Understanding the Differences in the Management of Patients With Arthritis of the Knee or Hip

US Department of Veterans Affairs (VA)

Status: Completed

Conditions: Osteoarthritis, Hip; Osteoarthritis; Arthritis, Degenerative; Osteoarthritis, Knee

Study type: Observational

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT00105677

ECV 03-201

Details and patient eligibility

About

The purpose of this study is to examine cultural and clinical context factors in African-American and white veterans with knee or hip osteoarthritis with a focus on how these factors may be potentially modifiable determinants of willingness to consider joint replacement.

Full description

The study focuses on identifying potentially modifiable determinants of patients� willingness to consider joint replacement as a treatment option for osteoarthritis of the knee or hip. This line of research is informed by not only our prior work but also recent studies on health disparities and patient decision-making. Our long-term goal is the development and evaluation of interventions to target these determinants of willingness in order to eliminate ethnic disparities in joint replacement. The study findings will assist in laying the groundwork for the design of such interventions for patients with osteoarthritis.

Enrollment: 980 estimated patients

Sex: All

Ages: 50 to 79 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Chronic, frequent knee or hip pain based on the National Health And Nutrition Examination Survey
2. Age >50 and <80 (at least 50 but not to exceed 79 years of age)
3. Severe or extreme knee or hip OA on the Western Ontario and McMaster Universities Osteoarthritis Index (i.e., score greater than or equal to 39)

Exclusion criteria

1. Prior history of knee or hip joint replacement
2. Terminal illness (i.e., end-stage cancer, CHF, COPD, etc.)
3. Physician-diagnosed inflammatory arthritis
4. Dementia
5. Prosthetic leg

Trial design

980 participants in 1 patient group

Group 1