Cost Information on Carpal Tunnel Syndrome Treatment Decisions

NCT ID: NCT03880812

Last Updated: 2019-03-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

184 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-24

Study Completion Date

2018-12-26

Brief Summary

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The purpose of this study was to determine whether the provision of societal cost information affects patients' decisions whether or not to undergo surgical management in carpal tunnel syndrome, using a hypothetical scenario.

Detailed Description

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Given the large societal costs of carpal tunnel surgery and existence of a relatively inexpensive treatment option, carpal tunnel release provides fertile ground for testing whether societal costs can influence patient decision-making in hand surgery. Such work would inform future efforts to reduce societal healthcare costs by elucidating whether appeals to societal cost are effective at driving stewardship of limited healthcare resources at the patient level. In this study, the investigators aimed to answer this question by presenting participants with a hypothetical scenario in which the participants had to choose between surgery and wrist bracing for carpal tunnel syndrome. Participants were randomized into two cohorts and societal cost information was presented to the intervention group. The effect of societal cost information on treatment choice is assessed, along with participants' healthcare attitudes.

Conditions

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Carpal Tunnel Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients were randomized in an intervention group that reviewed societal costs associated with carpal tunnel release and a control group that did not.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cost group

These patients reviewed total societal costs associated with carpal tunnel release.

Group Type EXPERIMENTAL

Societal cost

Intervention Type OTHER

Annual societal cost information to the US for carpal tunnel release surgery was displayed.

No cost group

These patients did not review total societal costs associated with carpal tunnel release.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Societal cost

Annual societal cost information to the US for carpal tunnel release surgery was displayed.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* English speaking upper extremity patients
* Nontraumatic condition

Exclusion Criteria

* Traumatic condition
Minimum Eligible Age

18 Years

Maximum Eligible Age

89 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Stanford University

OTHER

Sponsor Role collaborator

University of Texas at Austin

OTHER

Sponsor Role lead

Responsible Party

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David Ring

Associate Dean for Comprehensive Care and Professor, Department of Surgery and Perioperative Care

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Austin Regional Clinic

Austin, Texas, United States

Site Status

Texas Orthopedics

Austin, Texas, United States

Site Status

HTB Musculoskeletal Institute

Austin, Texas, United States

Site Status

Seton Institute for Plastic and Reconstructive Surgery

Austin, Texas, United States

Site Status

Orthopedic Specialists of Austin

Austin, Texas, United States

Site Status

ATX Ortho

Austin, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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2018-09-0067

Identifier Type: -

Identifier Source: org_study_id

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