Clinical trial NCT06187116: Physiotherapist Led Triage in Primary Care for Patients With Hip or Knee OA
Official title: Physiotherapist Led Triage in Primary Care for Patients With Hip or Knee Osteoarthritis
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Osteoarthritis, Knee
Osteoarthritis, Hip
Keywords: Physiotherapist
Orthopaedic triage
Quality of care
Surgery Conversion rate
Lead sponsor: Vastra Gotaland Region
Sponsor class: OTHER_GOV
First posted: 2024-01-02
Enrollment: 276
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: DIAGNOSTIC

Brief summary: The overall aim with the study is to evaluate physiotherapist led triage in primary care compared to usual care (assessment by an orthopaedic surgeon in an orthopaedic department) for patients with hip or knee osteoarthritis referred for orthopaedic consultation.

Detailed description: The primary aim of the study is to evaluate if there is any difference in perceived quality of care using the item "I received the best possible examination and treatment (as far as I can tell)" between physiotherapist led (PT led) triage in primary care compared to usual care (assessment by an orthopaedic surgeon (OS) in an orthopaedic department) for patients with hip or knee osteoarthritis (OA) referred for orthopaedic consultation. Furthermore, to evaluate whether there is any difference in 2) perceived quality of care as a whole, 3) management outcome and hip/knee replacement surgery conversion rate, 4) patient reported outcome measures such as health related quality, pain and function in short and long term and 5) costs between the two care models.

Eligibility criteria: Patients with hip or knee OA assessed by a GP at any of the included health care centers in the study, and referred on for orthopaedic consultation to any of the included hospitals in the Västra Götaland.

Inclusion Criteria:

* primary OA in hip or knee
* understands and speak Swedish

Exclusion Criteria (if stated in the referral)

* Previously been assessed for the same condition by an orthopaedic surgeon
* Referred by an orthopaedic surgeon
* Secondary OA due to fractures or osteonecrosis of the femoral head
* Referral to a specific orthopaedic surgeon

Primary outcomes:
measure: "I received the best possible examination and treatment (as far as I can tell)"
timeFrame: Within a week after assessment
Secondary outcomes:
measure: Quality from the Patients Perspective (QPP)
timeFrame: Within a week after assessment
measure: Waiting times
timeFrame: 12 months after the assessment
measure: Management outcome incl Surgery Conversion Rate (SCR)
timeFrame: 12 months after the assessment
measure: EuroQol 5 D (EQ-5D-5L)
timeFrame: Baseline
measure: EuroQol 5 D (EQ-5D-5L)
timeFrame: Change from baseline to three months after assessment
measure: EuroQol 5 D (EQ-5D-5L)
timeFrame: Change from baseline to 12 months after assessment
measure: Forgotten Joint Score (FJS)
timeFrame: Baseline
measure: Forgotten Joint Score (FJS)
timeFrame: Change from baseline to three months after assessment
measure: Forgotten Joint Score (FJS)
timeFrame: Change from baseline to 12 months after assessment
measure: Hip / Knee injury and Osteoarthritis Outcome Score (HOOS-12/KOOS-12)
timeFrame: Baseline
measure: Hip / Knee injury and Osteoarthritis Outcome Score (HOOS-12/KOOS-12)
timeFrame: Change from baseline to three months after assessment
measure: Hip / Knee injury and Osteoarthritis Outcome Score (HOOS-12/KOOS-12)
timeFrame: Change from baseline to 12 months after assessment
measure: Costs
timeFrame: Within 24 months after assessment
Other outcomes:
Locations:
Study officials:
References: