Hospital-based versus Tele-monitor self-directed Rehabilitation in patients with TKA .
Cost and outcomes of Hospital-based Usual cAre versus Tele-monitor self-directed Rehabilitation (HUATR) in patients with total knee arthroplasty: A randomized, controlled, non-inferiority trial.
Osteoarthritis Cartilage. 2024 01-May;():. 10.1016/j.joca.2023.11.017A total of 114 patients undergoing primary total knee arthroplasty were randomized to receive hospital-based rehabilitation (HBR, n=58) or telemonitored self-directed rehabilitation (TR, n=56). The primary outcome was fast-paced gait speed at 12 weeks. Secondary outcomes included physical function (KOOS subscale), knee pain during weight-bearing, quadriceps strength, and quality-adjusted life years (QALY). Outcomes were assessed at 12 and 24 weeks. Overall, TR demonstrated non-inferiority to HBR for fast gait speed and secondary outcomes while being more cost-effective. TR had significantly lower intervention costs without compromising clinical effectiveness, suggesting it is a viable alternative to HBR for patients with uncomplicated cases.
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