Evaluation Of The Clinical Benefit Obtained In Patients With Knee And/Or Hip Osteoarthritis After A Proactive Intervention On The Primary Care Physician

Study of the clinical benefit and quality of life perception in patients with osteoarthritis of the hip and the knee. Evaluation based on a proactive follow-up intervention made by primary care physicians. Experimental open, randomized and controlled study.

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN27865285

Enrollment

1925

Registered

2010-02-19

Start date

2007-10-01

Completion date

Unknown

Last updated

2015-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hip and Knee Arthritis Musculoskeletal Diseases Other arthritis

Interventions

Clusters of primary care physicians working at the same healthcare centre for more than 6 months were randomly assigned to 1 of 2 study groups. 1. Group 1 (Proactive Intervention): Physicians in this

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Physicians: 1. Belong to reselected Primary Care health centre 2. Have a daily clinical activity 3. Able to demonstrate a permanency up to 9 months in a clinical job 4. Commitment to follow all study criteria and recommendations Patients: 1. Known diagnosis of hip and/or knee osteoarthritis fulfilling American College of Rheumatology (ACR) criteria. 2. Selected by physician (study subject) and gives informed consent to participate in this trial.

Exclusion criteria

Exclusion criteria: Physicians: 1. Unable to ensure job stability at Primary Care health centre over 9 months 2. Does not accept study criteria and recommendations 3. Already involved in improvement effort programs regarding clinical support for patients affected by joint disease Patients: 1. Clinical antecedents of actual arthritic disease with prosthesis implanted 2. Arthritic disease involving exclusively or predominantly the spine (all locations) or upper limbs 3. Severe concomitant pathology with a short term life expectancy 4. Existence of non-arthritic rheumatic condition (fibromyalgia, rheumatoid arthritis, psoriasis, collagen diseases) 5. Psychological or sensorial impairment that prevents study participation 6. Existence of any absolute contraindication for anti-arthritic medications (Non-Steroidal Anti-Inflammatory Drugs [NSAIDs], etc.) 7. Does not wish to participate 8. Potential surgical intervention (next 6 months) 9. Additionally, any patients considered by his/her physician to be clinically inappropriate for participation and clinical data collection in this study

Design outcomes

Secondary

Measure	Time frame
1. Clinical characteristics, and progression of pain and functional capacity, in patients with knee and/or hip OA in Primary Care practice 2. identification of additional factors related with clinical inertia that, when modified, could result in clinical benefit for the patient 3. Description of characteristics of usual clinical practice carried out by primary care physicians	—

Primary

Measure	Time frame
Evaluation of the clinical benefit of an educational intervention for primary care physicians, proposing a proactive approach to care (defined as a focus on updated treatment recommendations) in patients with arthritis. The primary outcome was measured by comparing results from visit 1 with those of visit 2.	—

Countries

Spain

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026