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OpenTrials
Completed

NCT Number: NCT01079572

Cost-Effectiveness of Web-Based Follow Ups

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 1 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.

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Key information

Conditions

Osteoarthritis in the Knee Joint Arthritis Joint Diseases Musculoskeletal Diseases Osteoarthritis Osteoarthritis in the Hip Joint Rheumatic Diseases

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

London Health Sciences Centre - University Hospital

London, Ontario, N6G 1H1, Canada

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

in-person

Other

Follow-up appointments will be completed in-person as per usual

web-based

Other

Patients who are at least 2 years following knee or hip replacement will complete a questionnaire online and routine x-rays at a 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.

Primary outcomes

  1. Cost-effectiveness

    Time frame: one year

Secondary outcomes

  1. Harris Hip Score

    Time frame: one year

  2. Western Ontario and McMaster Osteoarthritis Index (WOMAC)

    Time frame: one year

  3. SF-12

    Time frame: one year

  4. Adverse events

    Time frame: one year

Sponsors and collaborators

Lead sponsor

University of Western Ontario, Canada

Other

Collaborators

  • The Physicians' Services Incorporated Foundation

Registry information

Official study title

Cost-Effectiveness of Web-Based Follow Up Following Total Joint Arthroplasty

Important dates

Study start
2010
Primary completion
2011
Study completion
2011
First posted
Mar 3, 2010
Registry last updated
Feb 7, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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