Improving Pre-Anesthesia Care Discussions for Hip Fracture Surgery
Implementation and Evaluation of a Strategy to Improve Pre-Anesthesia Care Discussions (My Anesthesia Choice-Hip Fracture)
NA · University of Pennsylvania · NCT06438640
This study is testing a new way to help doctors and patients talk about anesthesia choices for hip fracture surgery to see if it improves decision-making and communication.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 1881 (estimated) |
| Ages | 50 Years and up |
| Sex | All |
| Sponsor | University of Pennsylvania (other) |
| Locations | 6 sites (Gainesville, Florida and 5 other locations) |
| Trial ID | NCT06438640 on ClinicalTrials.gov |
What this trial studies
This study evaluates a quality improvement strategy aimed at enhancing shared decision-making regarding anesthesia options for patients undergoing hip fracture surgery across six US hospitals. The approach involves using a clinician-administered one-page bedside conversation aid to facilitate better communication between physicians and patients, along with brief training for clinicians. The effectiveness of this strategy will be assessed through a stepped wedge, cluster randomized trial over a 27-month period, with data collected during different phases of implementation.
Who should consider this trial
Good fit: Ideal candidates are individuals aged 50 and older who are scheduled for surgery to treat a hip fracture.
Not a fit: Patients with contraindications to spinal anesthesia, such as current anticoagulant therapy or critical aortic stenosis, may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved patient understanding and satisfaction regarding anesthesia choices for hip fracture surgery.
How similar studies have performed: Other studies have shown success with similar quality improvement approaches in enhancing patient-physician communication, indicating potential for positive outcomes in this context.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion: Age 50 and older Planned surgery to treat a hip fracture Exclusion: Contraindication to spinal anesthesia: current anticoagulant therapy or coagulopathy Contraindication to spinal anesthesia: critical aortic stenosis Contraindication to spinal anesthesia: skin infection over the lumbar spine
Where this trial is running
Gainesville, Florida and 5 other locations
- University of Florida Gainesville — Gainesville, Florida, United States (RECRUITING)
- Henry Ford Hospital — Detroit, Michigan, United States (RECRUITING)
- Dartmouth Hitchcock Medical Center — Lebanon, New Hampshire, United States (RECRUITING)
- Wake Forest University Baptist Medical Center — Winston-Salem, North Carolina, United States (RECRUITING)
- Cleveland Clinic-Fairview — Cleveland, Ohio, United States (RECRUITING)
- Penn Presbyterian Medical Center — Philadelphia, Pennsylvania, United States (RECRUITING)
Study contacts
- Principal investigator: Mark Neuman, MD — University of Pennsylvania
- Study coordinator: Mark Neuman, MD
- Email: neumanm@pennmedicine.upenn.edu
- Phone: 215-746-7468
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Hip Fractures, Femoral Neck Fractures, Intertrochanteric Fractures, Subtrochanteric Fractures, hip fracture, femoral neck, intertrochanteric, subtrochanteric