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ENROLLING BY INVITATION
NCT06623149

Conservative Management vs. Arthroplasty in Knee Osteoarthritis

Sponsor: Marius Henriksen

View on ClinicalTrials.gov

Summary

The goal of this observational study is to learn about the long-term effects of a non-surgical management programme in people with osteoarthritis that are eligible for a knee joint replacement surgery to treat their knee osteoarthritis (KOA). The main question it aims to answer is: \- Does the non-surgical management programme reduce the proportion of referred patients who are treated with a knee arthroplasty without reducing the health-related quality of life over a two-year perspective?

Official title: Policy-Induced Conservative Management Prioritization Over Arthroplasty On Knee Osteoarthritis Outcomes

Key Details

Gender

All

Age Range

Any - Any

Study Type

OBSERVATIONAL

Enrollment

2500

Start Date

2024-10-01

Completion Date

2030-04

Last Updated

2025-03-12

Healthy Volunteers

No

Interventions

BEHAVIORAL

Non-Surgical Intervention

After referral from the general practitioner to the orthopedic department, the patient is offered a 3-month non-operative treatment program. The conservative program consists of several elements that are offered on an individual basis. The program consists of 3 main elements: * Patient education/information * Specialized exercise supervised by a physiotherapist * Weight loss counseling with a dietician

PROCEDURE

Current practice

After referral from the general practitioner to the orthopedic department, the patient is assessed by an orthopedic surgeon in the out-patient clinic according to standard practice with a focus on symptoms, history, physical examination, radiography, and an appraisal of the patient's expectations. If an indication for knee arthroplasty is found, the patient is offered knee arthroplasty, and if the patient accepts the offer, he/she is scheduled according to usual practice. If a patient declines the offer, the patient is informed that the hospital cannot offer any additional service, and the patient is referred back to primary care.

Locations (6)

Bispebjerg Frederiksberg Hospital

Copenhagen, Copenhagen, Denmark

Amager Hvidovre Hospital

Copenhagen, Hvidovre, Denmark

Rigshospitalet

Copenhagen, Denmark

herlev Gentofe Hospital

Copenhagen, Denmark

Nordsjællands Hospital

Hillerød, Denmark

Bornholms hospital

Rønne, Denmark