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Completed

NCT Number: NCT02672046

Optimized Referral of Knee Patients at the Clinic of Sports Injuries

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.

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Key information

Age range

35 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Silkeborg Regional Hospital

Silkeborg, 8600, Denmark

About this study

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.

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

Assessment at the Clinic of Sports Injuries

Other

Assessment at the Clinic of Sports Injuries as well as a new algorithm (using patient-reported symptoms will be applied

Primary outcomes

  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 outcomes

  1. Knee Injury and Osteoarthritis Outcome Score (KOOS)

    Time frame: At baseline

Other outcomes

  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

Sponsors and collaborators

Lead sponsor

Central Jutland Regional Hospital

Other

Collaborators

  • University of Aarhus

Registry information

Official study title

Danish Title: Optimeret Visitation af Midaldrende knæpatienter Med Symptomer Muligvis Relateret Til Meniskskade

Important dates

Study start
2016
Primary completion
2016
Study completion
2016
First posted
Feb 3, 2016
Registry last updated
May 12, 2017

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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