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Integrated Care Program for Working-Age Knee Arthroplasty Patients

(Cost-)effectiveness of a transmural integrated care program for knee arthroplasty patients in the working population

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON24012
Enrollment
368
Registered
2020-04-14
Start date
2020-09-01
Completion date
Unknown
Last updated
2024-02-28

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

Conditions

Knee osteoarthritis

Interventions

On top of care as usual, patients in the intervention group will receive an intervention consisting of three components: 1) an active referral of the orthopaedic surgeon to a case-manager, 2) a rehabi

Sponsors

Amsterdam UMC – location VUmc
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: - Scheduled for primary TKA or UKA surgery - 18-67 years of age - Paid job = 8 hours a week - Have the intention to get back to work after knee arthroplasty

Exclusion criteria

Exclusion criteria: - Pregnancy - Patients receiving a combination of several surgical procedures - Patients having a knee replacement due to another cause than severe osteoarthritis - Patients having a neuromuscular disease influencing the lower extremities - Patients having another planned joint replacement during study period - Patients having a serious psychiatric disorder - Patients having severe comorbidity that could influence post-operative recovery - Being unable to understand informed consent and patient information - Having insufficient understanding of Dutch language

Design outcomes

Primary

MeasureTime frame
Quality of life, based on patient-reported health of physical functioning (PROMIS-PF).

Secondary

MeasureTime frame
- Return to work: the time between the surgery and the first day back at work, as well as the time until full resumption of work activities (4 weeks without absence due to pain and complications resulting from KA surgery). - Difficulty experienced at work before and after the knee replacement (Work, Osteoarthritis or joint-Replacement Questionnaire, WORQ) - Functional knee status (Knee Injury and Osteoarthritis Outcome Score questionnaire, KOOS) - Pain intensity (von Korff questionnaire visual analog scale, VAS) - Fatigue (measured with the multidimensional fatigue inventory, MFI-20) - Physical activity (measured with an activity tracker) - Direct and indirect costs from a healthcare- and societal perspective - Evaluating the implementation by performing a process evaluation in which reach, dose delivered, dose received, fidelity and patient attitudes will be analyzed according to the Linann and Steckler method

Contacts

Public ContactCarlien Straat

Amsterdam UMC

c.straat@amsterdamumc.nl+31 020 4444510

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)