No registrations found.
ID
Source
Brief title
Health condition
(Complete) Achilles Tendon Rupture
Sponsors and support
Intervention
Outcome measures
Primary outcome
At 3 months post-injury the following (predictive) data will be collected by means of a questionnaire and digital patient (medical) status: patient (biographical information, anthropometrics, lifestyle factors, co-morbidities), injury (ATR etiology and extent) and management (operative or conservative) data.
At 3, 6 and 12 months post-injury the following data will be collected:
Subjective: Achilles Tendon Total Rupture Score (ATRS-NL), the Euroqol-5D (EQ-5D), Oslo Sports Trauma Research Center (OSTRC) Overuse Injury Questionnaire, Injury Psychological Readiness Return to Sport Scale (I-PRRS) scale, Tampa Scale of Kinesiophobia (TSK), a study-specific questionnaire on Expectations, Motivation & Satisfaction questionnaire and reasons for failed RTS questionnaire (6 and 12 months)
Functional/Clinical: heel-rise test (endurance/strength), range of motion (ROM), tendon length, single leg hop for distance (12 months)
Imaging: Ultrasound Tissue Characterisation (UTC)
Economic: Productivity Cost Questionnaire (iPCQ) and Medical Consumption Questionnaire (iMCQ)
Secondary outcome
Recovery complications
Background summary
Rationale: Despite the acute nature and increasing incidence of the Achilles tendon rupture (ATR) there are currently no management guidelines available on treatment, rehabilitation, return to work/sports and functional recovery in the Netherlands. Moreover, the internationally published diagnostic, treatment, and rehabilitation guidelines are determined inconclusive and they lack consensus. Little data exists on patient subjective and functional recovery or predictors of optimal recovery of ATR. Additionally, the role of imaging in the monitoring of recovery is inconclusive. Only a few studies have combined multiple outcomes in assessing ATR recovery (subjective, functional/clinical, and imaging) or examined alternative imaging devices for ATR monitoring. No studies on the cost-effectiveness or barriers to return to sport (RTS) of ATR exist.
Objectives:
Primary Objective:
To explore factors contributing to optimal patient ATR recovery (subjective, functional, imaging).
Secondary Objectives:
1. To gain insight into the course of the recovery phase after ATR via multiple parameters
2. To gain insight into the cost-effectiveness of ATR management
3. To gain insight into (barriers to) RTS
Study design: Multicenter exploratory cohort study
Study population: Adult patients having suffered an ATR and treated within 3 months
Follow-up: 3, 6, and 12 months post-injury
Primary Endpoints
-The relationship between subjective, functional/clinical and imaging outcomes at 3, 6, and 12 months post-ATR and patient/injury/management data.
Secondary Endpoints:
-Changes in recovery outcomes, recovery complications (e.g. re-rupture, infection) and time out of work/sport (from questionnaires).
-Incremental Cost Effectiveness Ratio (ICER) calculation = (Costs of treatment - Costs of alternative)/ (Effects of treatment– Effects of alternative) from iPCQ, iMCQ and EQ-5D results at 3, 6, and 12 months.
-The relationship between psychosocial factors and RTS
Study objective
Exploratory study on the recovery after Achilles Tendon Rupture (ATR)
Study design
Follow-up at 3, 6, and 12 months post-injury
Intervention
Not applicable
Inclusion criteria
-Be older than 18 years of age at the time of inclusion
-Have been clinically diagnosed with an Achilles tendon rupture and have been treated less than 3 months ago at the University Medical Center Groningen (UMCG), Martini Hospital or Medisch Centrum Leeuwarden (MCL)
-Give written informed consent
Exclusion criteria
-Unable to understand Dutch
-Inability to perform and/or understand the tests and/or questionnaires
Design
Recruitment
Followed up by the following (possibly more current) registration
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL6309 |
| NTR-old | NTR6484 |
| CCMO | NL59714.042.17 |
| OMON | NL-OMON45706 |