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Trial registered on ANZCTR
Registration number
ACTRN12621001687886
Ethics application status
Approved
Date submitted
21/11/2021
Date registered
10/12/2021
Date last updated
30/11/2022
Date data sharing statement initially provided
10/12/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
SMART-KNEE External Validation Study: New Zealand
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Scientific title
Patient-focused prognostic tools used to predict outcomes in Total Knee Arthroplasty: A New Zealand external validation study
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Secondary ID [1]
305853
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Knee Osteoarthritis
324389
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Condition category
Condition code
Musculoskeletal
321873
321873
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0
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Osteoarthritis
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
For patients undergoing unilateral primary total knee arthroplasty in Northland and Bay of Plenty, New Zealand, we will be recording basic demographic data and VR-12 and EQ-5D-3L forms pre surgery, 6months and 12months post surgery, in order to retrospectively use the SMART-KNEE and After my surgery prognostic tools. Based upon these results, we can then possibly validate these tools for use in New Zealand.
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Intervention code [1]
322248
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Accuracy of the SMART-KNEE tool in predicting outcomes of patients post unilateral primary total knee arthroplasty via the VR-12 form
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Assessment method [1]
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Timepoint [1]
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12 months
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Secondary outcome [1]
403218
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Accuracy of the After my Surgery tool in predicting outcomes of patients post unilateral primary total knee arthroplasty via the EQ-5D-3L form
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Assessment method [1]
403218
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Timepoint [1]
403218
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6 months
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Eligibility
Key inclusion criteria
• Diagnosed with knee OA
• Imminently about to undergo primary unilateral TKA (by imminently, we mean is within 2 to 3 weeks of surgery including up to and on the day of surgery)
• Are willing and able to complete online PROMs tools
• Able to provide informed consent to participate
• Are available to be followed up for the duration of the study
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Minimum age
45
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• Source of knee symptoms is considered to be from any cause other than knee OA eg, rheumatoid arthritis, hip osteoarthritis, referred lower back pain, post traumatic arthritis, previous septic arthritis of the knee etc.
• Are undergoing bilateral TKA, revision TKA, unicondylar knee arthroplasty (UKA), or patellofemoral arthroplasty
• Significant bilateral knee symptoms
• Intra-articular injection in the affected knee within the last 3 months
• Patients younger than 45years
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
A power analysis calculation has been performed to estimate the sample size for this study. We used preliminary results from the developers of SMART-KNEE to estimate effect size. Standard values for alpha at 0.05 and beta at 0.8 were used to scale our calculation. We predict that approximately 200 participants will be required to provide a meaningful outcome to this study.
Once the study follow up period is completed, we aim to retrospectively use the tools on the collected patient data to determine the accuracy of their predictions.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
17/01/2022
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Actual
2/04/2022
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Date of last participant enrolment
Anticipated
31/01/2023
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Actual
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Date of last data collection
Anticipated
31/01/2024
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Actual
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Sample size
Target
200
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Accrual to date
17
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Final
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Recruitment outside Australia
Country [1]
24344
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New Zealand
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State/province [1]
24344
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Northland and Bay of Plenty
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Funding & Sponsors
Funding source category [1]
310206
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Charities/Societies/Foundations
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Name [1]
310206
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Wishbone Foundation
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Address [1]
310206
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Wishbone Foundation
c/o NZOA
Level 12 Ranchhod Tower
39 The Terrace
Wellington, 6011
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Country [1]
310206
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New Zealand
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Primary sponsor type
Individual
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Name
Dr Michael English
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Address
Whangarei Hospital
Maunu Road
Whangarei
0148
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Country
New Zealand
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Secondary sponsor category [1]
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Individual
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Name [1]
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Mr Marc Hirner
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Address [1]
311298
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Whangarei Hospital
Maunu Road
Whangarei
0148
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Country [1]
311298
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
309886
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HDEC NZ
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Ethics committee address [1]
309886
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Ministry of Health Health and Disability Ethics Committees PO Box 5013 Wellington 6140
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Ethics committee country [1]
309886
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New Zealand
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Date submitted for ethics approval [1]
309886
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01/12/2021
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Approval date [1]
309886
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14/12/2021
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Ethics approval number [1]
309886
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Summary
Brief summary
We know that total knee arthroplasty (replacement) can be an effective procedure for patients suffering from knee osteoarthritis in improving their quality of life. However, up to 20percent of patients can remain unsatisfied after their procedure. The decision to undergo total knee arthroplasty can be complex and intimidating for an individual patient. This study aims to validate the SMART-KNEE tool in a New Zealand population. The SMART-KNEE tool is a prognostic tool that provides individual patients a prediction of their outcome following total knee arthroplasty in the form of a likelihood score. It has been developed by the University of Melbourne in Australia. It is patient focused, i.e., it is designed to only require input/data from a patient and not rely on any information a clinician may have to provide. It compares the patient’s own responses to a large pool of similar patients who have already undergone total knee arthroplasty whose outcomes we already know through a large managed database. It is designed to reflect a minimally important difference for the patient. A similar tool, the ‘After my surgery’ tool developed by York University in the UK also exists. Likewise, this tool has also not been validated in a New Zealand population. We will also be aiming to validate this tool as well in our study as a secondary objective. To our knowledge, no such tool has been validated or created in a New Zealand population. These tools can help inform a patient prior to undergoing total knee arthroplasty by telling them how likely they are to benefit. This comes in the form of percentages of likelihood to benefit, have no change, or be worse off after knee arthroplasty. This can add to the patient’s understanding of whether they wish to undergo this procedure, but also help manage their expectations of it. This study will collect the data necessary to use these two tools for approximately 200 New Zealand based participants who are about to undergo total knee arthroplasty. We will then follow their outcomes be recollecting the necessary quality of life surveys. We can then retrospectively use the tools and see if their predictions are accurate. If they prove to be accurate, then we can validate them and recommend them for wider use.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Michael English
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Address
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Whangarei Hospital
Maunu Road
Whangarei
0148
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Country
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New Zealand
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Phone
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+64 273635021
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Michael English
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Address
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Whangarei Hospital
Maunu Road
Whangarei
0148
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Country
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New Zealand
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Phone
115731
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+64 273635021
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Fax
115731
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Email
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[email protected]
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Contact person for scientific queries
Name
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Michael English
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Address
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Whangarei Hospital
Maunu Road
Whangarei
0148
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Country
115732
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New Zealand
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Phone
115732
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+64 273635021
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Fax
115732
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Email
115732
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
All of the individual participant date after de-identification underlying published results
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When will data be available (start and end dates)?
After publication, and be available for 5 years
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Available to whom?
Only researchers who provide a methodologically sound proposal on a case-by-case basis at the discretion of Primary Sponsor
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Available for what types of analyses?
only to achieve the aims in the approved proposal
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How or where can data be obtained?
access subject to approvals by Principal Investigator
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
14173
Study protocol
383168-(Uploaded-09-12-2021-08-05-45)-Study-related document.pdf
14174
Informed consent form
383168-(Uploaded-09-12-2021-08-08-01)-Study-related document.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF