Disentangling treatment pathways for knee osteoarthritis: a study protocol for the TREATright study including a prospective cohort study, a qualitative study and a cost-effectiveness study
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Disentangling treatment pathways for knee osteoarthritis : a study protocol for the TREATright study including a prospective cohort study, a qualitative study and a cost-effectiveness study. / Bruhn, Simon Majormoen; Ingelsrud, Lina Holm; Bandholm, Thomas; Skou, Soren Thorgaard; Schroder, Henrik M.; Reventlow, Susanne; Moller, Anne; Kjellberg, Jakob; Kallemose, Thomas; Troelsen, Anders.
I: BMJ Open, Bind 11, Nr. 7, 048411, 2021.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › fagfællebedømt
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TY - JOUR
T1 - Disentangling treatment pathways for knee osteoarthritis
T2 - a study protocol for the TREATright study including a prospective cohort study, a qualitative study and a cost-effectiveness study
AU - Bruhn, Simon Majormoen
AU - Ingelsrud, Lina Holm
AU - Bandholm, Thomas
AU - Skou, Soren Thorgaard
AU - Schroder, Henrik M.
AU - Reventlow, Susanne
AU - Moller, Anne
AU - Kjellberg, Jakob
AU - Kallemose, Thomas
AU - Troelsen, Anders
PY - 2021
Y1 - 2021
N2 - Introduction Knee osteoarthritis (OA) is associated with chronic knee pain and functional disability that negatively affect the ability to carry out normal daily activities. Patients are offered a large variety of nonsurgical treatments, often not in accordance with clinical guidelines. This observational study will provide a comprehensive overview of treatment pathways for knee OA during the first 2 years after consulting an orthopaedic surgeon, including timing and order of treatment modalities, predictors of treatment outcomes, cost-effectiveness of treatment pathways and patients' views on different treatment pathways.Methods and analysis Patients with primary referrals to an orthopaedic surgeon due to knee OA are consecutively invited to participate and fill out a questionnaire prior to their consultation with an orthopaedic surgeon. Follow-up questionnaires will be obtained at 6 and 24 months after inclusion. Based on a prospective cohort study design, including questionnaires and register data, we will (1) describe treatment pathways for knee OA during the first 2 years after consulting an orthopaedic surgeon; (2) describe the characteristics of patients choosing different treatment pathways; (3) develop predictive models for patient-self-determined classifications of good and poor treatment outcomes; (4) evaluate the cost-effectiveness of treatment pathways that live up to clinical guidelines versus pathways that do not; based on a qualitative study design using semistructured individual interviews, we will (5) describe the patients' perspectives on treatment pathways for knee OA.
AB - Introduction Knee osteoarthritis (OA) is associated with chronic knee pain and functional disability that negatively affect the ability to carry out normal daily activities. Patients are offered a large variety of nonsurgical treatments, often not in accordance with clinical guidelines. This observational study will provide a comprehensive overview of treatment pathways for knee OA during the first 2 years after consulting an orthopaedic surgeon, including timing and order of treatment modalities, predictors of treatment outcomes, cost-effectiveness of treatment pathways and patients' views on different treatment pathways.Methods and analysis Patients with primary referrals to an orthopaedic surgeon due to knee OA are consecutively invited to participate and fill out a questionnaire prior to their consultation with an orthopaedic surgeon. Follow-up questionnaires will be obtained at 6 and 24 months after inclusion. Based on a prospective cohort study design, including questionnaires and register data, we will (1) describe treatment pathways for knee OA during the first 2 years after consulting an orthopaedic surgeon; (2) describe the characteristics of patients choosing different treatment pathways; (3) develop predictive models for patient-self-determined classifications of good and poor treatment outcomes; (4) evaluate the cost-effectiveness of treatment pathways that live up to clinical guidelines versus pathways that do not; based on a qualitative study design using semistructured individual interviews, we will (5) describe the patients' perspectives on treatment pathways for knee OA.
KW - MULTIVARIABLE PREDICTION MODEL
KW - SAMPLE-SIZE
KW - INDIVIDUAL PROGNOSIS
KW - DIAGNOSIS TRIPOD
KW - OUTCOME MEASURES
KW - SELF-EFFICACY
KW - VISUAL ANALOG
KW - HIP
KW - MANAGEMENT
KW - EVENTS
U2 - 10.1136/bmjopen-2020-048411
DO - 10.1136/bmjopen-2020-048411
M3 - Journal article
C2 - 34233992
VL - 11
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 7
M1 - 048411
ER -
ID: 275057877