This site became the new on June 19th. Learn more.
Show more Menu IMPORTANT: Listing of a study on this site does not reflect endorsement by the National Institutes of Health. Talk with a trusted healthcare professional before volunteering for a study. Read more... Menu IMPORTANT: Talk with a trusted healthcare professional before volunteering for a study. Read more... Menu
Give us feedback

Nurse Led Follow-up After Total Knee Arthroplasty (NFTKA)

This study has been completed.
University Hospital, Gentofte, Copenhagen
Information provided by (Responsible Party):
Birte Oestergaard, University of Southern Denmark Identifier:
First received: January 15, 2013
Last updated: June 2, 2015
Last verified: June 2015
The aim of this study is to determine the effect of nurse led follow-up following total knee arthroplasty in regard to physical function, health related quality of life and self-efficacy.

Condition Intervention
Osteoarthritis Behavioral: Telephone follow-up

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Nurse Led Follow-up After Total Knee Arthroplasty - a Randomized Trial

Resource links provided by NLM:

Further study details as provided by Birte Oestergaard, University of Southern Denmark:

Primary Outcome Measures:
  • Change in physical function assessed by ≥ 12 points in physical function score in the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index [ Time Frame: 3 days, 1, 3, 6 and 12 months post-surgery ]
    The WOMAC Index is disease specific measuring health status om three subscales: pain, stiffness and physical function

Secondary Outcome Measures:
  • Change in the pain and stiffness score in WOMAC Index [ Time Frame: 3 days, 1, 3, 6 and 12 months post-surgery ]
  • Changes in all scores in the subscales in Medical Outcomes Study Short Form (SF-36) [ Time Frame: 3 days, 1, 3, 6 and 12 months post-surgery ]
    A generic measure of health related quality of life

  • Change in the score in the General Self-Efficacy Scale [ Time Frame: 3 days, 1, 3 and 6 months post-surgery ]
    An unidimensional measure of general self-efficacy.

  • Number of acute visits to the orthopedic outpatient clinic [ Time Frame: 3 days, 1, 3, 6 anf 12 months post-surgery ]

Enrollment: 117
Study Start Date: January 2013
Study Completion Date: November 2014
Primary Completion Date: November 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: telephone follow-up
Nurse led follow-up in form of consultation by telephone 4 days and 2weeks after discharge, respectively as a supplement to conventional admission course.
Behavioral: Telephone follow-up
The consultation is structured by predefined themes relevant for identifying health related problems in regard to illness to give adequate education and counseling. The form of each consultation will vary according to the individual needs of the patients.
No Intervention: Usual treatment
All patients follow conventional admission course which implies preoperative seminar and a discharge planning consultation on the day of discharge. The patients are discharged to home, referred to physiotherapy in the community and a scheduled follow-up by the surgeon after 3 month in the orthopedic outpatient clinic.

Detailed Description:
Due to shorter hospitalization the patients early have to be responsible for their own rehabilitation. However, the patients experience a variety of health related problems in the rehabilitations period following total knee arthroplasty and they have difficulties transferring health related information to their home settings. Nurse led follow-up in the early rehabilitation period might improve the health status of the patients by improving their knowledge and skills to handle health related problems. No studies found has investigated the effect of nurse led follow-up in form of telephone call following total knee arthroplasty.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • primary first-time total knee arthroplasty due to osteoarthrosis
  • followed conventional admission course and discharged ≤ 4 days after surgery
  • understand and talk Danish
  • signed informed consent

Exclusion Criteria:

  • in terminal phase of another serious illness such as i.e. cancer with expected lifetime less than 6 months
  • previous total hip replacement
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01771315

University Hospital Gentofte
Hellerup, Gentofte, Denmark, 2900
Sponsors and Collaborators
University of Southern Denmark
University Hospital, Gentofte, Copenhagen
Principal Investigator: Kirsten Szöts University Hospital Gentofte
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Birte Oestergaard, Associate professor, University of Southern Denmark Identifier: NCT01771315     History of Changes
Other Study ID Numbers: UNR-2013112-4
R108-A2423 ( Other Grant/Funding Number: The Danish Rheumatism Association )
Study First Received: January 15, 2013
Last Updated: June 2, 2015

Keywords provided by Birte Oestergaard, University of Southern Denmark:
total knee arthroplasty
telephone follow-up
physical function
health related quality of life

Additional relevant MeSH terms:
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases processed this record on August 18, 2017