To assess treatment results of light trauma care in the primary care setting, in comparison to light trauma care in the secondary care setting. In addition, we aim to study time consumption and costs.
ID
Source
Brief title
Condition
- Bone and joint therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
- Patient satisfaction (questionnaires after 1, 6, and 12 weeks)
Secondary outcome
- General health (GHQ questionnaire), age, SES (after 1 week)
- Complications (e.g. secondary dislocation and pain scores; questionnaire
after 12 weeks)
- Physical function (questionnaire after 12 weeks)
- Time consumption (questionnaires after 1, 6, and 12 weeks)
- Costs (economic evaluation; questionnaire after 12 weeks).
Background summary
In the Netherlands, diagnostics and treatment of non-complex fractures or
dislocations are generally organized in the secondary care setting. In
contrast, since 2012 the general practice *Zorgplein Lemmer* uses X-ray
diagnostics for selected groups of patients, including those with light
traumas. The X-ray*s are digitally transmitted to the radiologist, saving the
patient a visit to the hospital. However, when a fracture or dislocation is
diagnosed, the patient still needs to be transported to the hospital to get
treatment. Nowadays, substitution of care from the secondary to the primary
care setting is stimulated by the government and insurers and in that light we
aim to study the treatment results of light trauma care for non-complex
fractures or dislocations in the primary care setting. When the general
practitioners in our study obtain similar treatment results as the nearby
hospitals, light trauma care may be substituted nationwide and beyond.
Study objective
To assess treatment results of light trauma care in the primary care setting,
in comparison to light trauma care in the secondary care setting. In addition,
we aim to study time consumption and costs.
Study design
Quasi-randomized non-inferiority trial (patients presenting on Monday,
Wednesday, or Friday 08.00-11.30: intervention group; patients presenting on
Monday, Wednesday, or Friday afternoon or Tuesday and Thursday: control group).
Intervention
Treatment in the general practice (intervention group) or in the hospital
(control group), in both groups by qualified personnel and in accordance with
equal national guidelines.
Study burden and risks
There is a very low risk associated with participating in this study, namely
the treatment results in the primary care setting might be inferior compared to
treatment in the emergency department. To reduce quality concerns, the
participating general practitioners will be extensively trained and are
encouraged to contact a radiologist, trauma surgeon or emergency care doctor at
any moment. The burden for participating patients will very low because they
will only be asked to fill in a few questionnaires, which take about one and a
half hours in total to fill in.
Harlingertrekweg 53
Leeuwarden 8913 HR
NL
Harlingertrekweg 53
Leeuwarden 8913 HR
NL
Listed location countries
Age
Inclusion criteria
200 patients (*12 years old) with non-complex fractures or dislocations which may be treated in the primary care setting.
Exclusion criteria
Complex fractures/dislocations which may not be safely treated in the general practice, or fractures/dislocations presented outside regular working hours.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL59525.099.17 |