Patient Satisfaction in Treatment of Non-complex Fractures and Dislocations in Hospitals vs General Practitioners

NCT03506958 | Completed

• 1 other identifier: 20170277
• Study Type: observational
• Target: 117
• Locations: 1 country
• Sites: 2

Brief Summary

Treatment of fractures and dislocations are generally organized in the hospital setting. However, equal care for patients with non-complex fractures or dislocations may be provided in general practices. While substitution of trauma care from the secondary to the primary care setting is stimulated by the government and insurers, it is unknown what the patient satisfaction level is and which determinants affect this patient satisfaction. Therefore, the primary objective of this study is to determine the effect of treatment in a general practice on patient satisfaction compared to treatment in a hospital. The secondary objectives include assessments in quality of life, patient-reported outcomes and cost-effectiveness. Besides, results will be discussed using a small focus group consisting of patients (n=15 per group) and healthcare providers.

Conditions

Fractures, Bone; Dislocations

Outcome Measures

Primary Outcomes (1)

• Patient satisfaction

  Patient satisfaction measured using the Patient Satisfaction Questionnaire Short Form (PSQ-18)

  12 weeks after treatment

Secondary Outcomes (9)

• Patient satisfaction

  1 week and 6 weeks after treatment

• Complications of treatment

  12 weeks after treatment

• Pain score

  12 weeks after treatment

• Physical functioning

  12 weeks after treatment

• Limitations in functions of upper extremities (if applicable)

  12 weeks after treatment

Study Arms (2)

General Practice

Hundred patients with an X-ray confirmed diagnosis of a non-complex fracture or dislocation and planned to be treated in the general practice Zorgplein Lemmer.

Procedure: Standard trauma care

Hospital

Hundred patients with an X-ray confirmed diagnosis of a non-complex fracture or dislocation and planned to be treated in the Antonius Hospital Sneek.

Procedure: Standard trauma care

Interventions

Standard trauma care PROCEDURE

In both groups, all procedures and management will be done according to the hospital's standard of care.

General Practice; Hospital

Eligibility Criteria

• Age: 12 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Two hundred patients with an X-ray confirmed diagnosis of a non-complex fracture or dislocation and planned to be treated in either the general practice Zorgplein Lemmer or Antonius Hospital Sneek will be recruited, 100 per center.

You may qualify if:

• X-ray confirmed diagnosis of a non-complex fracture or dislocation, which can be treated in the primary care setting according to the treatment protocol.
• Ability of the patient or assigned representative to understand the content of the patient information/informed consent form.
• Signed and dated written informed consent. Parents of patients of age 12-17 must provide a signed and dated written informed consent as well.

You may not qualify if:

• Patients of age 11 years and younger.
• Patients presenting outside ordinary business hours.

Sponsors & Collaborators

• University Medical Center Groningen: lead
• Antonius Hospital Sneek: collaborator
• Innovatiefonds De Friesland Zorgverzekeraar (DFZ): collaborator

Study Sites (2)

General Practice Zorgplein Lemmer

Lemmer, Provincie Friesland, 8531EB, Netherlands

Location

Antonius Hospital Sneek

Sneek, Provincie Friesland, 8601 ZK, Netherlands

Location

Related Publications (1)

• Verbeek T, Arentsen H, Breet EJ, Kuipers MM, Lubbert PHW, Burger H. Patient satisfaction in treatment of non-complex fractures and dislocations in general practice in the Netherlands: prospective cohort study protocol. BMJ Open. 2019 Feb 19;9(2):e025046. doi: 10.1136/bmjopen-2018-025046.

  PMID: 30782924 DERIVED

MeSH Terms

Conditions

Fractures, Bone; Joint Dislocations

Condition Hierarchy (Ancestors)

Wounds and Injuries; Joint Diseases; Musculoskeletal Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Post-doc researcher

Study Record Dates

• First Submitted: April 7, 2018
• First Posted: April 24, 2018
• Study Start: September 25, 2017
• Primary Completion: October 1, 2020
• Study Completion: October 1, 2020
• Last Updated: May 19, 2021

Record last verified: 2021-05

Locations

NL (2)