Impact of Evidence-Based Nonsurgical Management Guidelines on Outcomes for Disabling Knee Injuries: Long Term Health Deficits, Disability, and Economic Analysis
Abstract
Our overall objective is to improve the non-surgical management of military beneficiaries who have been recently diagnosed with knee OA. 1. Compare the effectiveness of two early management strategies (Core Set vs. Core Set +PT) for Tricare beneficiaries recently diagnosed with knee OA by a primary care provider in the MHS for the primary outcome of knee function collected over the 2-year follow-up period. 2. Compare the effectiveness of the two early management strategies for secondary outcomes including knee pain, sleep disturbance, psychological distress (anxiety and depression),activity profile status, knee-related health care costs and utilization of invasive OA-related health care procedures (injections, arthroscopy, TKA) collected over the 2-year follow-up period. 3. Explore primary and secondary outcomes of the two early management strategies for sub-groups of patients recently diagnosed with knee OA based on OA etiology (post-traumatic vs. degenerative) and age at diagnosis (<50 vs. >50). 4. Compare the cost-effectiveness of two early management strategies collected over the 2-year follow-up period. 5. Evaluate the mediating effects of co-morbidities (sleep disturbance and psychosocial factors) and/or physical activity self-efficacy on the primary outcome.
Document Details
- Document Type
- Technical Report
- Publication Date
- Oct 01, 2019
- Accession Number
- AD1108829
Entities
People
- Daniel I Rhon
Organizations
- Geneva Foundation