Defining Displacement Thresholds for Surgical Intervention for Distal Radius Fractures - a Delphi Study

NCT03126474 | Completed

• 1 other identifier: 0593
• Study Type: observational
• Target: 43
• Locations: 1 country
• Sites: 1

Brief Summary

Wrist (distal radius fractures) are very common injuries. Despite this there is still much controversy about the best way to treat them and in particular which ones require intervention. Many studies have been carried out but there is no strong evidence to answer these questions. The investigators are carrying out a Delphi study which involves seeking consensus from experts at treating these injuries about the best way to manage them. UK and international expert surgeons will take part in three rounds of online questionnaires to help decide how much displacement of the fracture will trigger treatment for different common wrist fracture cases. The aim of the study is to obtain expert opinion through consensus from the expert group about the amount of displacement that is acceptable until intervention is required. This will provide guidance and reduce variation between treating surgeons.

Conditions

Wrist Fracture; Distal Radius Fracture

Outcome Measures

Primary Outcomes (1)

• Agreement on questions from expert panel

  Agreement is defined as a consensus of 70% between expert panel members

  10 weeks

Study Arms (1)

Delphi panel

Group of expert surgeons who have experience dealing with distal radius fractures No intervention will be performed on a patient. Participants will discuss and aim to obtain agreement about best treatment options for a variety of cases

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Experienced expert surgeons who regularly treat patients with distal radius fractures and/or have researched the subject extensively will be invited to take part. All participants will be aged over 18 years. The investigators defined experts in 3 ways: 1. \- experienced hand and wrist surgeons who are members of the British Society for Surgery of the Hand. 2. \- trauma surgeons who deal with these injuries and operate on them regularly. 3. \- surgeons who are also researchers who have published studies investigating outcome in patients with distal radius fractures in the last 5 years so have a comprehensive understanding of the nature of the injury and likely outcome.

You may qualify if:

• Experienced expert surgeons who regularly treat patients with distal radius fractures and/or have researched the subject extensively

You may not qualify if:

• Excluded if not an experienced specialist surgeon

Sponsors & Collaborators

• University of Leicester: lead

Study Sites (1)

Nick Johnson

Leicester, United Kingdom

Location

MeSH Terms

Conditions

Wrist Fractures

Condition Hierarchy (Ancestors)

Wrist Injuries; Arm Injuries; Wounds and Injuries; Fractures, Bone

Study Officials

• Nick A Johnson, MBCHB

  University of Leicester

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 19, 2017
• First Posted: April 24, 2017
• Study Start: February 17, 2017
• Primary Completion: May 28, 2017
• Study Completion: June 28, 2017
• Last Updated: January 30, 2020

Record last verified: 2017-04

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)