CClinicalTrials.gg
Enrolling by invitationNCT06435494C-PROUpdated Apr 2, 2025

Cross-sectorial Use of Patient-Reported Outcomes in Chronic Degenerative Shoulder Conditions

An interventional study of Systematic use of patient reported outcome measures in clinical work with the patients in Shoulder Disease, Shoulder Impingement and Shoulder Osteoarthritis, sponsored by University Hospital, Gentofte, Copenhagen. Enrolling by invitation at 6 sites in Denmark. Open to participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2025-04-02.

Sponsored by University Hospital, Gentofte, Copenhagen · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
1,000
Allocation
Randomized
Ages
18 Years to 120 Years
Sex
All
01

Study summary

This research project aims to test if systematic (extensive) use of patient-reported outcomes across treatment boundaries can

  1. improve patients' and health professionals' understanding of individual patients' conditions and health changes,
  2. improve indications for treatment,
  3. strengthen patient empowerment, and
  4. reduce patients' utilization of health services.

The study will be performed in the particular context of patients with chronic degenerative conditions of the shoulder. These patients are characterized by contact with numerous health professionals from different health sectors, such as general practitioner, physiotherapists and surgical referral centres, which challenges coherence and communication for the individual treatment decisions. The research project will be performed as a randomized controlled trial (RCT) with a 1-year inclusion period and two years of follow-up.

02

Conditions studied

  • Shoulder Disease
  • Shoulder Impingement
  • Shoulder Osteoarthritis
  • Shoulder Frozen
  • Shoulder Capsulitis
  • Shoulder Bursitis
  • Shoulder Impingement Syndrome
  • Rotator Cuff Syndrome
  • Rotator Cuff Syndrome of Shoulder and Allied Disorders
03

In context

Bursitis

411 studies on the registry are indexed under Bursitis; 112 are open to participants now.

This study's planned enrollment of 1,000 is above the median of 45 across 371 interventional studies indexed under Bursitis.

Browse Bursitis studies →

Lead sponsor

University Hospital, Gentofte, Copenhagen is the lead sponsor of 154 studies on the registry; 9 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • shoulder pain with no acute trauma

Exclusion criteria

Exclusion Criteria:

  • Age \<18 years
  • Non-Danish citizenship
  • Unable to understand written or spoken Danish
  • Inability to master electronic means of communication and/or not having an electronic communication (E-boks)
  • Employee at participating centre or other relation to participating health professionals that might affect independent consent
  • Psychiatric conditions, mental conditions and substance abuse that might affect the ability to provide informed consent or responding to PROMs
  • Disseminated malignant condition, other serious medical conditions or other life crisis where the focus on a shoulder research project is unreasonable
  • Already included in the study with the contralateral shoulder
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
1,000 participants (estimated)

Study arms

  • Experimental
    Intervention

    All patients will be asked to complete a number of questionaires: EQ5D-5L, a study specific questionaire (designed specifically for this study) and a shoulder-disease-specific questionaire (the Oxford Shoulder Score). For patients in the intervention group, the results of the questionaires will be accessable for patient and health-care professionals and will be used to illustrate the problems, make a prognostic model for the specific patient based on previous PRO results from other patients and will be used in monitoring the treatment of the patient.

    Other: Systematic use of patient reported outcome measures in clinical work with the patients

  • No intervention
    Control

    All patients will be asked to complete a number of questionaires: EQ5D-5L, a study specific questionaire and a shoulder-disease-specific questionaire. For patients int he control group, this will be collected, but not accessed or used during the treatment of the patient. The data will be used in the final analyses of the study.

Interventions

  • OtherSystematic use of patient reported outcome measures in clinical work with the patients

    Se description of the arms

06

What researchers measure

Primary outcomes

  1. Treatment cost per change in life quality

    The treatment cost during the study period expressed as the cost per improvement in life quality, similar to the cost per QALY (quality adjusted life years). The total cost will be calculated from hospital contacts, physiotherapy sessions and primary healthcare contacts. The EQ5D-5L will be used as a generic life quality measure. The primary outcome for the intervention and control group will be compared.

    Time frame: From inclusion time and the 2 following years.

Secondary outcomes

  1. Treatment cost per change in life quality stratisfied according to the specific shoulder diagnosis

    The same as primary outcome, but stratified according to the specific shoulder diagnosis

    Time frame: From inclusion time and the 2 following years

  2. Patient satisfaction with the treatment of their shoulder problem

    Measured by questionaire (specifically the question "are you satisfied with the treatment fo your shoulder so far"?

    Time frame: From inclusion time and the 2 following years

  3. Number of patients treated with surgery

    To evaluate if any difference in referral to surgery occurs between the intervention group and the control group, and analyse if any reasons for a difference can be identified

    Time frame: From inclusion time and the 2 following years

  4. Number of contacts with either the hospital or the family doctor due to problems with the treated shoulder

    To evaluate if any difference in medical contacts due to the treated shoulder occurs between the intervention and the control groups, and analyse if any reasons for a difference can be identified

    Time frame: From inclusion time and the 2 following years

  5. Number and types of complications during the treatment of the shoulder problem

    To evaluate if any difference in complications in relation to the treatment of the shoulder occurs between the intervention and the control groups, and analyse if any reasons for a difference can be identified

    Time frame: From inclusion time and the 2 following years

  6. For patients still working: Number and duration (measured in days) of any periods of sick-leave/unemployment due to the shoulder problem

    To evaluate if any difference in employment-status and/or sick-leave occurs between the intervention and the control groups, and analyse if any reasons for a difference can be identified

    Time frame: From inclusion time and the 2 following years

  7. Development in the PRO score, represented by Oxford Shoulder Score, over time for each specific shoulder disease

    To evaluate the development of PRO scores during a treatment of the included shoulder diseases with regards to the different treatment options, to create a reference for future treatments of these patients

    Time frame: From inclusion time and the 2 following years

  8. PRO score, represented by Oxford Shoulder Score, as predictors?

    To evaluate if a PRO score can differentiate patients with regards to who might benefit from specific treatment regimens/effect of treatments measured by PRO

    Time frame: From inclusion time and the 2 following years

  9. If use of systematic PRO scores, represented by Oxford Shoulder Score, changes the referral-pattern between the involved sectors

    To evaluate if PRO scores has the potential to be used to screen patients before making a referral between sectors

    Time frame: From inclusion time and the 2 following years

  10. Health professionals' assessments of history and usefulness of the prognosis tools developed for this study (the Database setup in Procordo).

    To evaluate if the involved professionals experience any gain in the use of the PRO scores in the daily treatment of the patients. This will be evaluated at every visit with the patient by a questionaire to the treating professionals.

    Time frame: From inclusion time and the 2 following years

  11. Patient satisfaction with the PRO score system build in the Database system (Procordo)

    Satisfaction and qualitative assessment of history and prognosis tool (intervention group only). This will be investigated by questionaire in relation to the completion of the PROs every 3 month during the study period.

    Time frame: From inclusion time and the 2 following years

07

Study locations

6 sites
  • Department of Physiotherapy, Univesity Hospital Gentofte
    Gentofte, Hellerup 2900, Denmark
  • Privathospitalet Danmark
    Charlottenlund, 2920, Denmark
  • Department of rehabilitation, Gentofte Kommune
    Hellerup, 2900, Denmark
  • Division of shoulder and elbow surgery, Department of orthopaedics, Univesity Hospital Gentofte
    Hellerup, 2900, Denmark
  • Genoptræning og Rehabilitering, Rødovre Kommune
    Rødovre, 2610, Denmark
  • Mit Lægehus
    Rødovre, 2610, Denmark
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06435494
Lead sponsor
University Hospital, Gentofte, Copenhagen
Collaborators
Rigshospitalet, Denmark, VIVE - The Danish Center for Social Science Research, The Novo Nordic Foundation, Region Capital Denmark, Mit Lægehus, Rødovre, Denmark, Genoptræning og Rehabilitering, Rødovre Kommune, Denmark, Center for Rehabilitering og Forebyggelse, Gentofte Kommune, Denmark, Privathospitalet Danmark
Responsible party
Anne Marie Nyholm (Principal investigator, University Hospital, Gentofte, Copenhagen) — Principal investigator
First posted
May 30, 2024
Start date
Aug 12, 2024
Primary completion
Sep 1, 2030 (estimated)
Completion
Sep 1, 2030 (estimated)
Last update
Apr 2, 2025

Study contacts

Anders Odgaard, MD, DrMed
study director · Rigshospitalet, Denmark
Anne M Nyholm, MD, PhD
principal investigator · University Hospital, Gentofte, Copenhagen
Bo S Olsen, MD, PhD
study chair · University Hospital, Gentofte, Copenhagen
Carsten B Juhl, PT, MPH, PhD
study chair · University Hospital, Gentofte, Copenhagen
Bente A Esbensen, Cand.cur., PhD
study chair · Rigshospitalet, Denmark

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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