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Sponsors and Collaborators: |
Fowler Kennedy Sport Medicine Clinic CIHR |
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Information provided by: | Fowler Kennedy Sport Medicine Clinic |
ClinicalTrials.gov Identifier: | NCT00158431 |
The purpose of this trial is to evaluate the effectiveness of arthroscopy (lavage and debridement) in conjunction with the best available non-surgical treatment versus the best available non-surgical treatment alone (medication, health education and physical therapy) in patients with osteoarthritis of the knee.
Condition | Intervention | Phase |
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Osteoarthritis |
Procedure: Arthroscopic Surgery of the Knee Procedure: the best available non-surgical treatment alone |
Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Single Blind (Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Arthroscopic Surgery Versus Non-Surgical Treatment of Osteoarthritis of the Knee |
Enrollment: | 186 |
Study Start Date: | January 1999 |
Study Completion Date: | August 2007 |
Arms | Assigned Interventions |
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1: Active Comparator
Arthroscopic Surgery of the Knee plus the optimized medical management
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Procedure: Arthroscopic Surgery of the Knee
Arthroscopic Surgery
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2: No Intervention
Optimized Medical management
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Procedure: the best available non-surgical treatment alone
education, optimized medication, weight loss where needed, HA or cortisone injections if needed, physiotherapy
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Osteoarthritis is estimated to affect half of the adult population, and by the age of 75 years, it is anticipated that 85 of 100 elderly patients will have some form of this disease. Osteoarthritis (OA) is characterized by moderate to severe pain that limits functional ability. It is suspected that the causes of this debilitating pain include irritation of the synovium, excessive subchondral bone forces and raised intra-arterial pressure. The knee is the most commonly affected weight-bearing joint. Osteoarthritis has a great social impact, as the second most common reason for work disability in the United States. The prevalence of OA is expected to increase in the coming years due to increased longevity, increased proportion of the population over the age of 75 years, and increased diagnostic ability.
Rather than further evaluations of different forms of arthroscopic surgery (ie lavage vs debridement vs abrasion) in the treatment of knee OA, we feel it is important to establish the efficacy of this technology compared to the best non-surgical treatment alone.
This is an evaluator- blinded, phase III, single-centre, group sequential randomized controlled trial in patients with osteoarthritis of the knee.
Treatment effectiveness is based upon patients' disease specific quality of life at 2 years using the Western Ontario McMaster (WOMAC) Osteoarthritis Index. In addition patients' physical function and costeffectiveness are being assessed. Costs will be estimated from the perspectives of the healthcare system, the patient/family, and society and will include the use of hospital and other resources as well as the economic implications of lost workdays associated with these alternative treatments.
This randomized clinical trial will provide high quality evidence to determine what the role of this expensive treatment is in the overall management of OA.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Canada, Ontario | |
Fowler Kennedy Sport Medicine Clinic | |
London, Ontario, Canada, N6A 3K7 |
Principal Investigator: | Peter J Fowler, MD, FRCSC | Fowler Kennedy Sport Medicine Clinic |
Responsible Party: | Fowler Kennedy Sport Medicine Clinic ( Peter Fowler ) |
Study ID Numbers: | FKSMC-CIHR-1, CIHR MCT-15227 |
Study First Received: | September 7, 2005 |
Last Updated: | December 6, 2007 |
ClinicalTrials.gov Identifier: | NCT00158431 |
Health Authority: | Canada: Health Canada |
osteoarthritis randomized trial knee quality of life |
Osteoarthritis, Knee Musculoskeletal Diseases Osteoarthritis Joint Diseases |
Arthritis Quality of Life Rheumatic Diseases |