An individualized patient-reported outcome measure (PROM) based patient decision aid and surgeon report for patients considering total knee arthroplasty: protocol for a pragmatic randomized controlled trial

BMC Musculoskeletal Disorders
Nick BansbackDeborah A Marshall

Abstract

While the rates of total knee arthroplasty (TKA) continue to rise worldwide, there are concerns about whether all surgeries are appropriate. Guidelines for appropriateness suggest that patients should have realistic expectations for total knee arthroplasty (TKA), and that the patient and their surgeon should agree that the potential benefits outweigh the potential harms. The objective of this study is to evaluate whether routinely collected pre- and post-TKA patient-reported outcome measures (PROMs) could be integrated into a patient decision aid to better inform these appropriateness criteria. This randomised trial will evaluate the preliminary efficacy of a tailored PROM-based patient decision aid and surgeon report (compared to usual care) for patients considering TKA on decision quality. This is a pragmatic, randomised controlled trial conducted at one site in Alberta, Canada. Adults over the age of 30 years, who have been scheduled for a TKA consultation at the Edmonton Bone and Joint Centre with a participating surgeon, who understand, speak, and read English, and can provide informed consent, are eligible to participate. Participants will be randomised to receive a PROM-based patient decision aid and surgeon report befor...Continue Reading

References

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Citations

Jan 30, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Prakash Jayakumar, Kevin J Bozic
Aug 10, 2021·European Heart Journal. Quality of Care & Clinical Outcomes·Ran Kornowski
Oct 13, 2021·Journal of Patient-reported Outcomes·Deborah A MarshallChristopher J Smith

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