Predicting the Outcome After Treatment of Meniscal Tears

NCT03462134 | Completed

• 1 other identifier: 1
• Study Type: observational
• Target: 194
• Locations: 1 country
• Sites: 1

Brief Summary

In this study the investigators examined the ability of orthopaedic surgeons to predict the outcome of surgery and non-operative treatment in patients (age 45 to 70) with a non-obstructive meniscal tear.

Conditions

Meniscus Lesion; Surveys and Questionnaires

Outcome Measures

Primary Outcomes (1)

• The ability of orthopaedics surgeons to predict the outcome of treatment

  In this survey, participants are provided with 20 cases and asked for their treatment of choice (APM or physical therapy). Subsequently, participants are asked for the expected outcome, which is change in knee function on the International Knee Documentation Committee 'Subjective Knee Form' (IKDC). These data are used to assess to what extend orthopaedic surgeons are capable of predicting the outcome of surgical and non-operative treatment of meniscal tears in a random sample of patients from the Escape trial.

  2 years

Secondary Outcomes (1)

• To assess which patient specific factors are found important by orthopaedic surgeons in choosing their treatment of first choice

  2 years

Study Arms (1)

Survey amongst orthopaedic surgeons

Selected of 20 patients from the Escape trial (NCT01850719)

Other: Survey

Interventions

Survey OTHER

Survey amongst orthopaedic surgeons

Survey amongst orthopaedic surgeons

Eligibility Criteria

• Age: 45 Years - 70 Years
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

1. Orthopaedic surgeons and residents registered at the Dutch Orthopaedic Associations. 2. A sample of orthopaedic surgeons from Australia

You may not qualify if:

• Patients between 45 and 70 years of age at presentation.
• A meniscal tear visualized on MRI. The meniscal tear can either be isolated or combined with a partial asymptomatic Anterior Cruciate Ligament (ACL) injury or an asymptomatic degenerative ACL shown on MRI with no abnormal clinical findings (a negative Lachman test and Pivot Shift).
• Mental Competence.
• Willingness to comply with follow up schedule.
• Written informed consent.
• Knee locking or trauma leading to acute surgery.
• One of the following associated injuries on the index knee:
• A symptomatic partial ACL rupture or any total ACL rupture determined by clinical examination (positive Lachman test and/or positive Pivot Shift) and shown on MRI;
• A complete Posterior Cruciate Ligament (PCL) injury;
• Cartilage change down to bone; grade 4 of the Kellgren Lawrence Grading Scale for Osteoarthritis visualized on X-ray;
• An injury to the lateral/posterolateral ligament complex with significantly increased laxity.
• A history of knee surgery other than diagnostic arthroscopy on the index knee.
• Tumors on MRI suspected for a malignancy.
• Obese patients with Body Mass Index (BMI) \> 35.
• ASA 4-5 patients which can severely interfere with rehabilitation.

Sponsors & Collaborators

• Onze Lieve Vrouwe Gasthuis: lead
• University of New South Wales: collaborator
• Mayo Clinic: collaborator

Study Sites (1)

Onze Lieve Vrouwe Gasthuis

Amsterdam, North Holland, 1090 HM, Netherlands

Location

Related Publications (1)

• van de Graaf VA, Bloembergen CH MD, Willigenburg NW PhD, Noorduyn JCA MSc, Saris DB, Harris IA, Poolman RW; ESCAPE Research Group. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. Br J Sports Med. 2020 Mar;54(6):354-359. doi: 10.1136/bjsports-2019-100567. Epub 2019 Aug 1.

  PMID: 31371339 DERIVED

MeSH Terms

Interventions

Surveys and Questionnaires

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: March 2, 2018
• First Posted: March 12, 2018
• Study Start: January 1, 2018
• Primary Completion: December 1, 2019
• Study Completion: January 1, 2020
• Last Updated: February 24, 2021

Record last verified: 2021-02

Locations

NL (1)