PT-led Triage for Patients With Hip o Knee Osteoarthritis

NCT04665908 | Active Not Recruiting

• 1 other identifier: Triage and hip/knee OA
• Study Type: interventional
• Target: 675
• Locations: 1 country
• Sites: 2

Brief Summary

The aim of this project is to compare PT-led triage in secondary care setting for patients with hip or/and knee osteoarthritis (OA) with standard care (i.e. assessment of orthopedic surgeon). Comparison between cost-effectiveness, selection accuracy, patients perceived quality of care, quality of life and physical function will be made. A further aim is to explore patients expectations and experiences of PT-led triage in a secondary care setting.

Conditions

Knee Osteoarthritis; Hip Osteoarthritis

Keywords

PT-led triage; Osteoarthritis; Knee; Hip

Outcome Measures

Primary Outcomes (1)

• Short form of the Quality from Patients Perspective (QPP)

  A Measure of patients' perception of quality of care regarding four dimensions: caregivers' medical-technical competence; care organizations' physical-technical conditions; degree of identity-orientation in the caregivers' attitudes and actions; and the care organizations' socio-cultural atmosphere

  Baseline

Secondary Outcomes (4)

• Heath-related quality of life - EuroQol (EQ5-D)

  Baseline, 3 and 12 months

• Pain Disability index (PDI

  Baseline, 3 and 12 months

• Forgotten Joint Score (FJS)

  Basline, 3 and 12 months

• Oxford Hip/Knee Score (OHS/OHK

  Basline, 3 and 12 months

Other Outcomes (1)

• Patients expectations and experiences of PT-led triage

  Interviews sep 2024-nov 2024

Study Arms (2)

PT-led triage

OTHER

Patients are assessed by PT

Other: Assessment by PT/Orth surgeon

Standard care

OTHER

The patiens are assessed by a orthopedic surgeon

Other: Assessment by PT/Orth surgeon

Interventions

Assessment by PT/Orth surgeon OTHER

Assessment by orthopaedic surgeon or a PT

PT-led triage; Standard care

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Referred to Sahlgrenska University hospital
• Primary osteoarthritis in the hip or knee
• Understanding and speaking Swedish

You may not qualify if:

• Prior assessment by and referral from an orthopedic surgeon for the current problem
• Secondary osteoarthritis (posttraumatic osteoarthritis, femoral head necrosis), when stated on the referral
• Referred to a specific surgeon

Sponsors & Collaborators

• Sahlgrenska University Hospital: lead

Study Sites (2)

Sahlgrenska University Hospital

Gothenburg, Västra Götaland County, Sweden

Location

Sahlgrenska University hospital

Gothenburg, Sweden

Location

Related Publications (1)

• Gustavsson L, Mohaddes M, Samsson K, Beischer S. No major difference in perceived quality of care in patients with hip or knee osteoarthritis assessed in a physical therapy-led triage compared with standard care: a randomized controlled trial. BMC Musculoskelet Disord. 2023 Jun 29;24(1):530. doi: 10.1186/s12891-023-06659-5.

  PMID: 37386368 DERIVED

MeSH Terms

Conditions

Osteoarthritis, Knee; Osteoarthritis, Hip; Osteoarthritis

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Due to the design of the study, it is not possible to blind either caregivers or participants regarding group distribution
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD Doctor

Study Record Dates

• First Submitted: December 7, 2020
• First Posted: December 14, 2020
• Study Start: October 26, 2020
• Primary Completion: December 31, 2025
• Study Completion: December 31, 2025
• Last Updated: May 11, 2025

Record last verified: 2025-05

Locations

SE (2)