Joint Insights decision aid for Arthrosis

Phase-Based Estimates
1
Effectiveness
1
Safety
UT Health Austin Musculoskeletal Institute, Austin, TX
Arthrosis+3 More
Joint Insights decision aid - Other
Eligibility
18+
All Sexes
Eligible conditions
Arthrosis

Study Summary

Incorporating Patient-Reported Outcomes Into Shared Decision Making With Patients With Osteoarthritis of the Hip or Knee

See full description

Eligible Conditions

  • Arthrosis
  • Osteoarthritis
  • Osteoarthritis, Hip
  • Osteoarthritis, Knee
  • Osteoarthritis of the Knee

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Compared to trials

Study Objectives

This trial is evaluating whether Joint Insights decision aid will improve 2 primary outcomes, 2 secondary outcomes, and 15 other outcomes in patients with Arthrosis. Measurement will happen over the course of Immediately following enrollment visit.

Month 6
Decision regret
Patient perception of decision regret, as measured by the Decision Regret Scale (DRS)
Month 6
Treatment selected/TKR rate
Month 6
Concordance
Concordance between patient preferences and actual outcomes
Month 6
Functional limitations
Patient-reported capability level as measured by the KOOS JR tool
Month 6
Overall health
Patient-reported overall health as measured by the PROMIS Global-10 tool
Enrollment visit
Consultation time
Total consultation time (minutes)
Immediately following enrollment visit
Decision quality
Decisional conflict
Patient perception of decision process and quality as measured by the Knee Decision Quality Instrument (Knee-DQI)
Patient perception of decisional conflict as measured by the Decisional Conflict Scale 10 (DCS-10)
Patient perception of the level of shared decision making as measured by the CollaboRATE survey
Patient/provider satisfaction with discussion
Patient/provider satisfaction with discussion as measured by a numeric rating scale
Shared decision making

Trial Safety

Safety Estimate

1 of 3

Compared to trials

Trial Design

2 Treatment Groups

Education Module Only
Joint Insights Decision Aid

This trial requires 200 total participants across 2 different treatment groups

This trial involves 2 different treatments. Joint Insights Decision Aid is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Joint Insights Decision Aid
Other
Participants view the entire Joint Insights decision aid for knee osteoarthritis including: Education Module with information about knee osteoarthritis and risks and benefits of various treatment options, Preferences and Values elicitation questions, and Personalized Risk/Benefit Report.
Education Module Only
Other
Participants view the Joint Insights Education Module only

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 3 months and 6 months after initial visit
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 3 months and 6 months after initial visit for reporting.

Who is running the study

Principal Investigator
K. B.
Prof. Kevin Bozic, Professor and Chair
University of Texas at Austin

Closest Location

UT Health Austin Musculoskeletal Institute - Austin, TX

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 6 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
New patients
Aged 45 to 89
You have a knee with a K-L grade 3 to 4 (moderate to severe) osteoarthritis. show original
You have a KOOS JR score of 0-85. show original
You are able to consent. show original
You have a presumptive diagnosis of knee OA. show original

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the average age someone gets arthrosis?

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From an epidemiologic perspective, the results do not support the theory that a major contribution to arthrosis may be accounted for by early hip, knee and ankle replacement or treatment of high-risk individuals with medications at the time of surgery.

Unverified Answer

What are common treatments for arthrosis?

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This review of the literature revealed that there is no single treatment that is more effective than others for the treatment of arthrosis, and treatment depends on the type of the joint affected and on patients' needs. In addition, the choice of treatment should be based on the duration and severity of symptoms, as well as on the degree of function affected. When considering joint replacement options, factors such as durability, functionality, and complications should be considered.

Unverified Answer

What is arthrosis?

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Arthrosis, or the gradual breakdown of cartilage, tends to result in joint inflammation, which may stimulate tissue breakdown. Arthrosis is mostly a result of injury. It is found mainly in the joints of the lower spine and hips, and in the large joints of the upper body. Arthrosis results in stiffness, pain, and limitation of joint motion.

Unverified Answer

What are the signs of arthrosis?

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Although arthrosis has many possible signs, the most common are joint effusion, increased erythrocyte count, and joint swelling. Bone scan may also be helpful when arthrosis occurs in the shoulders, elbows or knees.

Unverified Answer

What causes arthrosis?

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Arthrosis can be caused by factors such as metabolic bone disease and bone changes from diseases such as osteoporosis, rheumatoid arthritis, osteogenesis imperfecta, Paget's disease, or osteomalacia. It is likely the result of injury which involves a combination of factors, including osteoclastic bone resorption, new bone formation, and mechanical wear-away. New bone formation occurs most commonly during the late teens to mid twenties.\n

Unverified Answer

Can arthrosis be cured?

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No cure for osteoarthritis has been demonstrated. Treatment consists primarily on decreasing the pain by reducing the effect of the disease and also delaying joint destruction. Osteoarthritis patients are often prescribed analgesics and/or non-steroidal anti-inflammatory drugs for treating osteoarthritis. But this method is not enough because there are still reports and studies done about the effect, dosage and side effects of the drugs, especially non-steroidal anti-inflammatory drugs, on osteoarthritis patients. So we should consider the dosage and type of drug prescribed to the patient when they are diagnosed with osteoarthritis.

Unverified Answer

How many people get arthrosis a year in the United States?

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Around 1 in 12 adults in the United States is affected by some form of arthrosis at some point in their lives. Most arthrosis is caused by cartilage loss, usually secondary to osteoporosis, arthritis, or osteoarthritis. Arthrosis affects 6.8 million adults, and will claim around 3.8 million American lives by 2016.

Unverified Answer

How serious can arthrosis be?

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The most common cause of [knee pain](https://www.withpower.com/clinical-trials/knee-pain) and the most common cause of hip pain are [osteoarthritis](https://www.withpower.com/clinical-trials/osteoarthritis). To reduce your chances of serious disease you should get treated immediately after a injury. There [is] no cure for OA but there are treatments that can help reduce symptoms. For patients with knee osteoarthritis, surgery is the best option.

Unverified Answer

What does joint insights decision aid usually treat?

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Most commonly patients received a non-modulated therapy with an improvement of pain intensity and an improvement of quality of life. There are still not sufficient and standardized data in literature regarding the treatment of knee and hip arthroplasties. Therefore, the provision of this decision aid could have a significant impact on joint care.

Unverified Answer

Is joint insights decision aid safe for people?

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Allowing patients information on which questions are most important about joint knowledge before deciding on therapeutic options, in combination with a clear, simple explanation of the risks and benefits of each decision, resulted in a lower patient stress level and more confident and effective decisions.

Unverified Answer

Does joint insights decision aid improve quality of life for those with arthrosis?

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The findings lend credence to the hypothesis that the use of the joint insights decision aid would increase participants' decision-making accuracy and would in turn improve their HR-QoL. This intervention is easily implementable and is particularly indicated for those facing a difficult decision, such as that of whether to continue or discontinue medication for osteoarthritis.

Unverified Answer

How does joint insights decision aid work?

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When provided in advance of informed consent, use of a comprehensive decision aid with the use of a joint decision support team was no more successful at facilitating informed decisions than the use of either a single decision aid or a control condition.

Unverified Answer
See if you qualify for this trial
Get access to this novel treatment for Arthrosis by sharing your contact details with the study coordinator.