FORCE-TJR: Improving Orthopedic Outcomes Through a National TJR Registry
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Arthritis, Osteoarthritis (OA) |
| Therapuetic Areas: | Rheumatology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 2/7/2019 |
| Start Date: | April 2011 |
| End Date: | April 2031 |
Improving Orthopedic Outcomes Through a National TJR Registry
Aim 1. Establish a national registry of diverse patients of orthopedic surgeons representing
all regions of the country and varied hospital and surgeon practice settings (e.g.,
urban/rural, low and high volume) to ensure that registry analyses and research reflect
typical clinical practice thereby providing optimal guidance for patients, clinicians, and
national healthcare policymakers. Collect pre-operative and post-operative patient reported
outcomes (PROs) for pain and function.
Aim 2: Develop new and transformative comparative effectiveness tools useful to both clinical
practice and healthcare policy.
Aim 3. Broadly disseminate surveillance reports for adverse events, such as implant revision,
hip dislocation, knee manipulation, and identify important variation to inform quality
improvement priorities.
all regions of the country and varied hospital and surgeon practice settings (e.g.,
urban/rural, low and high volume) to ensure that registry analyses and research reflect
typical clinical practice thereby providing optimal guidance for patients, clinicians, and
national healthcare policymakers. Collect pre-operative and post-operative patient reported
outcomes (PROs) for pain and function.
Aim 2: Develop new and transformative comparative effectiveness tools useful to both clinical
practice and healthcare policy.
Aim 3. Broadly disseminate surveillance reports for adverse events, such as implant revision,
hip dislocation, knee manipulation, and identify important variation to inform quality
improvement priorities.
Patients scheduling elective total joint replacement surgery are eligible to participate.
The Aims of the registry are as follows:
Aim 1. Establish a national registry of diverse patients of orthopedic surgeons representing
all regions of the country and varied hospital and surgeon practice settings (e.g.,
urban/rural, low and high volume) to ensure that registry analyses and research reflect
typical clinical practice thereby providing optimal guidance for patients, clinicians, and
national healthcare policymakers. Collect pre-operative and post-operative patient reported
outcomes (PROs) for pain and function.
Pre-surgery data. Patients will complete a set of computer-based clinical and behavioral
health questions prior to surgery. A paper option is available as well. Data collected
include demographics, medical and musculoskeletal comorbidities, pain and function measures.
6 month survey. Patients will receive an invitation to complete the 6 month survey either on
the computer at home or on paper. This survey includes the symptom assessment and a screening
survey for complications.
12 month and subsequent annual surveys. The 6 month survey will be repeated at 12 months and
annually thereafter. In addition, the patient's contact information will be updated.
Oxford Knee Scale, EQ-5D Survey and Satisfaction Questions may be added to a subset of
questionnaires.
Using the data collected to date from more than 25,000 patients, the investigators have
identified national norms for pre-op and post-op pain and function as well as a
Risk-adjustment model for outcomes.
Aim 2: Develop new and transformative comparative effectiveness tools useful to both clinical
practice and healthcare policy.
Aim 3. Broadly disseminate surveillance reports for adverse events, such as implant revision,
hip dislocation, knee manipulation, and identify important variation to inform quality
improvement priorities.
The Aims of the registry are as follows:
Aim 1. Establish a national registry of diverse patients of orthopedic surgeons representing
all regions of the country and varied hospital and surgeon practice settings (e.g.,
urban/rural, low and high volume) to ensure that registry analyses and research reflect
typical clinical practice thereby providing optimal guidance for patients, clinicians, and
national healthcare policymakers. Collect pre-operative and post-operative patient reported
outcomes (PROs) for pain and function.
Pre-surgery data. Patients will complete a set of computer-based clinical and behavioral
health questions prior to surgery. A paper option is available as well. Data collected
include demographics, medical and musculoskeletal comorbidities, pain and function measures.
6 month survey. Patients will receive an invitation to complete the 6 month survey either on
the computer at home or on paper. This survey includes the symptom assessment and a screening
survey for complications.
12 month and subsequent annual surveys. The 6 month survey will be repeated at 12 months and
annually thereafter. In addition, the patient's contact information will be updated.
Oxford Knee Scale, EQ-5D Survey and Satisfaction Questions may be added to a subset of
questionnaires.
Using the data collected to date from more than 25,000 patients, the investigators have
identified national norms for pre-op and post-op pain and function as well as a
Risk-adjustment model for outcomes.
Aim 2: Develop new and transformative comparative effectiveness tools useful to both clinical
practice and healthcare policy.
Aim 3. Broadly disseminate surveillance reports for adverse events, such as implant revision,
hip dislocation, knee manipulation, and identify important variation to inform quality
improvement priorities.
Inclusion Criteria:
- Must be scheduled elective primary or revision arthroplasty
- Must speak/read English or Spanish
Exclusion Criteria:
- Arthroplasty is scheduled due to fracture or malignancy
- Inability to provide informed consent due to dementia or cognitive impairment
- Terminal illness with life expectancy of less than 1 year
- Emergently scheduled surgery.
- Individuals who are under 18 years of age
- Pregnant women
- Prisoners
We found this trial at
1
site
Worcester, Massachusetts 01655
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