Does a Patient-centered Educational Intervention Affect African-American Access to Knee Replacement? A Randomized Trial.

ABSTRACT:

Background

A TKA is the most effective and cost-effective surgical option for moderate to severe osteoarthritis (OA) of the knee. Yet, black patients are less willing to undergo knee replacement surgery than white patients. Decision aids help people understand treatment options and consider the personal importance of possible benefits and harms of treatments, including TKA.

Questions/purposes

We asked: (1) Does a patient-centered intervention consisting of a decision aid for knee OA and motivational interviewing improve the proportion of referrals of blacks with knee OA to orthopaedic surgery? (2) Does the intervention increase patients' willingness to undergo TKA?

Methods

Adults who self-identified as black who were at least 50 years old with moderate to severe knee

SUBMITTER: Vina ER 

PROVIDER: S-EPMC4925413 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature