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Understanding the Differences in the Management of Patients With Arthritis of the Knee or Hip

Primary Purpose

Osteoarthritis, Arthritis, Degenerative, Osteoarthritis, Hip

Status
Completed
Phase
Locations
United States
Study Type
Observational
Intervention
Sponsored by
US Department of Veterans Affairs
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an observational trial for Osteoarthritis focused on measuring Racial/ethnic health disparities, Attitudes, Osteoarthritis Management, Patient Perceptions

Eligibility Criteria

50 Years - 79 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Chronic, frequent knee or hip pain based on the National Health And Nutrition Examination Survey Age >50 and <80 (at least 50 but not to exceed 79 years of age) Severe or extreme knee or hip OA on the Western Ontario and McMaster Universities Osteoarthritis Index (i.e., score greater than or equal to 39) Exclusion Criteria: Prior history of knee or hip joint replacement Terminal illness (i.e., end-stage cancer, CHF, COPD, etc.) Physician-diagnosed inflammatory arthritis Dementia Prosthetic leg

Sites / Locations

  • VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA

Arms of the Study

Arm 1

Arm Type

Arm Label

Group 1

Arm Description

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
March 16, 2005
Last Updated
April 6, 2015
Sponsor
US Department of Veterans Affairs
Collaborators
University of Pittsburgh
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1. Study Identification

Unique Protocol Identification Number
NCT00105677
Brief Title
Understanding the Differences in the Management of Patients With Arthritis of the Knee or Hip
Official Title
Reasons for Disparities in Joint Replacement Utilization
Study Type
Observational

2. Study Status

Record Verification Date
October 2006
Overall Recruitment Status
Completed
Study Start Date
August 2004 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
September 2006 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
US Department of Veterans Affairs
Collaborators
University of Pittsburgh

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to examine cultural and clinical context factors in African-American and white veterans with knee or hip osteoarthritis with a focus on how these factors may be potentially modifiable determinants of willingness to consider joint replacement.
Detailed Description
The study focuses on identifying potentially modifiable determinants of patients� willingness to consider joint replacement as a treatment option for osteoarthritis of the knee or hip. This line of research is informed by not only our prior work but also recent studies on health disparities and patient decision-making. Our long-term goal is the development and evaluation of interventions to target these determinants of willingness in order to eliminate ethnic disparities in joint replacement. The study findings will assist in laying the groundwork for the design of such interventions for patients with osteoarthritis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis, Arthritis, Degenerative, Osteoarthritis, Hip, Osteoarthritis, Knee
Keywords
Racial/ethnic health disparities, Attitudes, Osteoarthritis Management, Patient Perceptions

7. Study Design

Enrollment
980 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group 1

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
79 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Chronic, frequent knee or hip pain based on the National Health And Nutrition Examination Survey Age >50 and <80 (at least 50 but not to exceed 79 years of age) Severe or extreme knee or hip OA on the Western Ontario and McMaster Universities Osteoarthritis Index (i.e., score greater than or equal to 39) Exclusion Criteria: Prior history of knee or hip joint replacement Terminal illness (i.e., end-stage cancer, CHF, COPD, etc.) Physician-diagnosed inflammatory arthritis Dementia Prosthetic leg
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
C. Kent Kwoh, MD
Organizational Affiliation
VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA
Official's Role
Principal Investigator
Facility Information:
Facility Name
VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA
City
Pittsburgh
State/Province
Arizona
ZIP/Postal Code
15240
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
18561011
Citation
Jones AC, Kwoh CK, Groeneveld PW, Mor M, Geng M, Ibrahim SA. Investigating racial differences in coping with chronic osteoarthritis pain. J Cross Cult Gerontol. 2008 Dec;23(4):339-47. doi: 10.1007/s10823-008-9071-9.
Results Reference
result
PubMed Identifier
18021506
Citation
Emejuaiwe N, Jones AC, Ibrahim SA, Kwoh CK. Disparities in joint replacement utilization: a quality of care issue. Clin Exp Rheumatol. 2007 Nov-Dec;25(6 Suppl 47):44-9.
Results Reference
result
PubMed Identifier
18438917
Citation
Groeneveld PW, Kwoh CK, Mor MK, Appelt CJ, Geng M, Gutierrez JC, Wessel DS, Ibrahim SA. Racial differences in expectations of joint replacement surgery outcomes. Arthritis Rheum. 2008 May 15;59(5):730-7. doi: 10.1002/art.23565.
Results Reference
result
Links:
URL
http://www.cherp.org
Description
Click here for more information about this study: Reasons for Disparities in Joint Replacement Utilization

Learn more about this trial

Understanding the Differences in the Management of Patients With Arthritis of the Knee or Hip

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