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- Talk
- 19/05/2021
- UK
Clinical Effectiveness of a New Care Pathway for Patients with Pain at Three Months after Total Knee Replacement: The Star Randomised Controlled Trial
Description
The video presentation features Nick Howells, a knee surgeon from Bristol, as he introduces the STAR trial, which aims to address chronic pain following total knee replacement surgery. He expresses gratitude to the BASK committee for the opportunity to present on behalf of the STAR team, highlighting that this trial was supported by the NIHR and involved collaboration from several UK centers.
Howells discusses the research's relevance, noting that approximately 20% of patients experience persistent pain post-surgery, translating to about 20,000 patients annually. He stresses the significance of chronic pain management, which is multifaceted and requires appropriate assessment and intervention.
The STAR care pathway is the focus of the trial, designed through collaboration with patients and healthcare professionals to standardize the identification and treatment of pain related to knee replacement. Through a pragmatic randomized controlled trial involving 363 patients, the results show that the STAR pathway is clinically effective, resulting in reduced pain and improved patient satisfaction compared to usual care, making it both cost-effective and acceptable to patients.
Nick concludes by emphasizing the importance of early intervention and structured support for managing chronic pain in knee surgery patients, noting forthcoming research to track patient outcomes over four years while advocating for the integration of the STAR care pathway into routine healthcare services.