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| Name | Class |
|---|---|
| Fundacion MAPFRE | OTHER |
| Fundación Mutua Madrileña | OTHER |
| Instituto de Salud Carlos III | OTHER_GOV |
| La Caixa Foundation |
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Objectives: To assess the efficacy of an intervention program targeted to the elderly with recent-onset disability of musculoskeletal origin (DIMS), and to perform its economic evaluation.
Methodology: 1) Controlled randomised intervention study (3 years). Subjects: persons older than 65 in health district 7 of Madrid with acute (< 3 months) DIMS. Intervention group patients will be attended by rheumatologists acording with clinical (diagnostic and therapeutical) protocols. Control group will receive the routine attention from the Health System. Efficacy and costs variables will be collected through monthly structured telephone interviews performed by independent personnel blinded to the intervention group. Efficacy will be measured by differences between groups regarding: 1) time to improvement in the baseline DIMS episode, 2) number of subsequent DIMS, and 3) total number of DIMS days. An economic evaluation will be performed from a societal perspective.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Care in the Control Group (CG) | No Intervention | Care in the Control Group (CG): was that provided by the General Practitioners, with basic diagnostic and therapeutic procedures without specified protocols. | |
| Early Intervention Programa (IG) | Experimental | Early Intervention Programa (IG): Patients assigned to the intervention group after the randomization were offered an immediate appointment. Patients, who voluntarily accepted, were attended by 2 rheumatologists. The rheumatologists acted as principal care providers in regular visits, home visits and phone contacts. The visits were structured following specific proceedings for the different diagnoses based on previously demonstrated approaches. Such protocols included education and promotion of independence, pharmacological and no pharmacological treatment, and timing of diagnostic tests in a stepwise manner. The program also incorporated administrative duties such as the prescription of medication for the patients. Patients were seen as often as necessary according to the medical rheumatologist decision (until the episode of disability was medically resolved). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Specific clinical care program | Procedure | The rheumatologists acted as principal care providers in regular visits, home visits and phone contacts. The visits were structured following specific proceedings for the different diagnoses based on previously demonstrated approaches. Such protocols included education and promotion of independence, pharmacological and no pharmacological treatment, and timing of diagnostic tests in a stepwise manner. The program also incorporated administrative duties such as the prescription of medication for the patients. Patients were seen as often as necessary according to the medical rheumatologist decision (until the episode of disability was medically resolved). |
| Measure | Description | Time Frame |
|---|---|---|
| Time to improvement in the baseline recent-onset disability episode of musculoskeletal origin (DIMS) | Period of time in days until the patients recovers defined as: an improvement in at least one point in the Rosser disability level | |
| Number of subsequent DIMS | Period of time in days until the patients recovers defined as: an improvement in at least one point in the Rosser disability level | |
| Total number of DIMS days | Period of time in days until the patients recovers defined as: an improvement in at least one point in the Rosser disability level |
| Measure | Description | Time Frame |
|---|---|---|
| Direct and Indirect Costs | Period of time in days until the patients recovers defined as: an improvement in at least one point in the Rosser disability level |
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Inclusion Criteria:
Diagnosis of Musculoskeletal disorder
Older than 64 years
To have disability measured with a) or b):
Disability of recent onset:less than three months.(Patiens had a better functional situation before)
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Juan A. Jover, MD, PhD | IMSALUD | Principal Investigator |
| Loreto Carmona, MD, PhD | Spanish Foundation of Rheumatology | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital ClĂnico San Carlos | Madrid | Madrid | 28040 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25634768 | Derived | Abasolo L, Leon L, Lajas C, Carmona L, Serra JA, Reoyo A, Rodriguez-Rodriguez L, Jover JA; APDE Group. An early intervention program for subacute physical disability related to musculoskeletal diseases in the elderly: a pilot study. Rheumatol Int. 2015 Jul;35(7):1183-91. doi: 10.1007/s00296-015-3223-3. Epub 2015 Jan 30. |
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| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
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| OTHER |
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