Why Are so Many Patients Dissatisfied With Knee Replacement Surgery? Exploring Variations of the Patient Experience

April 7, 2015 updated by: University of British Columbia
The goal of this research is to fill the knowledge gap relating to why up to 20 percent of total knee arthroplasty (TKA) patients are dissatisfied with their clinical outcomes and to answer the research question: What are the drivers of variation in the patient experience with primary (ie. not revision) TKA?

Study Overview

Status

Unknown

Conditions

Detailed Description

Purpose: Among patients with a diagnosis of osteoarthritis and who are undergoing total knee arthroplasty:

  1. To identify variations in the patient experience with primary knee replacement surgery by measuring clinical outcomes, health status, and patient satisfaction; and
  2. To explore the factors contributing to good/poor clinical and patient outcomes, such as surgical factors, health system factors, socioeconomic demographic factors and psychological factors.

Study Type

Observational

Enrollment (Actual)

515

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Canada
    • British Columbia
      • Burnaby, British Columbia, Canada, V5G 2X6
        • Burnaby Hospital
      • Kelowna, British Columbia, Canada, V1Y 3H5
        • Kelowna General Hospital
      • Prince George, British Columbia, Canada, V2M 1S2
        • University Hospital of Northern British Columbia
      • Richmond, British Columbia, Canada, V7C 5L9
        • Richmond Hospital
      • Vancouver, British Columbia, Canada, V5Z 1M9
        • Vancouver General Hospital
      • Vancouver, British Columbia, Canada, V6T 2B5
        • University of British Columbia Hospital
      • Victoria, British Columbia, Canada, V8V3M9
        • VIHA Joint Replacement Clinic

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

19 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Patients undergoing total knee arthroplasty

Description

Inclusion Criteria:

  • Adults 19 and older
  • Primary or secondary diagnosis of osteoarthritis or inflammatory arthritis
  • Scheduled to undergo primary TKA
  • Living in British Columbia
  • Capable of providing informed consent

Exclusion Criteria:

  • Not having been diagnosed with osteoarthritis
  • Inability to complete the study questionnaires
  • Adults undergoing arthroplasty revision surgery
  • Adults undergoing bilateral knee replacements
  • Adults undergoing unicompartmental knee replacements
  • Adults whose knee replacement is due to post-traumatic deformity Contacts and Locations

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Prospective

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of British Columbia

Investigators

  • Principal Investigator: Stirling Bryan, PhD, School of Population and Public Health, University of British Columbia
  • Study Director: Jennifer Davis, PhD, University of British Columbia
  • Study Director: Alison Dormuth, BC Ministry of Health Services
  • Study Director: Denise Dunton, MN, Interior Health Authority
  • Study Director: Vivian Giglio, Fraser Health Authority
  • Study Director: Laurie Goldsmith, MSc, PhD, Simon Fraser University
  • Study Director: Val MacDonald, MSN, Fraser Health Authority
  • Study Director: Patrick McAllister, MD, Vancouver Island Health Authority
  • Study Director: Rick Sawatzky, PhD, RN, Trinity Western University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

November 1, 2011

Primary Completion (Actual)

August 1, 2013

Study Completion (Anticipated)

December 1, 2015

Study Registration Dates

First Submitted

November 3, 2011

First Submitted That Met QC Criteria

November 3, 2011

First Posted (Estimate)

November 8, 2011

Study Record Updates

Last Update Posted (Estimate)

April 9, 2015

Last Update Submitted That Met QC Criteria

April 7, 2015

Last Verified

April 1, 2015

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • H11-02117

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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