UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000037114
Receipt number R000042287
Scientific Title Effect of early postoperative pain management education for high tibial osteotomy patients: a quasi-randomized controlled trial
Date of disclosure of the study information 2019/06/19
Last modified on 2021/11/18 16:17:16

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Basic information

Public title

Effect of early postoperative pain management education for high tibial osteotomy patients: a quasi-randomized controlled trial

Acronym

Effect of early postoperative pain management education for high tibial osteotomy patients: a quasi-randomized controlled trial

Scientific Title

Effect of early postoperative pain management education for high tibial osteotomy patients: a quasi-randomized controlled trial

Scientific Title:Acronym

Effect of early postoperative pain management education for high tibial osteotomy patients: a quasi-randomized controlled trial

Region

Japan


Condition

Condition

high tibial osteotomy patient

Classification by specialty

Orthopedics Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Evaluation of the effectiveness of postoperative pain management education by physical therapists in high tibial osteotomy patients

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Pain of rest and walking using the numerical rating scale at pre-operation and post-operation 5weeks

Key secondary outcomes

Pain catastrophizing using the pain catastrophizing scale, pain self efficacy using pain self efficacy questionnaire, pain pain management strategies using coping strategy questionnaire, 10m walking test, and isometric muscle strength at pre-operation and post-operation 5weeks


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Prevention

Type of intervention

Behavior,custom

Interventions/Control_1

Control group: rehabilitation alone (60 min/day, 6 times/week)

Interventions/Control_2

Intervention group 1: combined rehabilitation and group-style pain management education (5 sessions of 1 hour/session for a total of 5 weeks)

Interventions/Control_3

Intervention group 2: combined rehabilitation and group-style and video use pain management education (3 sessions of about 15 minutes per video, viewed preoperatively, 3 weeks postoperatively, and 5 weeks postoperatively)

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) read and speak Japanese and provided informed consent
(2) had a diagnosis of osteoarthritis as determined by their orthopedic surgeons, and(3) were scheduled for primary (not revision) unilateral open-wedge HTO

Key exclusion criteria

(1) scheduled for revision arthroplasty surgery
(2) unable to or declined to provide consent for study participation
(3) had a self-reported diagnosis of inflammatory arthritis (i.e., rheumatoid arthritis, systemic lupus erythematosus, or ankylosing spondylitis)
(4) had neurological or psychological disease
(5) scheduled to undergo HTO because of a fracture, malignancy, or infection
(6) scheduled for bilateral HTO
(7) scheduled for unilateral arthroplasty
(8) reported plans to undergo hip or knee arthroplasty within 6 months after the current HTO

Target sample size

195


Research contact person

Name of lead principal investigator

1st name Naoki
Middle name
Last name Deguchi

Organization

Fukuoka rehabilitation hospital

Division name

Department of Rehabilitation

Zip code

8198551

Address

7-220 Nokata, Nishi-ku, Fukuoka-shi, Fukuoka

TEL

092-812-1555

Email

degunao722@yahoo.co.jp


Public contact

Name of contact person

1st name Naoki
Middle name
Last name Deguchi

Organization

Fukuoka rehabilitation hospital

Division name

Department of Rehabilitation

Zip code

8198551

Address

7-220 Nokata, Nishi-ku, Fukuoka-shi, Fukuoka

TEL

0928121555

Homepage URL


Email

degunao722@yahoo.co.jp


Sponsor or person

Institute

Department of Rehabilitation, Fukuoka Rehabilitation Hospital

Institute

Department

Personal name



Funding Source

Organization

Fukuoka Rehabilitation Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Fukuoka Rehabilitation Hospital

Address

7-220 Nokata, Nishi-ku, Fukuoka-shi, Fukuoka

Tel

092-812-1555

Email

degunao722@yahoo.co.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2019 Year 06 Month 19 Day


Related information

URL releasing protocol

https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-019-2913-5

Publication of results

Partially published


Result

URL related to results and publications

https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-019-2913-5

Number of participants that the trial has enrolled

98

Results

After propensity score matching, 52 pairs of patients were extracted. In the intervention group, 46 patients completed the PNE. In total, 44 patients in the intervention group and 52 patients in the control group were analyzed. Five weeks following surgery, the rehabilitation itself had also significantly decreased catastrophizing, and the difference between the two groups had only a small effect size(d=0.44).

Results date posted

2021 Year 11 Month 18 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The baseline demographics and knee symptom characteristics of the patients in the intervention and control groups before and after the propensity score-matching analysis. There were significant differences in age and complications before study enrollment between the two groups, but no significant differences were present after adjustment.

Participant flow

Of the 266 screened patients who underwent HTO, 197 patients were eligible and agreed to enroll in this study. Of these 197 patients, 119 had a PCS score of >21 and thus qualified for the current study. These patients were then pseudo-randomized into each group by a propensity score-matching analysis, resulting in 52 patients in the intervention group and 52 patients in the control group. Eight patients in the intervention group were excluded from the analysis.

Adverse events

no

Outcome measures

Pain catastrophizing scale, pain self-efficacy Questionnaire, isometric knee extension strength, and 10-m walking test

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2014 Year 04 Month 01 Day

Date of IRB

2014 Year 03 Month 12 Day

Anticipated trial start date

2014 Year 04 Month 01 Day

Last follow-up date

2019 Year 03 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2019 Year 06 Month 19 Day

Last modified on

2021 Year 11 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042287


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name