Effectiveness and cost-effectiveness of the Transmural Trauma Care Model investigated in a multicenter trial with a controlled before-and-after design: A study protocol.
Julia Ratter, Suzanne Wiertsema, Johanna M van Dongen and 4 others
PMID 33480123WHAT IT FOUND
This paper describes the plan for a trial testing a new trauma rehabilitation model in the Netherlands.
It reports no results yet. Data analysis is scheduled for 2023, so there is currently nothing here to change your clinical practice.
Key findings
01The study aims to assess the effectiveness and cost-effectiveness of the Transmural Trauma Care Model compared to usual care.
02The trial will include 644 patients total, with 322 receiving usual care and 322 receiving the intervention.
03Data analysis is scheduled for 2023, meaning no findings are available at this time.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study uses a controlled before-and-after design rather than a randomized trial, which makes it harder to prove that any differences are due to the treatment and not other factors. Blinding is not possible, so patients and therapists know which group they are in, which can influence reported outcomes like satisfaction or pain. The intervention has multiple components (team coordination, training, email systems), so if it works, it will be difficult to know which specific part made the difference. The study only includes patients with fractures and excludes those with traumatic brain injuries or severe psychological issues, limiting who the results apply to.
Declared interests
The study is funded by ZonMw. The authors declare no conflicts of interest.
The easy way to misread this
Do not assume the Transmural Trauma Care Model is effective or cost-effective. This paper only describes the plan to test it. No data has been analyzed yet, so there is no evidence to support changing your practice based on this intervention.