Alberta Hip and Knee Replacement Project

This study has been completed.
Sponsor:
Collaborators:
Alberta Medical Association
Calgary Health Region
David Thompson Health Region
Capital Health Region
Alberta Health & Wellness
Information provided by:
Alberta Bone and Joint Health Institute
ClinicalTrials.gov Identifier:
NCT00277186
First received: January 13, 2006
Last updated: July 28, 2008
Last verified: July 2008

January 13, 2006
July 28, 2008
April 2005
May 2006   (final data collection date for primary outcome measure)
health related quality of life scores [ Time Frame: 3 month and 12 months post-surgery ]
health related quality of life scores
Complete list of historical versions of study NCT00277186 on ClinicalTrials.gov Archive Site
  • health resource utilization [ Time Frame: 3 month and 12 months post-surgery ]
  • wait time [ Time Frame: Pre-surgery ]
  • safety [ Time Frame: 3 month and 12 months post-surgery ]
  • cost utility [ Time Frame: 3 month and 12 months post-surgery ]
  • patient satisfaction [ Time Frame: 3 month and 12 months post-surgery ]
  • provider satisfaction [ Time Frame: 3 month and 12 months post-surgery ]
  • health resource utilization
  • wait time
  • safety
  • cost utility
  • patient satisfaction
  • provider satisfaction
Not Provided
Not Provided
 
Alberta Hip and Knee Replacement Project
A Randomized Controlled Prospective Study to Examine the Effectiveness of a New Evidence Based Arthroplasty Care Model for Patients With Severe Degenerative Joint Disease (DJD) of the Hip or Knee in Alberta

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

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

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
  • Arthroplasty, Replacement, Hip
  • Arthroplasty, Replacement, Knee
Other: New Care Continuum
Patient experience surgery through newly designed arthroplasty continuum
  • Active Comparator: Intervention
    Patients entering new care continuum
    Intervention: Other: New Care Continuum
  • Active Comparator: Control
    Patient enter existing conventional approach
    Intervention: Other: New Care Continuum
Gooch K, Marshall DA, Faris PD, Khong H, Wasylak T, Pearce T, Johnston DW, Arnett G, Hibbert J, Beaupre LA, Zernicke RF, Frank C. Comparative effectiveness of alternative clinical pathways for primary hip and knee joint replacement patients: a pragmatic randomized, controlled trial. Osteoarthritis Cartilage. 2012 Oct;20(10):1086-94. doi: 10.1016/j.joca.2012.06.017. Epub 2012 Jul 11.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
3434
May 2006
May 2006   (final data collection date for primary outcome measure)

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
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Canada
 
NCT00277186
ARTH-00001
Yes
Alberta Bone and Joint Health Institute
Alberta Bone and Joint Health Institute
  • Alberta Medical Association
  • Calgary Health Region
  • David Thompson Health Region
  • Capital Health Region
  • Alberta Health & Wellness
Principal Investigator: Cyril Frank, MD University of Calgary
Principal Investigator: Bill Johnston, MD University of Alberta
Alberta Bone and Joint Health Institute
July 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP