The Effects of Postoperative Physician Phone Calls for Hand and Wrist Fractures

The Effects of Postoperative Physician Phone Calls for Hand and Wrist Fractures: a Single-blinded, Prospective, Randomized Controlled Trial

This study seeks to determine if postoperative phone calls by a physician affect outcomes in hand surgery.

Study Overview

• Status: Completed
• Conditions: Trauma; Hand Injuries; Hand Injuries and Disorders
• Intervention / Treatment: Behavioral: Postoperative phone call

Detailed Description

This study seeks to determine if postoperative phone calls by a physician affect outcomes in hand surgery. Patients who require operative treatment of hand and wrist fractures are randomly assigned to a group that receives a postoperative phone call or the control group that receives the standard postoperative care. Patient reported and medical outcomes are observed starting at 1 month postoperatively.

• Study Type: Interventional
• Enrollment (Actual): 24
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Indiana
    • Indianapolis, Indiana, United States, 46202
      • Eskenazi Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patients with isolated injuries of the hand who present to a specific level 1 trauma center in the Midwestern United States
• Patients who have planned surgical treatment by a pre-specified group of surgeons

Exclusion Criteria:

• Patients who have significant trauma to other organ systems proximal to the wrist
• Patients who have open ("compound") fractures (i.e., bone is exposed)
• Children

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Phone Call; Subjects in this study arm receive a post-operative phone call by a physician.	Behavioral: Postoperative phone call; The intervention is a phone call on the day following surgery.
No Intervention: No Phone call; Subjects in this study arm do not receive an additional post-operative phone call by a physician.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Brief Michigan Hand Questionnaire Score Difference	A patient reported measure of hand function on a scale of 1 to 100. 100 indicates better hand function and 1 indicates worse hand function. The measure is obtained form a survey that has been published in multiple peer reviewed articles. This score can be subtracted from preoperative score to obtain a difference in score of preoperative compared to postoperative.	1 month postoperatively.

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient compliance with treatment recommendations	Patient compliance with treatment as documented in their medical record. Patients are either compliant or not compliant (values can be 0 or 1), i.e., their physician states that they followed instructions or they did not.	1 month postoperatively
Patient satisfaction with their overall care	Patient satisfaction with their overall care, as determined on a 5 point Likert scale. 1 is strongly satisfied whereas 5 is strongly dissatisfied.	1 month postoperatively.
Patient complication	Patient either has a complication or does not (values can be 0 or 1), i.e., their physician states that they had a complication.	1 month postoperatively

Collaborators and Investigators

• Sponsor: Indiana University
• Investigators: Principal Investigator: Joshua M Adkinson, M.D., Indiana University School of Medicine

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2018
• Primary Completion (Actual): December 31, 2018
• Study Completion (Actual): December 31, 2018

Study Registration Dates

• First Submitted: June 4, 2018
• First Submitted That Met QC Criteria: June 4, 2018
• First Posted (Actual): June 14, 2018

Study Record Updates

• Last Update Posted (Actual): February 28, 2019
• Last Update Submitted That Met QC Criteria: February 26, 2019
• Last Verified: February 1, 2019

More Information

Terms related to this study

• Keywords: Patient reported outcomes; Hand injuries; Hand trauma
• Additional Relevant MeSH Terms: Wounds and Injuries; Hand Injuries
• Other Study ID Numbers: 1712309601

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No