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Conservative Management vs. Arthroplasty in Knee Osteoarthritis
Sponsor: Marius Henriksen
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
Conditions
Interventions
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
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