Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee
Conditions
Keywords
Arthroplasty, Health services research, Intent to treat, Randomized, Controlled
Brief summary
The study aims to determine if a New Arthroplasty Care Model, established on evidence-based medicine and best practices, will improve patient outcomes and improve cost effectiveness for patients with severe degenerative joint disease of the hip or knee in Alberta
Detailed description
The Alberta Orthopaedic Society through its Arthroplasty Service Design Working Group has, after carefully reviewing the existing conventional approach to arthroplasty care, developed what they believe could be a much improved new evidence based arthroplasty care model. This model represents how ideally a patient would access and receive health services across the complete continuum of care. In addition, wherever possible, evidence gathered from the literature and from known best practices has been utilized to develop standards related to access, wait times, clinical quality, resource use and health outcome measures. Where no evidence or known best practices exist, a standard that best support achieving other known standards are being developed. This new evidence based arthroplasty model seeks to significantly minimize and where possible, eliminate all the current gaps and barriers to arthroplasty care. This study will seek to prove that the new evidence based arthroplasty model will deliver improved patient outcomes with improved cost effectiveness. Once proven, it is anticipated that this new evidence based arthroplasty model will become the standard of care in Alberta, and a model for other jurisdictions to use in their health service re-designs
Interventions
OTHERNew Care Continuum
Patient experience surgery through newly designed arthroplasty continuum
Sponsors
Alberta Medical Association
Calgary Health Region
David Thompson Health Region
Capital Health Region
Alberta Health & Wellness
Alberta Bone and Joint Health Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient is at least 18 years of age * Patient is able to provide written consent
Exclusion criteria
* Patient has previously undergone arthroplasty of the same hip or knee (revision) * Patient has a surgical date scheduled for arthroplasty * Patient requires a hip resurfacing procedure or an oxford knee * Patient has a concurrent medical condition that would contraindicate the patients' ability to participate fully in the study procedures, including terminal conditions such as chronic obstructive pulmonary disease, end stage renal disease, heart failure, malignancy with an anticipated life expectancy of ≤ 2 years * Patient has senile dementia or Alzheimer's disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| health related quality of life scores | 3 month and 12 months post-surgery |
Secondary
| Measure | Time frame |
|---|---|
| patient satisfaction | 3 month and 12 months post-surgery |
| provider satisfaction | 3 month and 12 months post-surgery |
| cost utility | 3 month and 12 months post-surgery |
| wait time | Pre-surgery |
| safety | 3 month and 12 months post-surgery |
| health resource utilization | 3 month and 12 months post-surgery |
Countries
Canada
Outcome results
None listed