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N/A N=1,220 Randomized Health Services Research

Comparative Effectiveness of Decision Support Strategies for Joint Replacement Surgery

Hip Osteoarthritis · Knee Osteoarthritis

Enrolled (actual)
1,220
Serious AEs
0.0%
Results posted
Dec 2019
Primary outcome: Primary: Patients Knowledge — 79; 71; 84; 75 percentage of correct answers — p=<0.001

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Interactive decision aid (Behavioral); Video decision aid (Behavioral); Provider Report (Behavioral)
Age
Adult, Older Adult · 21+ yrs
Sex
All
Sponsor
Massachusetts General Hospital
Primary completion
Dec 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Patients Knowledge
79; 71; 84; 75 <0.001 sig
PRIMARY
Percentage of Patients Who Received Preferred Treatment
175; 182; 166; 177 0.86
SECONDARY
Percentage of Participants Who Used the Decision Aid
42; 38; 27; 34; 38; 45 <0.001 sig
SECONDARY
Change in Quality of Life
0.17; 0.15; 0.15; 0.16 <0.001 sig
SECONDARY
Surgical Rates
140; 153; 134; 154 <0.001 sig

Summary

This study is a 2X2 factorial randomized trial that will the examine the comparative effectiveness of two patient decision aids for hip and knee osteoarthritis (OA) as well as the impact of a surgeon-focused intervention.

Eligibility Criteria

Inclusion Criteria

  • Diagnosis of either hip or knee osteoarthritis
  • Scheduled visit with participating orthopedic surgeon

Exclusion Criteria

  • prior partial or total knee or hip joint replacement within last 5 years
  • hip fracture or asceptic necrosis (AVN) in last 12 months
  • Rheumatoid arthritis
  • Psoriatic arthritis
  • Unable to read English or Spanish
  • Unable to consent for self due to cognitive or medical issue
  • Hip or knee decision aid provided by Partners Healthcare clinician within 12 months
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02729831). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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