Hip Fractures Clinical Trial
Official title:
Performance Improvement Program on Imaging II
NCT number | NCT02272972 |
Other study ID # | PI program II |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | October 2014 |
Est. completion date | May 2016 |
Verified date | August 2020 |
Source | AO Innovation Translation Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
This study consists of a retrospective and a prospective part. For each part and in each of 5
clinics, one intraoperative postimplant image (lateral view) of 25 patients with
pertrochanteric fractures will be assessed by 5 surgeons per clinic. There are two
assessments in the retrospective part. a) before an educational intervention, b) after the
educational intervention. The evaluated images at these two timepoints are identical. In the
prospective part, the surgeons apply their new knowledge from the educational intervention.
They perform the positioning of the patient during the intraoperative fluoroscopy and record
the image according to the teaching material. One postimplant image of each patient will be
used for the evaluation.
At all three timepoints of image assessment, a questionnaire with the same set of 7 criteria
(Q1-Q7) for assessing the radiographs is used. The criteria refer to the content of the
educational material.
Status | Completed |
Enrollment | 250 |
Est. completion date | May 2016 |
Est. primary completion date | April 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Age 18 years and older - Diagnosis of a pertrochanteric femoral fracture (AO 31-A1, A2, A3) - Surgical treatment with either a Proximal Femoral Nail Antirotation (PFNA), a PFNA-II, a Dynamic Hip Screw (DHS) or a Titanium Trochanteric Fixation Nail System (TFN) For the prospective part of the study: Informed consent obtained, i.e.: - Ability to understand the content of the patient information/Informed Consent Form - Willingness to allow the use of health-related data (images) according to the Clinical Investigation Plan (CIP) - Signed and dated Ethics Committee (EC)/Institutional Review Board (IRB) approved written informed consent Exclusion Criteria: For the prospective part of the study: - Mentally handicapped patients or patients with dementia that are not able to understand the content patient information/Informed Consent Form |
Country | Name | City | State |
---|---|---|---|
Austria | Hospital of the Medical University Graz | Graz | |
Slovenia | University Medical Centre Ljubljana | Ljubljana | |
Switzerland | Cantonal Hospital Winterthur | Winterthur | ZH |
Switzerland | Municipal Hospital Triemli | Zurich | ZH |
United States | University of Missouri Hospital and Clinics | Columbia | Missouri |
Lead Sponsor | Collaborator |
---|---|
AO Clinical Investigation and Publishing Documentation |
United States, Austria, Slovenia, Switzerland,
Cannon CP, Hoekstra JW, Larson DM, Karcher RB, Mencia WA, Berry CA, Stowell SA. A report of quality improvement in the care of patients with acute coronary syndromes. Crit Pathw Cardiol. 2011 Mar;10(1):29-34. doi: 10.1097/HPC.0b013e318204eb8b. — View Citation
Heetveld MJ, Raaymakers EL, van Walsum AD, Barei DP, Steller EP. Observer assessment of femoral neck radiographs after reduction and dynamic hip screw fixation. Arch Orthop Trauma Surg. 2005 Apr;125(3):160-5. Epub 2005 Mar 2. — View Citation
Karanicolas PJ, Bhandari M, Walter SD, Heels-Ansdell D, Sanders D, Schemitsch E, Guyatt GH. Interobserver reliability of classification systems to rate the quality of femoral neck fracture reduction. J Orthop Trauma. 2009 Jul;23(6):408-12. doi: 10.1097/BOT.0b013e31815ea017. — View Citation
Krettek C, Miclau T, Grün O, Schandelmaier P, Tscherne H. Intraoperative control of axes, rotation and length in femoral and tibial fractures. Technical note. Injury. 1998;29 Suppl 3:C29-39. — View Citation
Rushton MN, Rushton VE, Worthington HV. The value of a quality improvement programme for panoramic radiography: a cluster randomised controlled trial. J Dent. 2013 Apr;41(4):328-35. doi: 10.1016/j.jdent.2012.12.009. Epub 2013 Jan 18. — View Citation
Zisblatt L, Kues JR, Davis N, Willis CE. The long-term impact of a performance improvement continuing medical education intervention on osteoporosis screening. J Contin Educ Health Prof. 2013 Fall;33(4):206-14. doi: 10.1002/chp.21200. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Image quality as determined by The proportion of "yes" answers to Q1 and Q2 in the post-educational assessment II compared to the proportion of "yes" answers to Q1 and Q2 pre-educational assessment. | 6 months | ||
Secondary | Interrater agreement between pre-educational and post-educational assessment of image quality (Q1-Q2) | 6 months | ||
Secondary | Proportion of images that are rated as "not assessable" (Q3-Q7) | 6 months | ||
Secondary | Proportion of "Quality of reduction and surgery" criteria with the best possible assessment (yes/optimal) (Q3-Q7) | 6 months | ||
Secondary | Interrater agreement between pre-educational and post-educational assessment of surgery's quality (Q3-Q7) | 6 months | ||
Secondary | Surgeons' experience (years and professional level) | 6 months | ||
Secondary | Surgeons practice (average number of hip surgeries per month) | 6 months | ||
Secondary | Self-assessment gap score | (3 questions regarding the current and the desired level of ability in fixing pertrochanteric femoral fractures, obtaining lateral intraoperative images of the proximal femur and assessing lateral intraoperative images of the proximal femur) | 6 months |
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