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| Cost-effectiveness of Web-based follow-up following total joint arthroplasty
(Archived Project) |
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|---|---|
| Investigator (PI): | Bryant, Dianne |
| Performing Organization (PO): |
(Current): University of Western Ontario, School of Physical Therapy / (519) 663-3033 |
| Supporting Agency (SA): | Physicians' Services Incorporated Foundation, Canada |
| Initial Year: | 2010 |
| Final Year: | 2011 |
| Record Source/Award ID: | HSR/PSI-2010-01 |
| Award Type: | Grant |
| Number of Subjects: | 1000 |
| Abstract: | Complications following total joint arthroplasty are rare, and the majority of follow-up visits are routine. The technology now exists to conduct annual follow-up assessments without having to physically see the patient. This study will investigate the cost-effectiveness of Web-based follow-up assessments compared to standard in-clinic follow-ups. We will also assess patient satisfaction, preference, and the validity of the Web-based follow-up assessments. Patients coming up to their one-year follow-up or greater will be randomized to either the Web-based group or the usual care group. Web-based patients will complete all questionnaires using an online database system, and have their x-ray taken at their local radiology facility. The surgeon will review radiographs online. If there are any concerns with the x-ray or responses to questionnaires, arrangements will be made for the patient to be seen at the clinic. Patients in the Usual Care group will come into the clinic for their follow-up assessment and have their x-ray taken at University Hospital as usual. Online assessment could significantly decrease wait times in orthopaedic clinics, as well as increase availability for OR time and new consultations. This approach could also potentially reduce patient burden by decreasing travel distances, financial burden and time requirements. The primary outcome measure is cost-effectiveness. Time frame: one year. This primary outcome measure is not designated as a safety issue. The secondary outcome measures are 1) Harris Hip Score. Time frame: one year. This secondary outcome measure is not designated as a safety issue. 2) Western Ontario and McMaster Osteoarthritis Index (WOMAC). Time frame: one year. This secondary outcome measure is not designated as a safety issue. 3) SF-12. Time frame: one year. This secondary outcome measure is not designated as a safety issue. 4) adverse events. Time frame: one year. This secondary outcome measure is designated as a safety issue. Arms: 1) Web-based: experimental, and 2) in-person: no intervention. Patients will attend their follow-up appointments in-person as per usual. Assigned intervention: 1) Other: Web-based. Patients who are at least 2 years following knee or hip replacement will complete a questionnaire online and routine x-rays at a picture archiving and communications system (PACS)-enabled imaging center. The patient's surgeon will receive an email from the database summarizing the patient's responses to key questions and will review the x-rays. The surgeon will determine whether the patient needs to be seen in-person. 2) Other: in-person. Follow-up appointments will be completed in-person as per usual. Eligibility. Genders eligible for study: both. Accepts healthy volunteers: no. Criteria. Inclusion criteria: patients who have had a primary total hip or total knee arthroplasty. Exclusion criteria: patients with osteolysis, or previous complications from their joint replacement. |
| MeSH Terms: |
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| Country: | Canada |
| State: | Ontario |
| Zip Code: | N6G 1H1 |
| UI: | 20103103 |
| CTgovId: | NCT01079572 |
| Project Status: | Archived |