Patient values, views and expectations in the choice of treatment regimen for musculoskeletal injuries (PANOs) - towards better tools for shared decision making

The purpose and objectives of the study | Patient recruitment | Study status | Learn more about the study

The purpose and objectives of the study

The purpose of the study is to examine patient values, expectations and wishes relating to the choice of treatment regimen and to treatment outcome in the most common fractures and injuries. In addition, the study seeks to investigate the patients’ experience of the role they have in the choice of treatment regimen. The primary results of the study are descriptive analyses of things valued by patients in relation to fracture and injury treatment and treatment outcome. Quantitative analyses of the study assess how the patient’s mental resources and statictical literacy correlate with their experienced role in decision making and their evaluation of the quality of decision making. Secondarily, the study examines the relative order of endpoints as valued by patients as well as the relation between two different endpoints in these evaluations. Additionally, the study examines the patients’ role in and experience of the decision making process regarding the choice of treatment regimen.

The main objective of the study is to reach a patient-oriented view on what should be measured and how in the assessment of fracture and injury recovery and treatment outcome. A secondary objective is to obtain information on how patients value the most commonly used measures and endpoints in the treatment of fractures and also on how patients experience their role in the decision making process.

Patient recruitment

The primary inclusion criteria for the study are 1) acute, trauma-related fracture or soft tissue injury, 2) the patient has been referred for active treatment, 3) the patient is in employment, and 4) the patient understands Finnish.

Injuries and fractures falling under criterion 1 include Achilles tendon rupture, midshaft clavicle fracture, proximal humerus fracture, humeral shaft fracture and distal radius fracture (wrist fracture). These are fractures and injuries, which are common among working age population and for which potential advantages and disadvantages of different treatment options are often considered.

The study has two separate groups of patients. There will be 200 patients recruited for the survey part of the study and 30 for the interview part.

Study status

Patient recruitment has been started in June 2021.

The survey part

18/200 patients

The interview part

0/30 patients

Learn more about the study

Main researcher
MD, PhD, Docent, Aleksi Reito
Musculoskeletal Centre, TA3 (Operational Division 3), Pirkanmaa Hospital District
aleksi.reito@pshp.fi