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Optimized Referral of Knee Patients at the Clinic of Sports Injuries

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ClinicalTrials.gov Identifier: NCT02672046
Recruitment Status : Completed
First Posted : February 3, 2016
Last Update Posted : May 12, 2017
Sponsor:
Collaborator:
University of Aarhus
Information provided by (Responsible Party):
Central Jutland Regional Hospital

Brief Summary:
The aim of the study is to evaluate an algorithm to screen patients with a possibility of meniscal injury referred to a sports injury outpatient clinic by using patient-reported symptoms. It will be investigated whether the algorithm is able to identify which patients are deemed relevant to undergo assessment by a physician (i.e. in case the patient need to undergo surgery) and which patients are relevant to undergo assessment by a physiotherapist. This will be evaluated by estimating the sensitivity of the new algorithm compared to actual relevancy based on the traditional clinical assessment of the patients.

Condition or disease Intervention/treatment
Knee Injuries Knee; Injury, Meniscus (Lateral) (Medial) Other: Assessment at the Clinic of Sports Injuries

Detailed Description:

According to current practice, patients referred to the Clinic of Sports Injuries will be assessed by either a physician or a physiotherapist. Current practice will continue unchanged during this study.

Before the scheduled assessment, patients will be asked to fulfill a questionnaire including KOOS, a further description of symptoms, previous treatment by physiotherapist and expected upcoming treatment (i.e. surgery or referral to physiotherapist).

An algorithm based on the self-reported information will be used to categorize whether the patient are considered relevant to be referred to assessment by a physician or to assessment by a physiotherapist.

After clinical assessment of the patient, the physician or physiotherapist does a registration of diagnosis, choice of treatment and complexity. Based on choice of treatment and complexity, the patient will be categorized as either relevant to be referred to assessment by a physician or to assessment by a physiotherapist. This categorization is by definition considered correct.

The ability of the algorithm will be evaluated by comparing it's categorization to the correct result. Sensitivity will be estimated.

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Study Type : Observational
Actual Enrollment : 182 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Danish Title: Optimeret Visitation af Midaldrende knæpatienter Med Symptomer Muligvis Relateret Til Meniskskade
Study Start Date : January 2016
Actual Primary Completion Date : June 2016
Actual Study Completion Date : June 2016

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
Patients with knee injuries
Patients referred to assessment at the Clinic of Sports Injuries
Other: Assessment at the Clinic of Sports Injuries
Assessment at the Clinic of Sports Injuries as well as a new algorithm (using patient-reported symptoms will be applied




Primary Outcome Measures :
  1. "Relevant referral to assessment by physician" or "Relevant referral to assessment by physiotherapist" [ Time Frame: Up to 4 weeks (at the initial visit at the Clinic of Sports Injuries) ]

Secondary Outcome Measures :
  1. Knee Injury and Osteoarthritis Outcome Score (KOOS) [ Time Frame: At baseline ]

Other Outcome Measures:
  1. Choice of treatment [ Time Frame: Up to 4 weeks (at the initial visit at the Clinic of Sports Injuries) ]
    Referral to physical therapy, surgery, information and advice, other



Information from the National Library of Medicine

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Ages Eligible for Study:   35 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Middle aged patients with knee symptoms referred to the Clinic of Sports Injuries
Criteria

Inclusion Criteria:

  • Patients above the age of 35 referred to the Clinic of Sports Injuries with knee symptoms

Exclusion Criteria:

  • Cognitive or language problems that precludes the filling of the questionnaires
  • Previous surgery in the knee
  • Symptoms only located in the anterior part of the knee

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02672046


Locations
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Denmark
Silkeborg Regional Hospital
Silkeborg, Denmark, 8600
Sponsors and Collaborators
Central Jutland Regional Hospital
University of Aarhus
Investigators
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Principal Investigator: Merete Nørgaard Madsen, PT University of Aarhus
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Responsible Party: Central Jutland Regional Hospital
ClinicalTrials.gov Identifier: NCT02672046    
Other Study ID Numbers: 6300002
First Posted: February 3, 2016    Key Record Dates
Last Update Posted: May 12, 2017
Last Verified: January 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Additional relevant MeSH terms:
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Wounds and Injuries
Knee Injuries
Leg Injuries