Improving Total Knee Arthroplasty Dissatisfaction Through a Personalized Approach Focusing on PROMs Phenotypes

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorThe Cleveland Clinic

About this trial

This study is a randomized controlled trial to assess whether the implementation of a TKA Personalized Outcome Prediction Tool to set expectation, in addition to targeted interventions to address patients with poor baseline mental health and poor physical function, improves satisfaction at 1-year (when compared to standard of care).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult subject (Age >18 and < 80 years of age)

The subject is proficient in the English language

The patient is voluntarily prepared to sign the 'Informed Consent Form'

The patient is scheduled for a unilateral primary TKA

Disqualifiers

Patient requires simultaneous or staged bilateral knee replacements, staged <90 days apart

Patients undergoing revision TKA

Inflammatory arthritis

History of infection in the joint undergoing TKA

Trial design

Design model

Parallel

Treatments tested in this trial

  • Personalized outcome prediction tool + targeted interventions

    Behavioral

    * TKA Personalized Outcome Prediction Tool to aid in setting expectations * Mental Health Screening/Intervention * Physical Therapy Pre-surgery Assessments \& Rehabilitation

  • Standard of Care TKA

    Behavioral

    \- Standard of care preoperative TKA clinic appointment to discuss plan for surgery and get consent

Treatment groups

300 Participants
are divided into 2 treatment groups
Group A: Standard of Care TKAActive comparator 1 intervention
Group B: Standard of Care TKA + Personalized Outcome Prediction Tool with targeted interventionsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Satisfaction at 1 year

Patient Acceptable Symptom State (PASS) anchoring question of: "Taking into account all the activity you have during your daily life, your level of pain and also your activity limitations and participation restrictions, do you consider the current state of your knee satisfactory?" to measure satisfaction

Time frame
1 year

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

The Cleveland Clinic

Lead sponsor

American Association of Hip and Knee Surgeons

Collaborator