Decision Aids Upper and Lower Extremity

The University of Texas System (UT)

Status

Completed

Conditions

Upper Extremity Dysfunction

Lower Extremity Problem

Treatments

Other: Decision aid

Study type

Interventional

Funder types

Other

Identifiers

NCT03643978

2018-07-0027

Details and patient eligibility

About

This study aims to assess differences in choice of treatment (and the rationale behind it), physical function, pain intensity, satisfaction, and decision regret between orthopedic patients who review a decision aid during their visit and those that do not. Decision aids for 23 different conditions are included.

Full description

Patients visiting an orthopeadic surgeon in one of our 4 affiliated offices in a large urban area in the United States are invited to participate over a 4 month period. All English-speaking patients, between 18 and 89 years old, visiting an orthopeadic surgeon with a new problem, for which either invasive or non-invasive treatment is possible and a DA is available are asked to participate in this study. Exclusion criteria are non-English speakers or a clear preference for a treatment option by surgeon or patient. Patients will be randomly assigned to either the intervention or the control group in a 1:1 ratio using an Excel random number generator. Patients in the intervention group go over the DA during the visit, once the surgeon has identified the diagnosis. After the diagnosis is set, the surgeon steps out of the visit and steps back in when the patients has reviewed the DA. The surgeon and the patient go over the treatment options and a decision will be made. After the visit, all patients, both in the intervention and control group, are asked to fill out a survey. Two weeks after enrollment a research assistant calls all patients for a follow up questionnaire.

Enrollment

168 patients

Sex

All

Ages

18 to 89 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

English-speaking, adult patients seeing an upper or lower extremity surgeon for a new visit regarding diagnoses that can be treated invasively and non-invasively:

Shoulder

Clavicle fracture in the middle
Clavicle fracture close to the shoulder
Proximal humerus fracture
Humerus shaft fracture
Distal humerus fracture

Elbow

Lateral epicondylitis
Ruptured biceps at the elbow
Olecranon fracture
Radial head fracture
Olecranon bursitis

Hand/wrist

Distal radius fracture
Carpal tunnel syndrome
Scaphoid fracture
Thumb arthrosis
Trigger finger
Mallet fracture
de Quervain tendinopathy
Wrist ganglion
Dupuytren

Knee • Knee arthritis: cortisone injection

Hip

• Hip arthritis: total hip arthroplasty

Exclusion criteria

Obvious indication for one treatment approach, either from the surgeon or the patient perspective.
Patients who do not want to be contacted for follow-up.
Non-English speaking patients, because the decision aids used in this study are not currently validated to non-English language.