Osteoarthritis

Predictive Tool Use and Willingness for Surgery in Patients With Knee Osteoarthritis: A Randomized Clinical Trial

JAMA Netw OpenPublished Randomised controlled trial

Primary result · Willingness for surgeryResult — go to the resultAdjusted odds ratio 0.85 95% CI 0.42–1.71

Authors' conclusion

Despite the absence of treatment effect on willingness for TKA, predictive tools might still enhance health outcomes of patients with knee osteoarthritis.

Study context

Population
Patients with unilateral knee OA contemplating total knee arthroplasty (TKA) who had tried nonsurgical interventions, recruited from an Australian private health insurer and a tertiary hospital public TKA waiting listrandomized
Participants
211 patients
Comparison
Online predictive tool vs treatment as usual
  • Predictive tooln = 105
  • Treatment as usual (TAU)n = 106reference
Primary endpoint
Reduction in willingness to undergo surgery
Follow-up
6 months
Methodological detailsparallel, double-masked, 2-arm, Conducted June 30, 2022 to July 31, 2023; follow-up 6 months after enrollment
  • Parallel
  • Double-masked
  • 2-arm
  • Conducted June 30, 2022 to July 31, 2023; follow-up 6 months after enrollment

Primary result

Willingness for surgery

Adjusted odds ratio

0.85

95% CI 0.42–1.71

P = 0.64

Predictive toolvs TAU
aOR 0.85 (95% CI 0.42–1.71); P = 0.64

As reported in the abstract

Original publication

Predictive Tool Use and Willingness for Surgery in Patients With Knee Osteoarthritis: A Randomized Clinical Trial. JAMA Netw Open. Published 4 March 2024. doi:10.1001/jamanetworkopen.2024.0890

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