Improving Quality Based on the Joint Registry

NCT04055103 | Completed

• 2 other identifiers: G18.140VRF2018-001
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Test whether an intervention, consisting of frequently feedback of performance outcomes and education will improve patient care, expressed in better functional outcomes, fewer complications and more quality improving interventions.

Conditions

Registries; Quality Improvement; Hip Arthropathy; Knee Arthropathy; Hospital Performance

Keywords

Total Hip/Knee Arthroplasty;Dutch Arthroplasty Register; Quality Improvement.

Outcome Measures

Primary Outcomes (6)

• Survival (yes/no)

  Patient survival after HA/TKA surgery

  1 year follow-up during trial

• 1-year revision rate (%)

  Number of revisions performed within one year adjusted for patient characteristics

  1 year follow-up during trial

• Prolonged length-of stay (yes/no)

  Prolonged length-of-stay in the overall upper quartile

  1 year follow-up during trial

• Readmission (yes/no)

  Readmission within 30 days after discharge

  1 year follow-up during trial

• Number of Complications

  Number of complications

  1 year follow-up during trial

• Composite outcome measure (Textbook Outcome)

  Including: Survival; 1-year revision rate; Length-of-Stay and Readmission.

  1 year follow-up during trial

Secondary Outcomes (1)

• Number of Quality Improvement Initiatives

  1 year follow-up during trial

Study Arms (2)

Intervention Group

ACTIVE COMPARATOR

Half of the participating hospitals will be in the intervention group for the first 6 months. The intervention will switch to the control group after the 6 months.

Other: Monthly feedback, education and linking hospitals

Control Group

NO INTERVENTION

Half of the participating hospitals will be in the control group for the first 6 months. The control group will undergo the intervention in the second 6 months.

Interventions

Monthly feedback, education and linking hospitals OTHER

\- Give monthly feedback from LROI-data (revision rate \& patient reported outcome measures) as well as other outcomes from the participating hospital (length-of-stay, readmission and complications), combined with education on how to use this information for improvement. This will be send monthly by email to the intervention group. Further, hospitals with worse performance for a certain outcome will be linked to hospitals with good performance for this outcome.

Intervention Group

Eligibility Criteria

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

You may qualify if:

• All Dutch orthopedic clinics where hip- and knee replacement surgery is performed who agree to participate will be randomized.

You may not qualify if:

• None

Sponsors & Collaborators

• Leiden University Medical Center: lead

Study Sites (1)

Leiden University Medical Center

Leiden, South Holland, 2333 ZA, Netherlands

Location

Related Publications (1)

• van Schie P, van Bodegom-Vos L, Zijdeman TM, Nelissen RGHH, Marang-van de Mheen PJ; IQ Joint study group. Effectiveness of a multifaceted quality improvement intervention to improve patient outcomes after total hip and knee arthroplasty: a registry nested cluster randomised controlled trial. BMJ Qual Saf. 2023 Jan;32(1):34-46. doi: 10.1136/bmjqs-2021-014472. Epub 2022 Jun 22.

  PMID: 35732486 DERIVED

MeSH Terms

Interventions

Educational Status

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Officials

• Perla Marang-van de Mheen, Dr.

  Leiden University Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: SUPPORTIVE CARE
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: Each arm will receive the intervention for 6 months.

Study Record Dates

• First Submitted: August 8, 2019
• First Posted: August 13, 2019
• Study Start: August 1, 2019
• Primary Completion: May 31, 2021
• Study Completion: May 31, 2021
• Last Updated: October 27, 2021

Record last verified: 2021-10

Data Sharing

• IPD Sharing: Will not share

Locations

NL (1)