Changes in Preference for Surgery of Patients Signed up for Arthroscopic Procedures

Arthroscopy Clinical Trial

Official title:

Changes in Preference for Surgery of Patients Signed up for Arthroscopic Procedures: COVID-19 Effect on Arthroscopic Patients in a University Hospital in Denmark

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04370678
• Other study ID #: ArthrocancellationSUH2020
• Status: Completed
• Start date: April 17, 2020
• Est. completion date: April 24, 2020

Study information

• Verified date: May 2020
• Source: Region Zealand
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This study describes the changes in preference to arthroscopic surgery in two orthopedics departments in Denmark under the COVID-19 pandemic.

Description:

Background:

Covid-19 has impacted all aspects of society. In hospitals around the world focus has been on treating the deadly virus, and elective orthopedic surgical procedures has been postponed in Denmark, causing a stop for most arthroscopic procedures for months. It is established that certain conditions leading to arthroscopic orthopedic intervention has fluctuating symptoms symptoms and can have a favorable outcome on conservative treatment. Amongst these conditions who are also treated with non-surgical methods are subacromial decompression impingement[1][1], degenerative knee disease [2] and anterior cruciate ligament injuries[3]. An issue with further understanding the non-surgical effect on this patient group has beencould be reluctance to undergo conservative non-surgical treatment and opt for a surgical treatment. procedure. Because all elective surgery has been postponed in Denmark, and the following longer waiting period for surgery, this has created a unique opportunity to further investigate this patient category.

Aim of study: Investigate the impact of time on waiting list for surgery under COVID-19 pandemic on the preference for surgery in patients planned for arthroscopic surgery.

Discussion The current study will provide information on the change of preferences forto arthroscopic surgery in a patient population who are forced to wait for surgery for a longer period of time, with no possibility of seeking treatment in other hospitals.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 79
• Est. completion date: April 24, 2020
• Est. primary completion date: April 24, 2020
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patients planned for arthroscopic intervention in knee or shoulder.

• Patients seen by an orthopedic surgeon and planned for surgery before 13/3-20

Exclusion Criteria:

• Surgery performed in another hospital

• Death

• Emigration

Related Conditions & MeSH terms

• Arthroscopy

Intervention

Behavioral:
• Change in preference to surgery under COVID-19 pandemic.
Under the COVID-19 pandemic all arthroscopic procedures were cancelled. We wished to describe if patients experienced a change in preference to surgery under this period.

Locations

Country	Name	City	State
Denmark	Zealand University Hospital	Køge	Zealand Region

Sponsors (1)

Lead Sponsor	Collaborator
Region Zealand

Country where clinical trial is conducted

Denmark, 

References & Publications (3)

Brignardello-Petersen R, Guyatt GH, Buchbinder R, Poolman RW, Schandelmaier S, Chang Y, Sadeghirad B, Evaniew N, Vandvik PO. Knee arthroscopy versus conservative management in patients with degenerative knee disease: a systematic review. BMJ Open. 2017 May 11;7(5):e016114. doi: 10.1136/bmjopen-2017-016114. Review. — View Citation

Erratum: Treatments for Shoulder Impingement Syndrome: A PRISMA Systematic Review and Network Meta-Analysis: Erratum. Medicine (Baltimore). 2016 Jun 10;95(23):e96d5. doi: 10.1097/01.md.0000484495.36196.d5. eCollection 2016 Jun. — View Citation

Monk AP, Davies LJ, Hopewell S, Harris K, Beard DJ, Price AJ. Surgical versus conservative interventions for treating anterior cruciate ligament injuries. Cochrane Database Syst Rev. 2016 Apr 3;4:CD011166. doi: 10.1002/14651858.CD011166.pub2. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in preference	change of preference for surgery during the waiting period for all planned arthroscopic procedures measured by questionnaire sent by letter asking if patients still want surgery yes or no. No other questions were asked.	3 months
Secondary	Change in preference between groups	difference in preference for surgery between the group of patients planned for arthroscopic procedure in the shoulder and patients planned for arthroscopic procedure in the knee measured by questionnaire sent by letter asking if patients still want surgery yes or no. No other questions were asked..	3 months