Remote Orthopedic Outpatient Consultation by Help of Telemedicine
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Purpose
Patients from 4 local communities in northern Norway referred (either new or follow up) to orthopaedic department, University hospital of Northern Norway for outpatient consultation, are randomly assigned to either remote consultation by use of telemedicine (camera and screen), or standard consultation at the hospital. There are x-ray facilities also at the remote site. The patients randomized to telemedicine consultation meet special trained nurses at the remote site, but doctor only by video conference. The patients will be followed for up to one year. The primary endpoint is quality of care achieved with the telemedicine consultation as compared to standard outpatient consultation (assessed by questionnaires filled out by the doctor involved). Secondary end points are patient satisfaction assessed by questionnaires and economic analyses. The study hypothesis is non-inferiority of telemedicine consultation vs. conventional, outpatient consultation.
| Condition | Intervention |
|---|---|
|
Orthopedic Disorders |
Other: Telemedicine consultation Other: Standard care in orthopaedic outpatient clinic |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | Remote Orthopedic Outpatient Consultation by Help of Telemedicine |
- Safety and quality of health care [ Time Frame: 1 year ] [ Designated as safety issue: No ]
- Patient satisfaction [ Time Frame: up to 1 year after last consultation ] [ Designated as safety issue: No ]Patient satisfaction will be measured based on a total score calculated on the basis of responses to satisfaction questionnaire. Questionnaires will be filled out at each visit/consultation and at 3 months or one year after last consultation.
- Cost value [ Time Frame: up to 1 year ] [ Designated as safety issue: No ]Travel expenses, escort expenses, equipment and other costs related to patient consultation
| Estimated Enrollment: | 400 |
| Study Start Date: | November 2007 |
| Estimated Study Completion Date: | October 2013 |
| Estimated Primary Completion Date: | October 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Standard consultation
Standard care in orthopaedic outpatient clinic
|
Other: Standard care in orthopaedic outpatient clinic |
|
Experimental: Telemedicine consultation
Orthopaedic care in outpatient clinic by use of telemedicine.
|
Other: Telemedicine consultation
Outpatient consultation by help of telemedicine (video conference)
|
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Informed consent given
- New referred patients to orthopaedic department (outpatient), UNN, for conditions suitable for telemedicine consultation
- Follow up consultation of trauma patients (operated/not operated)
- Follow up consultation after elective orthopaedic surgery (e.g hip prothesis)
- Follow up of other orthopaedic patients
Exclusion Criteria:
- Senile dementia
- Soldiers, prisoners
- Patients not talking Norwegian, dependent on translator
- If specialized procedures are required during follow up (e.g. cat-scan, ultrasound etc)
- Patients requiring a specific doctor
Contacts and Locations| Norway | |
| Orthopaedic department, Tromso University Hospital | |
| Tromso, Norway, N-9038 | |
| Principal Investigator: | Astrid S Buvik, MD | University Hospital North Norway |
| Study Chair: | Arvid Smaabrekke, MD | University Hospital North Norway |
| Study Chair: | Jan Abel Olsen, PhD | University of Tromso |
| Study Director: | Tom Wilsgaard, PhD | University of Tromso, Norway |
| Study Chair: | Gunnar Knutsen, MD, PhD | University Hospital NorthNorway |
More Information
No publications provided
| Responsible Party: | University Hospital of North Norway |
| ClinicalTrials.gov Identifier: | NCT00616837 History of Changes |
| Other Study ID Numbers: | P-REK-N-134/2006, Personvernombudet,UNN 05.12.06, P-REK-N-134/2006 (REK) |
| Study First Received: | January 22, 2008 |
| Last Updated: | March 27, 2013 |
| Health Authority: | Norway:National Committee for Medical and Health Research Ethics Norway: Norwegian Social Science Data Services |
Keywords provided by University Hospital of North Norway:
|
Remote consultation/*methods Orthopaedics methods Telemedicine Follow-up study Ambulatory care |
ClinicalTrials.gov processed this record on May 16, 2013