Patients after total hip or knee replacement surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • AOK-Insured • undergoing follow-up rehabilitation after total hip or knee joint replacement in a AOK-supported reha-clinic • who have given their consent and • have sufficient German language skills to complete questionnaires in German • Patients over the age of 18
Exclusion criteria
Exclusion criteria: Change of health insurer; Termination of rehab
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 600 patients at 10 rehabilitation facilities are surveyed at four measurement points - at the beginning of rehabilitation, at the end of rehabilitation, 3 and 6 months after rehabilitation. On the patient side, data on [a] daily activities, [b] mobility, [c] physical functioning, [d] emotional status, [e] general pain burden and [f] muscle and joint pain are collected using the following instruments: - Short Musculoskeletal Function Assessment Questionnaire (SFMA-D) [a, b, c, d]. - Indicators of Rehabilitation Status (IRES): Pain scales [e]. - IRES: Mobility scale [b] - IRES: Activities of daily living [a] - IRES: Musculoskeletal Symptoms Scale [f]. Furthermore, data on the general health status (IRES: dimension mental well-being, coping with illness, social integration; scale symptoms cardiovascular) and socio-demography are recorded as potential confounding factors. In addition, medical assessments are carried out at the beginning and end of rehabilitation: Data on the [g] walking ability and, depending on the indication, [h] hip-specific (e.g. limping, stair climbing, walking aids) or [i] knee-specific outcome aspects (e.g. mobility, stability) are collected using the following instruments: - 6-minute walk test [g] - Harris Hip Score [h] - Knee-Society-Score [i] | — |
Secondary
| Measure | Time frame |
|---|---|
| For the retrospective cohort study, the following insured-related routine data of the statutory health insurance will be included: - insurants' master data (§ 288 SGB V) - data from hospital treatment (§ 301 SGB V) - data from inpatient medical rehabilitation (§ 301 SGB V) - data from reimbursed drug treatment (§ 300 SGB V), - data from outpatient treatment (§ 295 SGB V) - data on therapeutic products (§ 302 SGB V) - prescriptions for therapeutic products (§ 302 SGB V) and - nursing services (§ 105 SGB XI) | — |
Countries
Germany
Contacts
UNIVERSITÄTSKLINIKUM FREIBURG; Institut für Medizinische Biometrie und Statistik; Sektion Versorgungsforschung und Rehabilitationsforschung (SEVERA)