Optimized Referral of Knee Patients at the Clinic of Sports Injuries

Knee Injuries Clinical Trial

Official title:

Danish Title: Optimeret Visitation af Midaldrende knæpatienter Med Symptomer Muligvis Relateret Til Meniskskade

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02672046
• Other study ID #: 6300002
• Status: Completed
• Phase: N/A
• First received: January 20, 2016
• Last updated: May 11, 2017
• Start date: January 2016
• Est. completion date: June 2016

Study information

• Verified date: January 2016
• Source: Central Jutland Regional Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The aim of the study is to evaluate an algorithm to screen patients with a possibility of meniscal injury referred to a sports injury outpatient clinic by using patient-reported symptoms. It will be investigated whether the algorithm is able to identify which patients are deemed relevant to undergo assessment by a physician (i.e. in case the patient need to undergo surgery) and which patients are relevant to undergo assessment by a physiotherapist. This will be evaluated by estimating the sensitivity of the new algorithm compared to actual relevancy based on the traditional clinical assessment of the patients.

Description:

According to current practice, patients referred to the Clinic of Sports Injuries will be assessed by either a physician or a physiotherapist. Current practice will continue unchanged during this study.

Before the scheduled assessment, patients will be asked to fulfill a questionnaire including KOOS, a further description of symptoms, previous treatment by physiotherapist and expected upcoming treatment (i.e. surgery or referral to physiotherapist).

An algorithm based on the self-reported information will be used to categorize whether the patient are considered relevant to be referred to assessment by a physician or to assessment by a physiotherapist.

After clinical assessment of the patient, the physician or physiotherapist does a registration of diagnosis, choice of treatment and complexity. Based on choice of treatment and complexity, the patient will be categorized as either relevant to be referred to assessment by a physician or to assessment by a physiotherapist. This categorization is by definition considered correct.

The ability of the algorithm will be evaluated by comparing it's categorization to the correct result. Sensitivity will be estimated.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 182
• Est. completion date: June 2016
• Est. primary completion date: June 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 35 Years and older

Eligibility

Inclusion Criteria:

• Patients above the age of 35 referred to the Clinic of Sports Injuries with knee symptoms

Exclusion Criteria:

• Cognitive or language problems that precludes the filling of the questionnaires

• Previous surgery in the knee

• Symptoms only located in the anterior part of the knee

Related Conditions & MeSH terms

• Knee Injuries
• Knee; Injury, Meniscus (Lateral) (Medial)
• Wounds and Injuries

Intervention

Other:
• Assessment at the Clinic of Sports Injuries
Assessment at the Clinic of Sports Injuries as well as a new algorithm (using patient-reported symptoms will be applied

Locations

Country	Name	City	State
Denmark	Silkeborg Regional Hospital	Silkeborg

Sponsors (2)

Lead Sponsor	Collaborator
Central Jutland Regional Hospital	University of Aarhus

Country where clinical trial is conducted

Denmark, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Choice of treatment	Referral to physical therapy, surgery, information and advice, other	Up to 4 weeks (at the initial visit at the Clinic of Sports Injuries)
Primary	"Relevant referral to assessment by physician" or "Relevant referral to assessment by physiotherapist"		Up to 4 weeks (at the initial visit at the Clinic of Sports Injuries)
Secondary	Knee Injury and Osteoarthritis Outcome Score (KOOS)		At baseline