or older,
  • Received a hip or knee replacement of any type for any reason, and
  • Admitted from any source.
  • To be included in the study's database, the above enrollment criteria need to be met. In addition, patients also must:
  • Have a minimum rehabilitation length of stay (LOS) of 3 days, and
  • Have complete admission and discharge FIM data.

You may not qualify if:

  • Joint replacements such as shoulder and ankle replacements since the rehabilitation for these patients is quite different. For most study patients, the joint replacement will be their first, but with the aging of the population, revisions are becoming more common. According to the MedPAC-RAND report, 4.8% of IRF and 6.3% of SNF joint replacement patients had a revision.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National Rehabilitation Hospital

Washington D.C., District of Columbia, 20010, United States

Location

MeSH Terms

Conditions

Osteoarthritis

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Study Officials

  • Gerben DeJong, PhD

    NRH

    PRINCIPAL INVESTIGATOR

  • Susan Horn, PhD

    ISIS/ICOR

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
NATURAL HISTORY
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER

Study Record Dates

First Submitted

July 9, 2007

First Posted

July 11, 2007

Study Start

November 1, 2005

Study Completion

February 1, 2007

Last Updated

July 11, 2007

Record last verified: 2007-07

Locations

US(1)