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Hip and Knee Osteoarthritis Toolkit. Version 1: Research Project Integrating Shared Decision Making into Care of Patients with Knee Osteoarthritis: Proposed Patient Flow. TOTAL JOINT REGISTRY Phase I. Patient Inclusion Criteria

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hip and knee osteoarthritis toolkit

Hip and Knee Osteoarthritis Toolkit

Version 1: Research Project Integrating Shared Decision Making into Care of Patients with Knee Osteoarthritis: Proposed Patient Flow

total joint registry phase i
TOTAL JOINT REGISTRYPhase I

Patient Inclusion Criteria

  • Using the Knee patient triage system, patients will be prospectively pre-selected if their clinic appointment is for:
    • Known OA
    • Consideration for TKA
    • Previous knee surgery
total joint registry phase i1

All “pre-selected” Knee patients will complete tablet PC-based questionnaires

  • KNEE
  • REGISTRY
  • Initial Visit Data
  • Personal data
  • Knee Society Score
  • SF-36
  • Co-morbidity data
  • Decisional conflict scale (before and after video0
  • Knowledge verification (AFTER VIDEO0
TOTAL JOINT REGISTRYPhase I

Knee patients who are felt by MD to be candidates for TKR will be identified

HALF

HALF

STUDY

GROUP

CONTROL

GROUP

SHARED

DECISION

MAKING

Only half of patients will be randomly selected and asked to participate in Shared Decision Making process, the remainder will not

total joint registry shared decision making module
TOTAL JOINT REGISTRYShared Decision-Making Module
  • Patients randomly selected for SDM module will be able to accept or decline
  • Those who accept:
    • Are enrolled into SDM clinical trial
    • Answer questions via Tablet PC before and after watching decision aid about:
      • Values influencing decision
      • Decisional anxiety
      • “Quiz” about comprehension of TKR-related issues
total joint registry shared decision making module1
TOTAL JOINT REGISTRYShared Decision-Making Module
  • Patients randomly selected for SDM module will be able to accept or decline
  • Those who decline:
    • Are not enrolled into SDM clinical trial and do not watch decision aid (video about TKR)
    • Are asked to answer:
      • “Quiz” about comprehension of TKR-related issues
      • Question about why they declined invitation for SDM
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