Improving Rehabilitation for Veterans After Total Knee Arthroplasty
This study is looking at a new "clinical decision support tool" (a computer program to help doctors make decisions) for Veterans recovering from total knee replacement surgery (Total Knee Arthroplasty). The goal is to help physical therapists create personalized rehabilitation plans, rather than a one-size-fits-all approach. This could improve how well Veterans recover and potentially reduce the number of physical therapy visits needed. To join, you must be a Veteran between 40 and 90 years old who has had a total knee replacement and is starting outpatient physical therapy within three weeks of surgery. The study will measure changes in knee function and how many physical therapy visits are used. The current status of this study is unclear.
- Study design
- This is an observational study involving 200 participants. It will look at how a clinical decision support tool impacts rehabilitation.
- What's involved
- Not specified in the trial record.
- Compensation
- Not stated in the trial record.
- Follow-up
- Your knee function and physical therapy visits will be tracked from before surgery until 90 days after your total knee replacement.
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Improving Rehabilitation for Veterans After Total Knee Arthroplasty Using Individualized Recovery Trajectories
At a glance
Conditions
Where it's being run
2 sites across 2 statesStudy leadership
- Jennifer E. Stevens-Lapsley, PhD · PRINCIPAL_INVESTIGATOR · Rocky Mountain Regional VA Medical Center, Aurora, CO
Who to contact
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Do you actually qualify for this trial?
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Inclusion
Exclusion
What this trial measures
- Knee Injury and Osteoarthritis Outcome - Joint Replacement (KOOS, JR)Change in KOOS Jr from preop (baseline) to postop (90 days after TKA surgery)
The KOOS-JR is a patient-reported measure of physical function developed specifically for patients with total knee arthroplasty. It can be completed quickly (only 7 items) and has established validity, reliability, and responsiveness. KOOS JR will be assessed preoperatively at baseline and re-assessed at 90 (primary timepoint) and 180 days after TKA surgery. KOOS JR will also be assessed postoperatively throughout participants' rehabilitation episode at approximately 2-week intervals up to 180 days after surgery. We will use the interval scoring method for the KOOS JR which ranges from 0 (total knee disability) to 100 (perfect knee health)
- Outpatient Physical Therapy Visit UtilizationPostoperative day 90
The total outpatient physical therapy visits used in the first 90 postoperative days by each Veteran participant will be extracted from the electronic health record after the Veteran is formally discharged from outpatient rehabilitation. Any visits that occur prior to a Veteran's surgery or in the hospital setting will not count toward the total visit number. We chose postoperative day 90 as our primary endpoint because it corresponds with the average discharge timeframe for outpatient rehabilitation after total knee arthroplasty. Visit utilization will also be assed at at 30, 60, and 180 days after TKA surgery.