Evidence map›Paper›PMID 30797238›Full record

ArticleBMC musculoskeletal disorders2019

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.

Nick Bansback, Logan Trenaman, Karen V MacDonald, Gillian Hawker, Jeffrey A Johnson, Dawn Stacey, Deborah A Marshall

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03240913 (A PROMs Based Educational Tool), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03240913 nacompletednot on this map

A PROMs Based Educational Tool (PROM-DA) for Patients Considering Total Knee Arthroplasty: Development and a Pilot Randomized Controlled Trial.

TypeinterventionalSponsorUniversity of CalgaryRan2017 to 2020Enrolled163ConditionsKnee Osteoarthritis, Total Knee ArthroplastyArmsBaseline and Follow-up Surveys, Patient Reported Outcome Measure informed Decision Aid, Pamphlet
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
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  8. 'So Let's Go On Like This?'-Shared Decision-Making and the Use of Outcome Information in Routine Care Management for People With Multiple Sclerosis.Health expectations : an international journal of public participation in health care and health policy · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nick BansbackSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada. nick.bansback@ubc.ca.
Logan TrenamanSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Karen V MacDonaldDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Gillian HawkerDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Jeffrey A JohnsonSchool of Public Health, University of Alberta, Edmonton, AB, Canada.
Dawn StaceySchool of Nursing, University of Ottawa, Ottawa, ON, Canada.
Deborah A MarshallArthritis Research Canada, Richmond, BC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile 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.

methodsThis 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 before their surgical consultation or usual care. The decision aid will provide patients with information on their expected outcomes based on the EQ-5D-5L PROM, and these estimates are individualized based on clinical and demographic characteristics. The primary outcome of this trial is decision quality. Analysis will consider outcomes intention to treat, and feasibility outcomes for implementing the trial to routine practise. DISCUSSION: This patient decision aid and surgeon report intervention could contribute to improved treatment decision-making for patients considering total knee arthroplasty. TRIAL REGISTRATION (REGISTRY AND NUMBER): ClinicalTrials.gov : NCT03240913. Registered on August 1, 2017.

Indexed as

Arthroplasty, Replacement, KneeDecision Support TechniquesPatient Reported Outcome MeasuresPatient SatisfactionPrecision MedicineSurgeonsAdultAlbertaFemaleFollow-Up StudiesHumansMalePragmatic Clinical Trials as TopicProspective StudiesRandomized Controlled Trials as TopicResearch ReportDecision qualityOsteoarthritisPatient-reported outcome measuresTotal knee arthroplasty

Identifiers

PMID30797238
PMCPMC6387514

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.