DECIDE study - Evaluating information provided for people with knee osteoarthritis considering surgery: a randomised controlled trial
Evaluating the effect of a decision tool on the rate of orthopaedic surgeon referral in people with knee osteoarthritis considering arthroscopy: a randomised controlled trial (DECIDE study)
Monash University
592 participants
Aug 8, 2022
Interventional
Conditions
Summary
This study aims to assess the effectiveness of providing information about osteoarthritis and its management to people with knee osteoarthritis. Information about osteoarthritis and its management may help people make more informed decisions about the care they receive and the decision on whether or not to undergo surgery. Participants in this study will be randomly allocated to one of two study groups, each receiving a different intervention.
Eligibility
Inclusion Criteria4
- Participants will be eligible if they:
- are aged 45 years or older;
- have doctor-diagnosed degenerative knee disease (osteoarthritis, meniscal tears and/or loose bodies causing mechanical symptoms); and
- have considered or talked to a health professional about knee arthroscopy.
Exclusion Criteria5
- Participants will be excluded if they:
- have a diagnosis of inflammatory arthritis (e.g. rheumatoid arthritis, psoriatic arthritis);
- have undergone pervious arthroscopy surgery of either knee;
- have bilateral total knee replacements;
- are not comfortable reading and answering questions in English.
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Interventions
Brief name: Patient decision tool All patients allocated to the intervention group will be emailed a written patient decision tool after completing the eligibility screening and consent form. At the same time, they will also receive information readily available electronically – an Arthritis Australia information sheet about osteoarthritis. This provides general information about the condition and how to manage it but no information about surgical options. The decision tool is designed to help people with knee osteoarthritis decide whether or not they should have arthroscopic surgery. The decision tool provides a general introduction, an explicit statement of the decision to be taken (‘should I have arthroscopic surgery?’), and describes the likely benefits and harms of arthroscopic surgery compared with not having surgery. Estimates are provided using pictographs and described in words with the source of estimates explicitly stated. Key practical issues associated with each option is provided, as well as information on other treatment options. Patients will be allocated to the intervention group or the control group. The intervention will not be personalised. Adherence will not be assessed.
Locations(1)
View Full Details on ANZCTR
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ACTRN12622000204741