Clinical trial NCT05124613: The Impact of Covid-19 on Patients Waiting for Knee Surgery
Official title: The Impact of Covid-19 on Patients Waiting for Elective Knee Surgery: An Investigation Into Patient Perceptions of Knee Function and Pain
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Osteoarthritis, Knee
Osteochondral Defect
Cartilage Injury
Cartilage Damage
Knee Injuries
Knee Injuries and Disorders
Keywords: COVID-19
Knee Surgery
Knee Pain
Knee Function
Coping Mechanisms
Lead sponsor: University of Manchester
Sponsor class: OTHER
Collaborators: name: Manchester University NHS Foundation Trust
First posted: 2021-11-18
Enrollment: 300
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Adults awaiting surgery on the knee who have experienced delays to their procedure due to the COVID-19 pandemic.

Brief summary: The Covid-19 pandemic has led to the postponement and cancellation of elective orthopaedic surgeries worldwide. These delays to elective procedures combined with ongoing demand have led to increasingly longer waiting list times.

This cross-sectional pilot study aims to investigate the change in patients' perceptions of knee pain and function since being waitlisted for surgery. A bespoke survey will be administered to eligible patients over the phone from Trafford General Hospital, Manchester. The survey will also investigate the coping mechanisms and the preventative measures patients are taking to manage symptoms during the pandemic, and question what kinds of communication and support patient would like to be offered whilst waiting for treatment.

This study will improve clinicians' and researchers' understanding of how patients are coping with symptoms during this pandemic, and provide information on how to better support patients who are waiting for knee surgery. This information could be used to enhance orthopaedic care during, and in the aftermath, of this pandemic. The information gathered in this study may also be used to inform a larger multi-centre study.


Eligibility criteria: Inclusion Criteria:

* Patients identified by a consultant orthopaedic surgeon as being on a waiting list for surgery on their knee.
* Patients identified by a consultant orthopaedic surgeon who are experiencing a delay to their knee surgery as a result of the COVID-19 pandemic.
* Patients over 18 years old.

Exclusion Criteria:

* Patients who are no longer waiting for their surgery (e.g. surgery performed elsewhere or patient has changed their mind about undergoing surgery).
* Patients who are on a waiting list for any surgery other than surgery of the knee.
* Patients who are on a waiting list for surgery at a hospital which is not a part of Manchester University NHS Foundation Trust.
* Patients who cannot read and speak English.
* Patients who cannot complete the survey over the phone.
* Patients who cannot give informed consent due to cognitive impairment (e.g. dementia or similar cognitive condition).

Primary outcomes:
measure: Change in perceived knee pain
timeFrame: Up to 2 years
measure: Change in perceived knee function
timeFrame: Up to 2 years
Secondary outcomes:
measure: Change in symptom management
timeFrame: Up to 2 years
measure: Support
timeFrame: Up to 1 year
Other outcomes:
Locations:
city: Manchester
country: United Kingdom
facility: Trafford General Hospital
Study officials:
References: