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NCT00105677 Clinical Trial

Understanding the Differences in the Management of Patients With Arthritis of the Knee or Hip

Osteoarthritis Clinical Trial

Official title:
Reasons for Disparities in Joint Replacement Utilization

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT00105677
Other study ID # ECV 03-201
Secondary ID
Status Completed
Phase N/A
First received March 16, 2005
Last updated April 6, 2015
Start date August 2004
Est. completion date September 2006

Study information
Verified date October 2006
Source VA Office of Research and Development
Contact n/a
Is FDA regulated No
Health authority United States: Federal Government
Study type Observational

Clinical Trial Summary

The purpose of this study is to examine cultural and clinical context factors in African-American and white veterans with knee or hip osteoarthritis with a focus on how these factors may be potentially modifiable determinants of willingness to consider joint replacement.

Description:

The study focuses on identifying potentially modifiable determinants of patients� willingness to consider joint replacement as a treatment option for osteoarthritis of the knee or hip. This line of research is informed by not only our prior work but also recent studies on health disparities and patient decision-making. Our long-term goal is the development and evaluation of interventions to target these determinants of willingness in order to eliminate ethnic disparities in joint replacement. The study findings will assist in laying the groundwork for the design of such interventions for patients with osteoarthritis.

Recruitment information / eligibility
Status Completed
Enrollment 980
Est. completion date September 2006
Est. primary completion date
Accepts healthy volunteers No
Gender Both
Age group 50 Years to 79 Years
Eligibility Inclusion Criteria:

1. Chronic, frequent knee or hip pain based on the National Health And Nutrition Examination Survey

2. Age >50 and <80 (at least 50 but not to exceed 79 years of age)

3. Severe or extreme knee or hip OA on the Western Ontario and McMaster Universities Osteoarthritis Index (i.e., score greater than or equal to 39)

Exclusion Criteria:

1. Prior history of knee or hip joint replacement

2. Terminal illness (i.e., end-stage cancer, CHF, COPD, etc.)

3. Physician-diagnosed inflammatory arthritis

4. Dementia

5. Prosthetic leg

Study Design

N/A

Related Conditions & MeSH terms

Locations
Country Name City State
United States VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA Pittsburgh Arizona

Sponsors (2)
Lead Sponsor Collaborator
VA Office of Research and Development University of Pittsburgh

Country where clinical trial is conducted

United States, 

References & Publications (3)

Emejuaiwe N, Jones AC, Ibrahim SA, Kwoh CK. Disparities in joint replacement utilization: a quality of care issue. Clin Exp Rheumatol. 2007 Nov-Dec;25(6 Suppl 47):44-9. — View Citation

Groeneveld PW, Kwoh CK, Mor MK, Appelt CJ, Geng M, Gutierrez JC, Wessel DS, Ibrahim SA. Racial differences in expectations of joint replacement surgery outcomes. Arthritis Rheum. 2008 May 15;59(5):730-7. doi: 10.1002/art.23565. — View Citation

Jones AC, Kwoh CK, Groeneveld PW, Mor M, Geng M, Ibrahim SA. Investigating racial differences in coping with chronic osteoarthritis pain. J Cross Cult Gerontol. 2008 Dec;23(4):339-47. doi: 10.1007/s10823-008-9071-9. — View Citation

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