Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12605000629639
Ethics application status
Approved
Date submitted
13/09/2005
Date registered
12/10/2005
Date last updated
19/01/2006
Type of registration
Retrospectively registered
Titles & IDs
Public title
Alternative Referrals for ACC Injuries
Query!
Scientific title
A randomised controlled trial of GPSI versus Usual Care in the treatment of general practice patients with musculoskeletal injuries.
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Musculoskeletal injuries
757
0
Query!
Condition category
Condition code
Musculoskeletal
833
833
0
0
Query!
Other injuries and accidents
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Advanced injury care by a GP with a Special Interest (GPSI) and advanced training in musculoskeletal injury care. Duration of the intervention is until resolution of the injury or up to 6 months from trial entry.
Query!
Intervention code [1]
541
0
Other interventions
Query!
Comparator / control treatment
Query!
Control group
Active
Query!
Outcomes
Primary outcome [1]
1070
0
Time from referral to a patient's functional recovery.
Query!
Assessment method [1]
1070
0
Query!
Timepoint [1]
1070
0
Query!
Secondary outcome [1]
1983
0
Waiting time to first specialist orthopaedic assessment
Query!
Assessment method [1]
1983
0
Query!
Timepoint [1]
1983
0
Query!
Secondary outcome [2]
1984
0
Patients satisfaction with care
Query!
Assessment method [2]
1984
0
Query!
Timepoint [2]
1984
0
Query!
Secondary outcome [3]
1985
0
Time off work
Query!
Assessment method [3]
1985
0
Query!
Timepoint [3]
1985
0
Query!
Eligibility
Key inclusion criteria
1.Adult Dunedin residents affected by an orthopaedic injury covered by ACC, who would normally be referred by their general practitioners to an orthopaedic surgeon where the referral is not Immediate or Urgent as outlined in the National Access Criteria for First Assessment, February 2001.2. Patients who consent to participate in the study and agree to be randomised to either GPSI or normal care.
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
Not stated
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
1. Patients unable or unwilling to consent to participate in the study on their own behalf. 2. Registered patients who normally receive all their general practice care from the four Dunedin GPSIs. 3.Dunedin residents affected by an injury covered by ACC, where the referral to an orthopaedic surgeon is Immediate or Urgent as outlined in the National Access Criteria for First Assessment, February 2001. 4. Dunedin residents affected by an injury covered by ACC, whose care would normally be entirely managed by their general practitioner or another primary care provider.
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
numbered containers
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
random number generation using computer software SPSS - without blocking or stratification
Query!
Masking / blinding
Blinded (masking used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Query!
Type of endpoint/s
Safety/efficacy
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Recruiting
Query!
Date of first participant enrolment
Anticipated
11/08/2005
Query!
Actual
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
110
Query!
Accrual to date
Query!
Final
Query!
Recruitment outside Australia
Country [1]
210
0
New Zealand
Query!
State/province [1]
210
0
Query!
Funding & Sponsors
Funding source category [1]
921
0
Charities/Societies/Foundations
Query!
Name [1]
921
0
South Link Health Inc
Query!
Address [1]
921
0
Query!
Country [1]
921
0
New Zealand
Query!
Primary sponsor type
Charities/Societies/Foundations
Query!
Name
South Link health Inc
Query!
Address
Query!
Country
New Zealand
Query!
Secondary sponsor category [1]
779
0
Commercial sector/Industry
Query!
Name [1]
779
0
Accident Compensation Corporation
Query!
Address [1]
779
0
Query!
Country [1]
779
0
New Zealand
Query!
Ethics approval
Ethics application status
Approved
Query!
Summary
Brief summary
Annually in Dunedin ACC covers care for about 1500 patients with musculoskeletal injuries. These patients are currently referred to the orthopaedic surgeon for assessment, investigation, and/or surgical treatment. About 33% ultimately have orthopaedic surgery. The remaining 67% receive care that could be delivered by GPs with access to appropriate resources (e.g. MRI and CT scans) and training in advanced primary care procedures (e.g. joint injection). Waiting times from referral by their GP to first assessment by orthopaedic surgeons currently average 13 weeks. Earlier assessment and/or intervention by a GP with a special interest in orthopaedics (GPSI) may reduce the time patients wait until they have definitive treatment and thereby reduce their time to functional recovery. Alternatively, GPSI care may simply delay needed orthopaedic surgical intervention. The GPSI programme is new to New Zealand. We propose to study its introduction in Dunedin. The study will not alter the processes already established to manage appropriate care for patients with orthopaedic injuries EXCEPT by randomising the first 110 eligible patients to Usual Care or GPSI care. Most study data will come from data routinely collected on ACC forms and in patient records.
Query!
Trial website
Query!
Trial related presentations / publications
Query!
Public notes
Query!
Contacts
Principal investigator
Name
35320
0
Query!
Address
35320
0
Query!
Country
35320
0
Query!
Phone
35320
0
Query!
Fax
35320
0
Query!
Email
35320
0
Query!
Contact person for public queries
Name
9730
0
Professor Murray Tilyard
Query!
Address
9730
0
South Link Health Inc
Level 9
10 George St
PO Box 6032
Dunedin
Query!
Country
9730
0
New Zealand
Query!
Phone
9730
0
+64 3 4772628
Query!
Fax
9730
0
Query!
Email
9730
0
[email protected]
Query!
Contact person for scientific queries
Name
658
0
Associate Professor Susan Dovey
Query!
Address
658
0
Department of General Practice
Dunedin School of Medicine
University of Otago
PO Box 913
Dunedin
Query!
Country
658
0
New Zealand
Query!
Phone
658
0
+64 3 4794135
Query!
Fax
658
0
Query!
Email
658
0
[email protected]
Query!
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
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