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Patients’ values and preferences of the expected efficacy of hip arthroscopy for osteoarthritis: a protocol for a multinational structured interview-based study combined with a randomised survey on the optimal amount of information to elicit preferences

INTRODUCTION: Symptomatic hip osteoarthritis (OA) is a disabling condition with up to a 25% cumulative lifetime risk. Total hip arthroplasty (THA) is effective in relieving patients’ symptoms and improving function. It is, however, associated with substantial risk of complications, pain and major fu...

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Autores principales: Zhang, Yuqing, Tikkinen, Kari A O, Agoritsas, Thomas, Ayeni, Olufemi R, Alexander, Paul, Imam, Maha, Yoo, Daniel, Tsalatsanis, Athanasios, Djulbegovic, Benjamin, Thabane, Lehana, Schünemann, Holger, Guyatt, Gordon H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4202002/
https://www.ncbi.nlm.nih.gov/pubmed/25326208
http://dx.doi.org/10.1136/bmjopen-2014-005536
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author Zhang, Yuqing
Tikkinen, Kari A O
Agoritsas, Thomas
Ayeni, Olufemi R
Alexander, Paul
Imam, Maha
Yoo, Daniel
Tsalatsanis, Athanasios
Djulbegovic, Benjamin
Thabane, Lehana
Schünemann, Holger
Guyatt, Gordon H
author_facet Zhang, Yuqing
Tikkinen, Kari A O
Agoritsas, Thomas
Ayeni, Olufemi R
Alexander, Paul
Imam, Maha
Yoo, Daniel
Tsalatsanis, Athanasios
Djulbegovic, Benjamin
Thabane, Lehana
Schünemann, Holger
Guyatt, Gordon H
author_sort Zhang, Yuqing
collection PubMed
description INTRODUCTION: Symptomatic hip osteoarthritis (OA) is a disabling condition with up to a 25% cumulative lifetime risk. Total hip arthroplasty (THA) is effective in relieving patients’ symptoms and improving function. It is, however, associated with substantial risk of complications, pain and major functional limitation before patients can return to full function. In contrast, hip arthroscopy (HA) is less invasive and can postpone THA. However, there is no evidence regarding the delay in the need for THA that patients would find acceptable to undergoing HA. Knowing patients’ values and preferences (VP) on this expected delay is critical when making recommendations regarding the advisability of HA. Furthermore, little is known on the optimal amount of information regarding interventions and outcomes needed to present in order to optimally elicit patients’ VP. METHODS AND ANALYSIS: We will perform a multinational, structured interview-based survey of preference in delay time for THA among patients with non-advanced OA who failed to respond to conservative therapy. We will combine these interviews with a randomised trial addressing the optimal amount of information regarding the interventions and outcomes required to elicit preferences. Eligible patients will be randomly assigned (1 : 1) to either a short or a long format of health scenarios of THA and HA. We will determine each patient's VP using a trade-off and anticipated regret exercises. Our primary outcomes for the combined surveys will be: (1) the minimal delay time in the need for THA surgery that patients would find acceptable to undertaking HA, (2) patients’ satisfaction with the amount of information provided in the health scenarios used to elicit their VPs. ETHICS AND DISSEMINATION: The protocol has been approved by the Hamilton Integrated Research Ethics Board (HIREB13-506). We will disseminate our study findings through peer-reviewed publications and conference presentations, and make them available to guideline makers issuing recommendations addressing HA and THA.
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spelling pubmed-42020022014-10-21 Patients’ values and preferences of the expected efficacy of hip arthroscopy for osteoarthritis: a protocol for a multinational structured interview-based study combined with a randomised survey on the optimal amount of information to elicit preferences Zhang, Yuqing Tikkinen, Kari A O Agoritsas, Thomas Ayeni, Olufemi R Alexander, Paul Imam, Maha Yoo, Daniel Tsalatsanis, Athanasios Djulbegovic, Benjamin Thabane, Lehana Schünemann, Holger Guyatt, Gordon H BMJ Open Surgery INTRODUCTION: Symptomatic hip osteoarthritis (OA) is a disabling condition with up to a 25% cumulative lifetime risk. Total hip arthroplasty (THA) is effective in relieving patients’ symptoms and improving function. It is, however, associated with substantial risk of complications, pain and major functional limitation before patients can return to full function. In contrast, hip arthroscopy (HA) is less invasive and can postpone THA. However, there is no evidence regarding the delay in the need for THA that patients would find acceptable to undergoing HA. Knowing patients’ values and preferences (VP) on this expected delay is critical when making recommendations regarding the advisability of HA. Furthermore, little is known on the optimal amount of information regarding interventions and outcomes needed to present in order to optimally elicit patients’ VP. METHODS AND ANALYSIS: We will perform a multinational, structured interview-based survey of preference in delay time for THA among patients with non-advanced OA who failed to respond to conservative therapy. We will combine these interviews with a randomised trial addressing the optimal amount of information regarding the interventions and outcomes required to elicit preferences. Eligible patients will be randomly assigned (1 : 1) to either a short or a long format of health scenarios of THA and HA. We will determine each patient's VP using a trade-off and anticipated regret exercises. Our primary outcomes for the combined surveys will be: (1) the minimal delay time in the need for THA surgery that patients would find acceptable to undertaking HA, (2) patients’ satisfaction with the amount of information provided in the health scenarios used to elicit their VPs. ETHICS AND DISSEMINATION: The protocol has been approved by the Hamilton Integrated Research Ethics Board (HIREB13-506). We will disseminate our study findings through peer-reviewed publications and conference presentations, and make them available to guideline makers issuing recommendations addressing HA and THA. BMJ Publishing Group 2014-10-17 /pmc/articles/PMC4202002/ /pubmed/25326208 http://dx.doi.org/10.1136/bmjopen-2014-005536 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Surgery
Zhang, Yuqing
Tikkinen, Kari A O
Agoritsas, Thomas
Ayeni, Olufemi R
Alexander, Paul
Imam, Maha
Yoo, Daniel
Tsalatsanis, Athanasios
Djulbegovic, Benjamin
Thabane, Lehana
Schünemann, Holger
Guyatt, Gordon H
Patients’ values and preferences of the expected efficacy of hip arthroscopy for osteoarthritis: a protocol for a multinational structured interview-based study combined with a randomised survey on the optimal amount of information to elicit preferences
title Patients’ values and preferences of the expected efficacy of hip arthroscopy for osteoarthritis: a protocol for a multinational structured interview-based study combined with a randomised survey on the optimal amount of information to elicit preferences
title_full Patients’ values and preferences of the expected efficacy of hip arthroscopy for osteoarthritis: a protocol for a multinational structured interview-based study combined with a randomised survey on the optimal amount of information to elicit preferences
title_fullStr Patients’ values and preferences of the expected efficacy of hip arthroscopy for osteoarthritis: a protocol for a multinational structured interview-based study combined with a randomised survey on the optimal amount of information to elicit preferences
title_full_unstemmed Patients’ values and preferences of the expected efficacy of hip arthroscopy for osteoarthritis: a protocol for a multinational structured interview-based study combined with a randomised survey on the optimal amount of information to elicit preferences
title_short Patients’ values and preferences of the expected efficacy of hip arthroscopy for osteoarthritis: a protocol for a multinational structured interview-based study combined with a randomised survey on the optimal amount of information to elicit preferences
title_sort patients’ values and preferences of the expected efficacy of hip arthroscopy for osteoarthritis: a protocol for a multinational structured interview-based study combined with a randomised survey on the optimal amount of information to elicit preferences
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4202002/
https://www.ncbi.nlm.nih.gov/pubmed/25326208
http://dx.doi.org/10.1136/bmjopen-2014-005536
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