Understanding the Differences in the Management of Patients With Arthritis of the Knee or Hip

This study has been completed.

Sponsors and Collaborators:	Department of Veterans Affairs University of Pittsburgh
Information provided by:	Department of Veterans Affairs
ClinicalTrials.gov Identifier:	NCT00105677

Purpose

The purpose of this study is to examine cultural and clinical context factors in African-American and white veterans with knee or hip osteoarthritis with a focus on how these factors may be potentially modifiable determinants of willingness to consider joint replacement.

Condition
Osteoarthritis Arthritis, Degenerative Osteoarthritis, Hip Osteoarthritis, Knee

MedlinePlus related topics: Osteoarthritis

U.S. FDA Resources

Study Type:	Observational
Official Title:	Reasons for Disparities in Joint Replacement Utilization

Further study details as provided by Department of Veterans Affairs:

Estimated Enrollment:	980
Study Start Date:	August 2004
Study Completion Date:	September 2006

Groups/Cohorts
1

Detailed Description:

The study focuses on identifying potentially modifiable determinants of patients� willingness to consider joint replacement as a treatment option for osteoarthritis of the knee or hip. This line of research is informed by not only our prior work but also recent studies on health disparities and patient decision-making. Our long-term goal is the development and evaluation of interventions to target these determinants of willingness in order to eliminate ethnic disparities in joint replacement. The study findings will assist in laying the groundwork for the design of such interventions for patients with osteoarthritis.

Eligibility

Ages Eligible for Study:	50 Years to 79 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Chronic, frequent knee or hip pain based on the National Health And Nutrition Examination Survey
Age >50 and <80 (at least 50 but not to exceed 79 years of age)
Severe or extreme knee or hip OA on the Western Ontario and McMaster Universities Osteoarthritis Index (i.e., score greater than or equal to 39)

Exclusion Criteria:

Prior history of knee or hip joint replacement
Terminal illness (i.e., end-stage cancer, CHF, COPD, etc.)
Physician-diagnosed inflammatory arthritis
Dementia
Prosthetic leg

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00105677

Locations

United States, Pennsylvania
Center for Health Equity Research and Promotion
Pittsburgh, Pennsylvania, United States, 15206

Sponsors and Collaborators

Department of Veterans Affairs

University of Pittsburgh

Investigators

Principal Investigator:

C. Kent Kwoh, MD

Center for Health Equity Research and Promotion

More Information

Click here for more information about this study: Reasons for Disparities in Joint Replacement Utilization This link exits the ClinicalTrials.gov site

This link exits the ClinicalTrials.gov site

Publications of Results:

Groeneveld PW, Kwoh CK, Mor MK, Appelt CJ, Geng M, Gutierrez JC, Wessel DS, Ibrahim SA. Racial differences in expectations of joint replacement surgery outcomes. Arthritis Rheum. 2008 May 15;59(5):730-7.

Emejuaiwe N, Jones AC, Ibrahim SA, Kwoh CK. Disparities in joint replacement utilization: a quality of care issue. Clin Exp Rheumatol. 2007 Nov-Dec;25(6 Suppl 47):44-9.

Responsible Party:	Department of Veterans Affairs ( Kwoh, C. - Principal Investigator )
Study ID Numbers:	ECV 03-201
Study First Received:	March 16, 2005
Last Updated:	October 31, 2008
ClinicalTrials.gov Identifier:	NCT00105677
Health Authority:	United States: Federal Government

Keywords provided by Department of Veterans Affairs:

Racial/ethnic health disparities
Attitudes
Osteoarthritis Management
Patient Perceptions

Study placed in the following topic categories:

Osteoarthritis, Knee
Musculoskeletal Diseases
Osteoarthritis
Joint Diseases

Arthritis
Rheumatic Diseases
Osteoarthritis, Hip

ClinicalTrials.gov processed this record on January 16, 2009