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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02465879
Other study ID # AHRT-2015
Secondary ID
Status Completed
Phase N/A
First received June 4, 2015
Last updated June 29, 2016
Start date May 2015
Est. completion date December 2015

Study information

Verified date June 2015
Source Sunnybrook Health Sciences Centre
Contact n/a
Is FDA regulated No
Health authority Canada: Institutional Review Board
Study type Interventional

Clinical Trial Summary

There is accumulating evidence that early treatment leads to better outcomes for patients with inflammatory arthritis (IA). Triage, which is the process of identifying the urgency of a patient's disease state efficiently and correctly, may facilitate early referral to a rheumatologist. Several studies have suggested that placing allied health professionals (occupational therapists, physical therapists, nurses, etc.) in a triage roll may reduce wait time for patients with suspected IA. The goal of this investigation will be to demonstrate the system-level impact of an Arthritis Society extended role occupational therapist (OT) or physical therapist (PT) working in a triage role in improving access to rheumatologists for people with IA. In this study two groups will be observed: intervention and "usual care" as determined by historical chart review. Wait times will be compared between both groups.


Recruitment information / eligibility

Status Completed
Enrollment 295
Est. completion date December 2015
Est. primary completion date December 2015
Accepts healthy volunteers No
Gender Both
Age group 18 Years and older
Eligibility Inclusion Criteria:

- New referrals from a GP

- Adults with possible IA (determined by rheumatologist through paper triage)

Exclusion Criteria:

- Currently on a disease-modifying antirheumatic drug (DMARD)

- Previously seen by a rheumatologist.

- FM, non-IA OA; soft tissue rheumatism; mechanical LBP

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label


Related Conditions & MeSH terms


Intervention

Other:
Therapist Triage
An extended role occupational or physical therapist will triage each subject in the study to determine the urgency of their case and how soon they need to see the rheumatologist.

Locations

Country Name City State
n/a

Sponsors (4)

Lead Sponsor Collaborator
Sunnybrook Health Sciences Centre Ontario Best Practices Research Initiative, Ontario Rheumatology Association, The Arthritis Society, Canada

Outcome

Type Measure Description Time frame Safety issue
Primary Time to first visit with the rheumatologist (wait time) 3 months No
Secondary Time to diagnosis 3 months No
Secondary Time to treatment (disease-modifying antirheumatic drug) 3 months No
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