ISRCTN ISRCTN01982076
DOI https://doi.org/10.1186/ISRCTN01982076
Secondary identifying numbers G108/397
Submission date
14/08/2003
Registration date
18/08/2003
Last edited
22/11/2007
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr James Woodburn
Scientific

Academic Unit of Musculoskeletal Disease
School of Medicine
University of Leeds
Leeds
LS2 9NZ
United Kingdom

Phone +44 (0)113 343 4938
Email j.woodburn@leeds.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study acronymRheumAFooT
Study objectivesThe aim of this trial is to compare podiatry with no podiatry footcare in rheumatoid arthritis (RA) patients with painful and disabling foot symptoms.

The objectives are:
Primary objective: To compare foot health status (activities, impairment, participation and shoe) between active and control groups using the Leeds Foot Impact Scale.
Secondary objective 1: To compare foot function (spatial and temporal gait parameters) between the two groups using instrumented gait analysis.
Secondary objective 2: To test whether the effect of podiatry, as measured by Leeds Foot Impact Scale, is correlated with patient sex, disease duration and degree of initial foot health status.
Secondary objective 3: To determine the cost effectiveness of podiatry care for RA related foot problems.
Ethics approval(s)Not provided at time of registration.
Health condition(s) or problem(s) studiedRheumatoid arthritis
InterventionActive treatment arm: 12 months podiatry care
Control treatment arm: 12 months
Intervention typeOther
Primary outcome measurePrimary outcome: change in Leeds Foot Impact Scale score between baseline and 12 months.
Secondary outcome measuresDisease activity score, health assessment questionnaire and walking speed were also recorded.
Overall study start date01/10/2003
Completion date30/09/2005

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit80 Years
SexBoth
Target number of participants34
Key inclusion criteriaPatients will be suitable for inclusion if they have a definite diagnosis of RA (satisfying the 1987 American Rheumatism Association revised criteria for RA), are between 18-80 years of age and can read and write English. Patients must also have a current history of foot impairment as determined by standard history and clinical examination techniques and a Leeds Foot Impact Scale score of ≥15 points. Patients must also have stable drug management in the 3 months prior to recruitment including Disease Modifying Anti-Rheumatic Drugs, Non-Steroidal Anti-Inflammatory Drugs and oral corticosteroids.
Key exclusion criteriaPatients will be excluded if they have foot problems related to and require treatment under the appropriate medical specialty such as diabetes and peripheral vascular disease. Patients will be excluded if they have severe complications of their RA resulting in active or high risk of developing foot ulceration. On medical consultation, any patient with foot problems, such as ulceration and infection, likely to complicate systematic treatment with biologic and other immunosuppressant therapy (Infliximab, Etanercept, Anakinra, Cyclophosphamide, Cyclosporin, Azathioprine and any new, including trial, biologic - even if placebo) will be excluded. Those patients who have received podiatry treatment at Leeds General Infirmary Foot Health Department in the last 3 months will also be excluded.
Date of first enrolment01/10/2003
Date of final enrolment30/09/2005

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Academic Unit of Musculoskeletal Disease
Leeds
LS2 9NZ
United Kingdom

Sponsor information

Medical Research Council (UK)
Government

20 Park Crescent
London
W1B 1AL
United Kingdom

Phone +44 (0)20 7670 5259
Email clinical.trial@headoffice.mrc.ac.uk

Funders

Funder type

Government

Medical Research Council (UK)
Government organisation / National government
Alternative name(s)
Medical Research Council (United Kingdom), UK Medical Research Council, MRC
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article Results 06/11/2007 Yes No