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| ID | Type | Description | Link |
|---|---|---|---|
| FIMDM Research Grant 0099-1 | Other Grant/Funding Number | FIMDM Research Grant 0099-1 |
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| Name | Class |
|---|---|
| Foundation for Informed Medical Decision Making | OTHER |
| The Ottawa Hospital | OTHER |
| Queensway Carleton Hospital | OTHER |
| University of Ottawa |
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Ministries of Health consider wait lists for total joint replacement a top priority. Research priorities to manage wait lists indicate the need to establish benchmarks that consider patient preferences. However, patients' preferences for hip or knee replacements are strongly associated with their misperceptions of the indicators for, and the risks and benefits of, these procedures. These misperceptions can be corrected with the use of patient decision aids. When decision aids are used in combination with assessing surgical eligibility, there may be a reduction in unnecessary referrals for surgery either because the patient is ineligible or because the eligible candidates make informed decisions to forgo this option. The primary study objective is to evaluate the effect of patient decision aids (PtDAs) on total wait times (wait times for surgical consultation, plus wait times for surgery) when used in combination with a general practitioner run clinic to screen patients with hip or knee osteoarthritis for surgical eligibility. Major secondary objectives include determining (a) the effect of PtDAs on surgery rates within two years, (b) the effect of PtDAs on decision quality, and (c) cost-effectiveness of PtDAs for total joint arthroplasty.
This was not indicated as required.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1: Patient decision aid | Experimental | Patient decision aid focused on treatment options for osteoarthritis of the hip or knee and preference report for surgeons. The patient decision aid used is from the Informed Medical Decisions Foundation |
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| 2: Usual care | Active Comparator | Usual patient educational resources for patients undergoing hip or knee replacement surgery. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient decision aid | Behavioral | Patients will receive i) Patient education:usual take home education brochure from recruiting hospital ii)a video/DVD PtDA for either hip (Treatment choices for hip osteoarthritis) or knee (Treatment choices for knee osteoarthritis) © Health Dialog 2005. iii) a personal decision form:an interactive form used by patients after the DVD to elicit their knowledge, values, preferred option, and perceptions of the decision making process. iv) Referred onward to the surgeon with their preferences for surgery using a standardized report of their clinical findings plus decisional data (knowledge, values, preference). |
| Measure | Description | Time Frame |
|---|---|---|
| Total wait time for surgery | September 2010 |
| Measure | Description | Time Frame |
|---|---|---|
| Surgery rates determined by the proportion of patients who proceed to surgery within 2 years | January 2012 | |
| Decision quality, the extent to which patients decisions are informed and values-based | September 2010 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dawn Stacey, RN PhD | Ottawa Hospital Research Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Ottawa Hospital | Ottawa | Ontario | K1Y 1J7 | Canada | ||
| Queensway Carleton Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18397937 | Background | Stacey D, Hawker G, Dervin G, Tomek I, Cochran N, Tugwell P, O'Connor AM. Management of Chronic Pain: Improving shared decision making in osteoarthritis. BMJ. 2008 Apr 26;336(7650):954-5. doi: 10.1136/bmj.39520.701748.94. Epub 2008 Apr 8. | |
| 24564877 | Background | Stacey D, Hawker G, Dervin G, Tugwell P, Boland L, Pomey MP, O'Connor AM, Taljaard M. Decision aid for patients considering total knee arthroplasty with preference report for surgeons: a pilot randomized controlled trial. BMC Musculoskelet Disord. 2014 Feb 24;15:54. doi: 10.1186/1471-2474-15-54. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Mar 21, 2025 | |
| Reset | Apr 8, 2025 | |
| Release | May 1, 2025 | |
| Reset | May 16, 2025 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Mar 21, 2025 | Apr 8, 2025 | |||
| May 1, 2025 |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D057240 | Patient Preference |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| OTHER |
| University of Toronto | OTHER |
| University of Chicago | OTHER |
| Northwestern University | OTHER |
| Dartmouth-Hitchcock Medical Center | OTHER |
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| Usual care | Behavioral | Patients will receive i) the usual take-home educational brochure available at the recruiting hospital describing preparation for surgery after the decision is made, recovery after surgery, and discharge plans. ii) Referral onward to surgeon with a standardized report of clinical findings only |
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| Cost effectiveness (including estimated effects on quality adjusted life expectancy and costs) | This phase was delayed to have 5 years of follow-up data on all participants | December 2017 |
| Ottawa |
| Ontario |
| K2H 8P4 |
| Canada |
| 21729315 | Background | Sepucha KR, Stacey D, Clay CF, Chang Y, Cosenza C, Dervin G, Dorrwachter J, Feibelmann S, Katz JN, Kearing SA, Malchau H, Taljaard M, Tomek I, Tugwell P, Levin CA. Decision quality instrument for treatment of hip and knee osteoarthritis: a psychometric evaluation. BMC Musculoskelet Disord. 2011 Jul 5;12:149. doi: 10.1186/1471-2474-12-149. |
| 26254238 | Result | Stacey D, Taljaard M, Dervin G, Tugwell P, O'Connor AM, Pomey MP, Boland L, Beach S, Meltzer D, Hawker G. Impact of patient decision aids on appropriate and timely access to hip or knee arthroplasty for osteoarthritis: a randomized controlled trial. Osteoarthritis Cartilage. 2016 Jan;24(1):99-107. doi: 10.1016/j.joca.2015.07.024. Epub 2015 Aug 4. |
| 28624294 | Result | Trenaman L, Stacey D, Bryan S, Taljaard M, Hawker G, Dervin G, Tugwell P, Bansback N. Decision aids for patients considering total joint replacement: a cost-effectiveness analysis alongside a randomised controlled trial. Osteoarthritis Cartilage. 2017 Oct;25(10):1615-1622. doi: 10.1016/j.joca.2017.05.022. Epub 2017 Jun 15. |
| 32173628 | Derived | Trenaman L, Stacey D, Bryan S, Payne K, Hawker G, Bansback N. Long-term effect of patient decision aids on use of joint replacement and health care costs. Osteoarthritis Cartilage. 2020 Jun;28(6):819-823. doi: 10.1016/j.joca.2020.01.019. Epub 2020 Mar 12. |
| May 16, 2025 |
| D017060 |
| Patient Satisfaction |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |