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Participants and Non-participants in the Scand-Ankle study - An alcohol cessation intervention at the time of fracture surgery

Aalykke, Marianne ; Wernheden, Erika ; Pedersen, Bolette LU ; Egholm, Julie ; Madsen, Bjørn ; Lauritzen, Jes Bruun and Tønnesen, Hanne LU (2015) In Clinical Health Promotion 5(2). p.49-53
Abstract
Background
Clinical experience indicates that patients declining participation in randomised clinical trials (RCTs) at the time of surgery are older, less healthy and of lower social status than patients accepting to participate, compromising the external validity of the RCT and bringing the non-participants in higher risk at surgery. To our knowledge, no studies exist on patients with hazardous alcohol consumption who decline participation in RCTs at the time of surgery. The aim was to compare characteristics of the participants and non-participants in the Scand-Ankle RCT.
Method
The Scand-Ankle study is a RCT that investigates the effect of a 6-week gold standard alcohol intervention (GSP-A) on postoperative complications... (More)
Background
Clinical experience indicates that patients declining participation in randomised clinical trials (RCTs) at the time of surgery are older, less healthy and of lower social status than patients accepting to participate, compromising the external validity of the RCT and bringing the non-participants in higher risk at surgery. To our knowledge, no studies exist on patients with hazardous alcohol consumption who decline participation in RCTs at the time of surgery. The aim was to compare characteristics of the participants and non-participants in the Scand-Ankle RCT.
Method
The Scand-Ankle study is a RCT that investigates the effect of a 6-week gold standard alcohol intervention (GSP-A) on postoperative complications in patients drinking >21 units/week and undergoing ankle fracture surgery. This study included eligible patients that declined to participate in the Scand-Ankle RCT but gave informed consent to follow-up in their medical record (N=67). Their perioperative patient characteristics were obtained from their medical record and the characteristics were compared to the patients enrolled in the study so far (N=61).
Results
The baseline characteristics showed no differences between participants and non-participants, but some tendencies towards the non-participants being older, having severak co-morbidities and higher ASA scores. None of the variables of interest in relation to postoperative complications (age over 70 years, comorbidity, daily smoking, ASA scores, fracture type, BMI, alcohol) were significant predictors for non-participation.
Conclusion
No differences were found between participants and non-participants and no patient characteristics could significantly predict participation. (Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Health Promotion
volume
5
issue
2
pages
49 - 53
publisher
Clinical Health Promotion Society (CHPS)
ISSN
2226-5864
project
Scand-Ankle: Utveckling av ett evidensbaserat utbildningsprogram för patienter med hög alkoholkonsumtion och fotledsfrakturer i Skandinavien.
language
English
LU publication?
yes
id
2fb5ea47-584f-4210-9596-f45c48e41f32
alternative location
https://docs.wixstatic.com/ugd/7b6489_c69848b558ba478688f2cedfde601549.pdf
date added to LUP
2018-12-06 15:22:28
date last changed
2018-12-10 16:20:55
@article{2fb5ea47-584f-4210-9596-f45c48e41f32,
  abstract     = {{Background <br>
Clinical experience indicates that patients declining participation in randomised clinical trials (RCTs) at the time of surgery are older, less healthy and of lower social status than patients accepting to participate, compromising the external validity of the RCT and bringing the non-participants in higher risk at surgery. To our knowledge, no studies exist on patients with hazardous alcohol consumption who decline participation in RCTs at the time of surgery. The aim was to compare characteristics of the participants and non-participants in the Scand-Ankle RCT. <br>
Method <br>
The Scand-Ankle study is a RCT that investigates the effect of a 6-week gold standard alcohol intervention (GSP-A) on postoperative complications in patients drinking &gt;21 units/week and undergoing ankle fracture surgery. This study included eligible patients that declined to participate in the Scand-Ankle RCT but gave informed consent to follow-up in their medical record (N=67). Their perioperative patient characteristics were obtained from their medical record and the characteristics were compared to the patients enrolled in the study so far (N=61). <br>
Results <br>
The baseline characteristics showed no differences between participants and non-participants, but some tendencies towards the non-participants being older, having severak co-morbidities and higher ASA scores. None of the variables of interest in relation to postoperative complications (age over 70 years, comorbidity, daily smoking, ASA scores, fracture type, BMI, alcohol) were significant predictors for non-participation.<br>
Conclusion <br>
No differences were found between participants and non-participants and no patient characteristics could significantly predict participation.}},
  author       = {{Aalykke, Marianne and Wernheden, Erika and Pedersen, Bolette and Egholm, Julie and Madsen, Bjørn and Lauritzen, Jes Bruun and Tønnesen, Hanne}},
  issn         = {{2226-5864}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{49--53}},
  publisher    = {{Clinical Health Promotion Society (CHPS)}},
  series       = {{Clinical Health Promotion}},
  title        = {{Participants and Non-participants in the Scand-Ankle study - An alcohol cessation intervention at the time of fracture surgery}},
  url          = {{https://docs.wixstatic.com/ugd/7b6489_c69848b558ba478688f2cedfde601549.pdf}},
  volume       = {{5}},
  year         = {{2015}},
}