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The Recovery after Achilles Tendon Rupture


- candidate number27431
- NTR NumberNTR6484
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR20-jun-2017
- Secondary IDsNL59714.042.17  ABR number: 59714
- Public TitleThe Recovery after Achilles Tendon Rupture
- Scientific TitleThe Recovery after Achilles Tendon Rupture: an Exploratory Cohort Study
- ACRONYMThe Recovery after ATR
- hypothesisExploratory study on the recovery after Achilles Tendon Rupture (ATR)
- Healt Condition(s) or Problem(s) studied(Complete) Achilles Tendon Rupture
- Inclusion criteria-Be older than 18 years of age at the time of inclusion
-Have been clinically diagnosed with an Achilles tendon rupture and have been treated less than 3 months ago at the University Medical Center Groningen (UMCG), Martini Hospital or Medisch Centrum Leeuwarden (MCL)
-Give written informed consent
- Exclusion criteria-Unable to understand Dutch
-Inability to perform and/or understand the tests and/or questionnaires
- mec approval receivedyes
- multicenter trialyes
- randomisedno
- group[default]
- Type[default]
- Studytypeobservational
- planned startdate 1-jul-2017
- planned closingdate1-sep-2019
- Target number of participants50
- InterventionsNot applicable
- Primary outcomeAt 3 months post-injury the following (predictive) data will be collected by means of a questionnaire and digital patient (medical) status: patient (biographical information, anthropometrics, lifestyle factors, co-morbidities), injury (ATR etiology and extent) and management (operative or conservative) data.

At 3, 6 and 12 months post-injury the following data will be collected:
Subjective: Achilles Tendon Total Rupture Score (ATRS-NL), the Euroqol-5D (EQ-5D), Oslo Sports Trauma Research Center (OSTRC) Overuse Injury Questionnaire, Injury Psychological Readiness Return to Sport Scale (I-PRRS) scale, Tampa Scale of Kinesiophobia (TSK), a study-specific questionnaire on Expectations, Motivation & Satisfaction questionnaire and reasons for failed RTS questionnaire (6 and 12 months)

Functional/Clinical: heel-rise test (endurance/strength), range of motion (ROM), tendon length, single leg hop for distance (12 months)

Imaging: Ultrasound Tissue Characterisation (UTC)

Economic: Productivity Cost Questionnaire (iPCQ) and Medical Consumption Questionnaire (iMCQ)

- Secondary outcomeRecovery complications
- TimepointsFollow-up at 3, 6, and 12 months post-injury
- Trial web site
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES Olivier Dams
- CONTACT for SCIENTIFIC QUERIES Olivier Dams
- Sponsor/Initiator University Medical Center Groningen (UMCG)
- Funding
(Source(s) of Monetary or Material Support)
University Medical Center Groningen (UMCG)
- Publications
- Brief summaryRationale: Despite the acute nature and increasing incidence of the Achilles tendon rupture (ATR) there are currently no management guidelines available on treatment, rehabilitation, return to work/sports and functional recovery in the Netherlands. Moreover, the internationally published diagnostic, treatment, and rehabilitation guidelines are determined inconclusive and they lack consensus. Little data exists on patient subjective and functional recovery or predictors of optimal recovery of ATR. Additionally, the role of imaging in the monitoring of recovery is inconclusive. Only a few studies have combined multiple outcomes in assessing ATR recovery (subjective, functional/clinical, and imaging) or examined alternative imaging devices for ATR monitoring. No studies on the cost-effectiveness or barriers to return to sport (RTS) of ATR exist.

Objectives:
Primary Objective:
To explore factors contributing to optimal patient ATR recovery (subjective, functional, imaging).

Secondary Objectives:
1. To gain insight into the course of the recovery phase after ATR via multiple parameters
2. To gain insight into the cost-effectiveness of ATR management
3. To gain insight into (barriers to) RTS


Study design: Multicenter exploratory cohort study

Study population: Adult patients having suffered an ATR and treated within 3 months

Follow-up: 3, 6, and 12 months post-injury

Primary Endpoints
-The relationship between subjective, functional/clinical and imaging outcomes at 3, 6, and 12 months post-ATR and patient/injury/management data.

Secondary Endpoints:
-Changes in recovery outcomes, recovery complications (e.g. re-rupture, infection) and time out of work/sport (from questionnaires).

-Incremental Cost Effectiveness Ratio (ICER) calculation = (Costs of treatment - Costs of alternative)/ (Effects of treatment– Effects of alternative) from iPCQ, iMCQ and EQ-5D results at 3, 6, and 12 months.

-The relationship between psychosocial factors and RTS

- Main changes (audit trail)
- RECORD20-jun-2017 - 7-jul-2017


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