MonitOring the health trajectory of patients with kNee osteoarthritis referred for orthopaedic opinion: Protocol for the MOTION parallel cohort-implementation studyStrengths and Limitations
Objective: This parallel cohort-implementation study, termed MonitOring the health Trajectory of patients with kNee osteoarthritis (MOTION), aims to understand treatment pathways and outcomes for people with knee osteoarthritis referred to Australian public hospitals for orthopaedic assessment (Part...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-09-01
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| Series: | Osteoarthritis and Cartilage Open |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2665913125000585 |
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| author | Christian J. Barton Michelle Dowsey Anne Smith Ilana N. Ackerman Zanfina Ademi Samantha Bunzli Peter Choong Kay M. Crossley Joanne Kemp Jason A. Wallis Alison Gibbs Vincent Lengkong Allison M. Ezzat Juanita Low Zhomart Orman Nicholas F. Taylor Anna Wong Shee Natasha A. Lannin Ewa M. Roos Raph Hau Angela Cochrane Mia Pithie Emma Draffin David Mitchell Trevor Russell Danilo De Oliveira Silva |
| author_facet | Christian J. Barton Michelle Dowsey Anne Smith Ilana N. Ackerman Zanfina Ademi Samantha Bunzli Peter Choong Kay M. Crossley Joanne Kemp Jason A. Wallis Alison Gibbs Vincent Lengkong Allison M. Ezzat Juanita Low Zhomart Orman Nicholas F. Taylor Anna Wong Shee Natasha A. Lannin Ewa M. Roos Raph Hau Angela Cochrane Mia Pithie Emma Draffin David Mitchell Trevor Russell Danilo De Oliveira Silva |
| author_sort | Christian J. Barton |
| collection | DOAJ |
| description | Objective: This parallel cohort-implementation study, termed MonitOring the health Trajectory of patients with kNee osteoarthritis (MOTION), aims to understand treatment pathways and outcomes for people with knee osteoarthritis referred to Australian public hospitals for orthopaedic assessment (Part A cohort study), and how improving access to first-line care might improve outcomes (Part B implementation study). Methods and analysis: We will recruit approximately 400 adults with knee osteoarthritis referred for orthopaedic opinion to one of four public hospitals in Victoria, Australia. A subgroup enrolled in the study (n = 109) will receive improved access to community-based first-line care. Outcomes will be evaluated at baseline, 4-, 8-, 12- (primary end point), 24- and 60-months. The primary outcome will divide the cohort into 1's (willing to undergo, waitlisting for, or undergone, TKR surgery) or 0's (not willing to undergo, not undergone, and not waitlisted for, TKR surgery). Secondary outcomes include pain, knee- and health-related quality of life, physical activity participation and health care utilisation. Surgical and health trajectories will be reported descriptively, with factors associated with outcomes explored. The effectiveness of improving access to first-line care will be determined through propensity score methods. The cost-effectiveness of improving access to first-line care will be also be determined, and semi-structured interviews (1:1 and focus groups) involving participants, health professionals, administrators, and research team will inform a comprehensive process evaluation. Ethics and dissemination: Approved by St Vincent's Hospital Melbourne Human Research Ethics Committee (HREC 251/21). Findings will be disseminated to stakeholders including via conferences, peer-reviewed journals, and social and mainstream media. |
| format | Article |
| id | doaj-art-9ca0de083f274009aa392a1afde0b7aa |
| institution | DOAJ |
| issn | 2665-9131 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Osteoarthritis and Cartilage Open |
| spelling | doaj-art-9ca0de083f274009aa392a1afde0b7aa2025-08-20T03:05:52ZengElsevierOsteoarthritis and Cartilage Open2665-91312025-09-017310062210.1016/j.ocarto.2025.100622MonitOring the health trajectory of patients with kNee osteoarthritis referred for orthopaedic opinion: Protocol for the MOTION parallel cohort-implementation studyStrengths and LimitationsChristian J. Barton0Michelle Dowsey1Anne Smith2Ilana N. Ackerman3Zanfina Ademi4Samantha Bunzli5Peter Choong6Kay M. Crossley7Joanne Kemp8Jason A. Wallis9Alison Gibbs10Vincent Lengkong11Allison M. Ezzat12Juanita Low13Zhomart Orman14Nicholas F. Taylor15Anna Wong Shee16Natasha A. Lannin17Ewa M. Roos18Raph Hau19Angela Cochrane20Mia Pithie21Emma Draffin22David Mitchell23Trevor Russell24Danilo De Oliveira Silva25Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia; Corresponding author. Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia.Department of Orthopaedics, St Vincent's Hospital, Victoria, Australia; University of Melbourne Department of Surgery, St. Vincent's Hospital, Melbourne, Victoria, AustraliaSchool of Allied Health, Curtin University, Perth, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, AustraliaCentre for Medicine Use and Safety, Monash University, Melbourne, AustraliaSchool of Health Sciences and Social Work, Griffith University, Queensland, Australia; Physiotherapy Department, Royal Brisbane and Women's Hospital, Queensland, AustraliaDepartment of Orthopaedics, St Vincent's Hospital, Victoria, Australia; University of Melbourne Department of Surgery, St. Vincent's Hospital, Melbourne, Victoria, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, AustraliaDepartment of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia; Physiotherapy Department, Eastern Health, Box Hill Hospital, Victoria, AustraliaDepartment of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia; Physiotherapy Department, Eastern Health, Box Hill Hospital, Victoria, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia; Department of Physical Therapy, University of British Columbia, Vancouver, CanadaDepartment of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, AustraliaDepartment of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia; Allied Health Clinical Research Office, Eastern Health, Box Hill, AustraliaGrampians Health, Ballarat, Australia; Deakin Rural Health, Deakin University, Warrnambool, AustraliaBrain Recovery and Rehabilitation Group, Department of Neuroscience, School of Translational Medicine, Monash University, Melbourne, VIC, AustraliaDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkDepartment of Surgery, Eastern Health, Box Hill Hospital, Victoria, AustraliaDepartment of Orthopaedics, St Vincent's Hospital, Victoria, Australia; University of Melbourne Department of Surgery, St. Vincent's Hospital, Melbourne, Victoria, AustraliaGrampians Health, Ballarat, AustraliaDepartment of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, AustraliaGrampians Health, Ballarat, AustraliaRECOVER Injury Research Centre, The University of Queensland, Herston, Queensland, AustraliaDepartment of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, AustraliaObjective: This parallel cohort-implementation study, termed MonitOring the health Trajectory of patients with kNee osteoarthritis (MOTION), aims to understand treatment pathways and outcomes for people with knee osteoarthritis referred to Australian public hospitals for orthopaedic assessment (Part A cohort study), and how improving access to first-line care might improve outcomes (Part B implementation study). Methods and analysis: We will recruit approximately 400 adults with knee osteoarthritis referred for orthopaedic opinion to one of four public hospitals in Victoria, Australia. A subgroup enrolled in the study (n = 109) will receive improved access to community-based first-line care. Outcomes will be evaluated at baseline, 4-, 8-, 12- (primary end point), 24- and 60-months. The primary outcome will divide the cohort into 1's (willing to undergo, waitlisting for, or undergone, TKR surgery) or 0's (not willing to undergo, not undergone, and not waitlisted for, TKR surgery). Secondary outcomes include pain, knee- and health-related quality of life, physical activity participation and health care utilisation. Surgical and health trajectories will be reported descriptively, with factors associated with outcomes explored. The effectiveness of improving access to first-line care will be determined through propensity score methods. The cost-effectiveness of improving access to first-line care will be also be determined, and semi-structured interviews (1:1 and focus groups) involving participants, health professionals, administrators, and research team will inform a comprehensive process evaluation. Ethics and dissemination: Approved by St Vincent's Hospital Melbourne Human Research Ethics Committee (HREC 251/21). Findings will be disseminated to stakeholders including via conferences, peer-reviewed journals, and social and mainstream media.http://www.sciencedirect.com/science/article/pii/S2665913125000585 |
| spellingShingle | Christian J. Barton Michelle Dowsey Anne Smith Ilana N. Ackerman Zanfina Ademi Samantha Bunzli Peter Choong Kay M. Crossley Joanne Kemp Jason A. Wallis Alison Gibbs Vincent Lengkong Allison M. Ezzat Juanita Low Zhomart Orman Nicholas F. Taylor Anna Wong Shee Natasha A. Lannin Ewa M. Roos Raph Hau Angela Cochrane Mia Pithie Emma Draffin David Mitchell Trevor Russell Danilo De Oliveira Silva MonitOring the health trajectory of patients with kNee osteoarthritis referred for orthopaedic opinion: Protocol for the MOTION parallel cohort-implementation studyStrengths and Limitations Osteoarthritis and Cartilage Open |
| title | MonitOring the health trajectory of patients with kNee osteoarthritis referred for orthopaedic opinion: Protocol for the MOTION parallel cohort-implementation studyStrengths and Limitations |
| title_full | MonitOring the health trajectory of patients with kNee osteoarthritis referred for orthopaedic opinion: Protocol for the MOTION parallel cohort-implementation studyStrengths and Limitations |
| title_fullStr | MonitOring the health trajectory of patients with kNee osteoarthritis referred for orthopaedic opinion: Protocol for the MOTION parallel cohort-implementation studyStrengths and Limitations |
| title_full_unstemmed | MonitOring the health trajectory of patients with kNee osteoarthritis referred for orthopaedic opinion: Protocol for the MOTION parallel cohort-implementation studyStrengths and Limitations |
| title_short | MonitOring the health trajectory of patients with kNee osteoarthritis referred for orthopaedic opinion: Protocol for the MOTION parallel cohort-implementation studyStrengths and Limitations |
| title_sort | monitoring the health trajectory of patients with knee osteoarthritis referred for orthopaedic opinion protocol for the motion parallel cohort implementation studystrengths and limitations |
| url | http://www.sciencedirect.com/science/article/pii/S2665913125000585 |
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