Clinical trial NCT04370678: Changes in Preference for Surgery of Patients Signed up for Arthroscopic Procedures
Official title: Changes in Preference for Surgery of Patients Signed up for Arthroscopic Procedures: COVID-19 Effect on Arthroscopic Patients in a University Hospital in Denmark
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Arthroscopy
Keywords: arthroscopy
shoulder impingement syndrome
Patient Preference
Covid-19
Public Health
Clinical Decision-Making
Lead sponsor: Region Zealand
Sponsor class: OTHER
First posted: 2020-05-01
Enrollment: 79
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All patients planned for arthroscopic procedures at Zealand University Hospital in Køge in the time period 13-4-20 to 10-5-20.

Brief summary: This study describes the changes in preference to arthroscopic surgery in two orthopedics departments in Denmark under the COVID-19 pandemic.

Detailed description: Background:

Covid-19 has impacted all aspects of society. In hospitals around the world focus has been on treating the deadly virus, and elective orthopedic surgical procedures has been postponed in Denmark, causing a stop for most arthroscopic procedures for months. It is established that certain conditions leading to arthroscopic orthopedic intervention has fluctuating symptoms symptoms and can have a favorable outcome on conservative treatment. Amongst these conditions who are also treated with non-surgical methods are subacromial decompression impingement\[1\]\[1\], degenerative knee disease \[2\] and anterior cruciate ligament injuries\[3\]. An issue with further understanding the non-surgical effect on this patient group has beencould be reluctance to undergo conservative non-surgical treatment and opt for a surgical treatment. procedure. Because all elective surgery has been postponed in Denmark, and the following longer waiting period for surgery, this has created a unique opportunity to further investigate this patient category.

Aim of study: Investigate the impact of time on waiting list for surgery under COVID-19 pandemic on the preference for surgery in patients planned for arthroscopic surgery.

Discussion The current study will provide information on the change of preferences forto arthroscopic surgery in a patient population who are forced to wait for surgery for a longer period of time, with no possibility of seeking treatment in other hospitals.

Eligibility criteria: Inclusion Criteria:

* Patients planned for arthroscopic intervention in knee or shoulder.
* Patients seen by an orthopedic surgeon and planned for surgery before 13/3-20

Exclusion Criteria:

* Surgery performed in another hospital
* Death
* Emigration

Primary outcomes:
measure: Change in preference
timeFrame: 3 months
Secondary outcomes:
measure: Change in preference between groups
timeFrame: 3 months
Other outcomes:
Locations:
city: Køge
country: Denmark
facility: Zealand University Hospital
state: Zealand Region
Study officials:
affiliation: Zealand University Hospital, Køge
name: Jesper S Nielsen, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Erratum: Treatments for Shoulder Impingement Syndrome: A PRISMA Systematic Review and Network Meta-Analysis: Erratum. Medicine (Baltimore). 2016 Jun 10;95(23):e96d5. doi: 10.1097/01.md.0000484495.36196.d5. eCollection 2016 Jun.
citation: Brignardello-Petersen R, Guyatt GH, Buchbinder R, Poolman RW, Schandelmaier S, Chang Y, Sadeghirad B, Evaniew N, Vandvik PO. Knee arthroscopy versus conservative management in patients with degenerative knee disease: a systematic review. BMJ Open. 2017 May 11;7(5):e016114. doi: 10.1136/bmjopen-2017-016114.
citation: Monk AP, Davies LJ, Hopewell S, Harris K, Beard DJ, Price AJ. Surgical versus conservative interventions for treating anterior cruciate ligament injuries. Cochrane Database Syst Rev. 2016 Apr 3;4(4):CD011166. doi: 10.1002/14651858.CD011166.pub2.