None listed
Conditions
Brief summary
The purpose of this study is to implement an online database which has the ability to easily collecting clinical data from patient sand orthopaedic surgeons. Participating clinics have been selected from Orthopaedic clinics that are located in a variety of hospitals in the SVHA group. This proves different environments to test the implementation. The aim is to ensure that the database is embedded into the clinic workflow to ensure that there burden required by patients and orthopaedic surgeons is low, which will encourage long term use. At conclusion of this study all sites will have an online data collection tool capable of reporting on patient suitability for TKR and their outcomes of the patients to surgeons due to the step-wedge trail design.
Interventions
The study intervention is an interactive online database for surgeon use. The database will hold patient demographic and health status information and questionnaires collected during their attendance at an orthopaedic clinic for consideration of knee replacement surgery. Clinical assessment data derived from the surgeon’s examination will also be held within the database. For patients who undergo knee replacement, questionnaires and clinician assessments will also be collected during each clinic
The study intervention is an interactive online database for surgeon use. The database will hold patient demographic and health status information and questionnaires collected during their attendance at an orthopaedic clinic for consideration of knee replacement surgery. Clinical assessment data derived from the surgeon’s examination will also be held within the database. For patients who undergo knee replacement, questionnaires and clinician assessments will also be collected during each clinic encounter for a period of 6 month post-surgery. All patients participating in this study will be required to complete a questionnaire consisting of the WOMAC and SF12 when they attend the clinic for any pre-operative visits where there is consideration of a knee joint replacement (determined by the referral of a patient for knee pain), and if they have surgery, at their six month post operative visit. This survey takes around 10-15 minutes to complete and will be answered online using a computer or a tablet. Surgeons will be required to complete an examination tab, containing field related to the physical examination of the patient and is in addition to their patient notes. This takes around 5 minutes to complete. Other data required to be entered into the database are surgical information and hospital admission data and creation of patient files, which will either be performed by clinic admin staff, the surgeons or research assistants. There is also a qualitative aspect to this study which will interview a sub-section of patients and hospital staff (clinical admin staff and surgeons) involved in the implementation of this database, which will involve a semi-structured interview. The qualitative group will be interviewed post introduction of the database. This is likely to take place two-three months post implementation, but will depend on when the database has been fully operational within the clinic for a sustained amount of time to allow for useful and detailed responses.
Sponsors
Associate Professor Michelle Dowsey
Study design
Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver)
Eligibility
Sex/Gender
All
Age
55 Years to No maximum
Healthy volunteers
No
Inclusion criteria
There are three populations who are the subject of this study. Surgeon Group: Any surgeons who perform Total Knee Joint Replacement at a participating site will be eligible to participate. Patients: Any patients who attend a clinic who have been referred from their general practitioner for consideration of a Total Knee Joint Replacement for treatment of knee osteoarthritis/knee pain. Qualitative Aspect. Any patient, surgeon or hospital staff member who worked at, or visited, a clinic at a participating site whilst the database was being implemented, or used will be eligible to be included in the qualitative aspect of the research project.
Exclusion criteria
There is no exclusion criteria. There is the opportunity for private surgeons to decline the installation and use of the Smart Ortho Database in their private rooms. Their patients will not be able to provide information to determine their level of suitability for this study, however, there is still the opportunity to capture post operative data via chart reviews and Medicare data. Therefore this is not an exclusion of that private surgeon's patients from the study as a whole. This is something that has been factored into the required response rate and the study overall.
Outcome results
None listed