Alberta Hip and Knee Replacement Project

Alberta Bone and Joint Health Institute

Status

Completed

Conditions

Arthroplasty, Replacement, Hip

Arthroplasty, Replacement, Knee

Treatments

Other: New Care Continuum

Study type

Interventional

Funder types

Other

Identifiers

NCT00277186

ARTH-00001

Details and patient eligibility

About

The study aims to determine if a New Arthroplasty Care Model, established on evidence-based medicine and best practices, will improve patient outcomes and improve cost effectiveness for patients with severe degenerative joint disease of the hip or knee in Alberta

Full description

The Alberta Orthopaedic Society through its Arthroplasty Service Design Working Group has, after carefully reviewing the existing conventional approach to arthroplasty care, developed what they believe could be a much improved new evidence based arthroplasty care model. This model represents how ideally a patient would access and receive health services across the complete continuum of care. In addition, wherever possible, evidence gathered from the literature and from "known best practices" has been utilized to develop standards related to access, wait times, clinical quality, resource use and health outcome measures. Where no evidence or "known best practices" exist, a standard that best support achieving other known standards are being developed. This new evidence based arthroplasty model seeks to significantly minimize and where possible, eliminate all the current gaps and barriers to arthroplasty care.

This study will seek to prove that the new evidence based arthroplasty model will deliver improved patient outcomes with improved cost effectiveness. Once proven, it is anticipated that this new evidence based arthroplasty model will become the standard of care in Alberta, and a model for other jurisdictions to use in their health service re-designs

Enrollment

3,434 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patient is at least 18 years of age
Patient is able to provide written consent

Exclusion criteria

Patient has previously undergone arthroplasty of the same hip or knee (revision)
Patient has a surgical date scheduled for arthroplasty
Patient requires a hip resurfacing procedure or an oxford knee
Patient has a concurrent medical condition that would contraindicate the patients' ability to participate fully in the study procedures, including terminal conditions such as chronic obstructive pulmonary disease, end stage renal disease, heart failure, malignancy with an anticipated life expectancy of ≤ 2 years
Patient has senile dementia or Alzheimer's disease