Clinical trial NCT02204605: Video-based Consensus Opinion for Hand and Upper Extremity Problems
Study type: INTERVENTIONAL
Overall status: WITHDRAWN
Phase: NA
Conditions: Pain
Keywords: patients
puzzling
conditions
Lead sponsor: Massachusetts General Hospital
Sponsor class: OTHER
First posted: 2014-07-30
Enrollment: 0
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The investigators would like to determine if there is a difference in patient satisfaction among patients who have puzzling pain conditions and receive one evaluation from their treating physician, and those that receive an evaluation from their treating physician and from a group of consulting physicians by video. The investigators expect to enroll 128 patients at Massachusetts General Hospital.

Detailed description: Before visiting a specialist, patients have assumptions regarding diagnosis, etiology, prognosis, and preferred treatment for their condition. Naturally, some of these assumptions may be inaccurate or incomplete or there may be room for debate and disagreement even among specialists. We are looking for ways to make unexpected and indeterminate aspects of an illness less unsettling for patients. When the hand surgeon's advice doesn't ring true, the patient may lose confidence in that provider. Sometimes the interaction can feel disrespectful and even adversarial. We are curious whether patient's satisfaction with diagnosis, surgeon, and treatment plan would improve if they were able to get an opinion from many surgeons at once. One feasible way to do that would be to show an edited and anonymized video to a set of hand surgeons for their opinions on diagnosis and treatment.

Primary study question:

1. Among patients with initially puzzling pains, there is no difference in satisfaction with diagnosis between patients that receive a video based consensus opinion and those that receive routine care from a single hand surgeon controlling for psychological factors, demographics, and initial and final diagnosis.

   Secondary study questions:
2. Among patients with initially puzzling pains, there is no difference in pain intensity and disability one month after the initial visit between patient that receive a consensus diagnosis and those that receive routine care from a single surgeon.
3. There is no variation in diagnosis between observers (Observers are hand surgeons viewing the visit video and consulting on the diagnosis).

Eligibility criteria: Inclusion Criteria:

* All patients (\>18 years) presenting to Dr. David Ring with painful conditions that are puzzling (A puzzling pain condition is defined as Dr. Ring being puzzled about what is causing the pain. Subject eligibility based on this criterion will be determined by Dr. Ring).
* English fluency and literacy
* Able to provide informed consent

Exclusion Criteria:

* Pregnant Women

Primary outcomes:
measure: Likert Scale for Satisfaction
timeFrame: At enrollment
measure: Likert Scale for Satisfaction
timeFrame: 4-6 weeks
Secondary outcomes:
measure: Patient Self-Efficacy Questionnaire (PSEQ-2)
timeFrame: At enrollment
measure: Patient Self-Efficacy Questionnaire (PSEQ-2)
timeFrame: 4-6 weeks
measure: Patient Health Questionnaire (PHQ-2)
timeFrame: at enrollment
measure: Patient Health Questionnaire (PHQ-2)
timeFrame: 4-6 weeks
measure: QuickDASH (Disabilities of the Arm, Shoulder, and Hand)
timeFrame: At enrollment
measure: QuickDASH (Disabilities of the Arm, Shoulder, and Hand)
timeFrame: 4-6 weeks
measure: Numerical Rating Scale for Pain
timeFrame: at enrollment
measure: Numerical Rating Scale for Pain
timeFrame: 4-6 weeks
Other outcomes:
Locations:
city: Boston
country: United States
facility: Massachusetts General Hospital
state: Massachusetts
Study officials:
affiliation: Massachusetts General Hospital
name: David Ring, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References: