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Open Access Study protocol

Telephone follow-up by nurse following total knee arthroplasty – protocol for a randomized clinical trial (NCT 01771315)

Kirsten Szöts1*, Hanne Konradsen2, Søren Solgaard3 and Birte Østergaard4

Author Affiliations

1 Department of Orthopaedic Surgery, University Hospital, Niels Andersens Vej 65, 2900 Hellerup, Denmark

2 Research Unit, Gentofte University Hospital, Niels Andersens Vej 65, 2900 Hellerup, Denmark

3 Department of Orthopaedic Surgery, Gentofte University Hospital, Niels Andersens Vej 65, 2900 Hellerup, Denmark

4 Research Unit of Nursing, Institute of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark

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BMC Nursing 2014, 13:14  doi:10.1186/1472-6955-13-14

Published: 21 May 2014

Abstract

Background

Due to shorter hospitalization, patients have to take responsibility for their rehabilitation period at a very early stage. The objective of this trial is to study the effects of two treatment schemes following total knee arthroplasty: conventional treatment following discharge from hospital and early follow-up by telephone consultations in addition to conventional treatment following discharge from hospital. The ultimate aim is to increase the effectiveness of the treatment by improving patients' health status, promote self-efficacy, and reduce the number of acute visits to the orthopaedic outpatient clinic during the rehabilitation period.

Method/design

The design is a randomized un-blinded parallel group clinical trial conducted at the Department of Orthopaedic Surgery, Gentofte Hospital, the Capital Region of Denmark. In total, 116 patients will be allocated by an external randomization program to 2 groups: an intervention group following usual treatment after discharge supplemented by a nurse managed structured follow-up consultation conducted by telephone 4 and 14 days after discharge from hospital and a control group following treatment as usual. The consultations are structured by key subjects relevant to assess the health status according to the VIPS-model (the Swedish acronym for the concepts Well-being, Integrity, Prevention and Safety). The content of the consultations can vary according to the patients´ individual situations and needs. All consultations are conducted by the researcher responsible for the trial.

The effect is measured 1, 3, 6 and 12 months post-surgery. The primary outcome is self-reported physical function measured by The Western Ontario and McMaster Universities Arthritis Index. Secondary outcomes are self-reported health-related quality of life, general self-efficacy and the number of acute visits to the orthopaedic outpatient clinic.

Discussion

The result of this trial is expected to provide new knowledge to support the development of targeted and effective follow-up after total knee arthroplasty in order to improve the patients´ health-related knowledge and skills of being able to take actively part in their illness and improve their health status.

Trial registration

ClinicalTrials.gov: NCT01771315

Keywords:
Total knee arthroplasty; Telephone follow-up; Health status; Self-efficacy