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| Name | Class |
|---|---|
| University of Aarhus | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with knee injuries | Patients referred to assessment at the Clinic of Sports Injuries |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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 |
|
| Measure | Description | Time Frame |
|---|---|---|
| "Relevant referral to assessment by physician" or "Relevant referral to assessment by physiotherapist" | Up to 4 weeks (at the initial visit at the Clinic of Sports Injuries) |
| Measure | Description | Time Frame |
|---|---|---|
| Knee Injury and Osteoarthritis Outcome Score (KOOS) | At baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Choice of treatment | Referral to physical therapy, surgery, information and advice, other | Up to 4 weeks (at the initial visit at the Clinic of Sports Injuries) |
Inclusion Criteria:
Exclusion Criteria:
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Middle aged patients with knee symptoms referred to the Clinic of Sports Injuries
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| Name | Affiliation | Role |
|---|---|---|
| Merete Nørgaard Madsen, PT | University of Aarhus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Silkeborg Regional Hospital | Silkeborg | 8600 | Denmark |
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| ID | Term |
|---|---|
| D007718 | Knee Injuries |
| D014947 | Wounds and Injuries |
| ID | Term |
|---|---|
| D007869 | Leg Injuries |
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