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Allied Health in Rheumatology Triage Project

Allied Health in Rheumatology Triage Project

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02465879
Acronym
AHRT
Enrollment
295
Registered
2015-06-09
Start date
2015-05-31
Completion date
2015-12-31
Last updated
2016-06-30

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

Conditions

Inflammatory Arthritis

Keywords

Psoriatic arthritis, Ankylosing spondylitis, Rheumatoid arthritis, Seronegative

Brief summary

There is accumulating evidence that early treatment leads to better outcomes for patients with inflammatory arthritis (IA). Triage, which is the process of identifying the urgency of a patient's disease state efficiently and correctly, may facilitate early referral to a rheumatologist. Several studies have suggested that placing allied health professionals (occupational therapists, physical therapists, nurses, etc.) in a triage roll may reduce wait time for patients with suspected IA. The goal of this investigation will be to demonstrate the system-level impact of an Arthritis Society extended role occupational therapist (OT) or physical therapist (PT) working in a triage role in improving access to rheumatologists for people with IA. In this study two groups will be observed: intervention and usual care as determined by historical chart review. Wait times will be compared between both groups.

Interventions

OTHERTherapist Triage

An extended role occupational or physical therapist will triage each subject in the study to determine the urgency of their case and how soon they need to see the rheumatologist.

Sponsors

The Arthritis Society, Canada
CollaboratorOTHER
Ontario Rheumatology Association
CollaboratorUNKNOWN
Ontario Best Practices Research Initiative
CollaboratorUNKNOWN
Sunnybrook Health Sciences Centre
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* New referrals from a GP * Adults with possible IA (determined by rheumatologist through paper triage)

Exclusion criteria

* Currently on a disease-modifying antirheumatic drug (DMARD) * Previously seen by a rheumatologist. * FM, non-IA OA; soft tissue rheumatism; mechanical LBP

Design outcomes

Primary

MeasureTime frame
Time to first visit with the rheumatologist (wait time)3 months

Secondary

MeasureTime frame
Time to diagnosis3 months
Time to treatment (disease-modifying antirheumatic drug)3 months

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026