Improving Pre-Anesthesia Care Discussions for Hip Fracture Surgery
Official title: Implementation and Evaluation of a Strategy to Improve Pre-Anesthesia Care Discussions (My Anesthesia Choice-Hip Fracture)
Run by University of Pennsylvania · NCT06438640 · Data updated 2026-11-12
This study is testing a new way to help doctors and patients talk about anesthesia choices for hip fracture surgery to see if it improves decision-making and communication.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 50 Years and up |
| Sex | All |
| Enrollment | 1881 (estimated) |
| Sponsor | University of Pennsylvania Academic / other |
| Locations | 6 sites (Gainesville, Florida and 5 other locations) |
| Status | Recruiting |
| Started | August 15, 2024 |
| Main results expected | June 15, 2027 |
| Study ends | June 15, 2028 |
| Registry record updated | March 12, 2026 |
| Trial ID | NCT06438640 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals aged 50 and older who are scheduled for surgery to treat a hip fracture.
✕Probably not a fit
Patients with contraindications to spinal anesthesia, such as current anticoagulant therapy or critical aortic stenosis, may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates a quality improvement strategy aimed at enhancing shared decision-making regarding anesthesia options for patients undergoing hip fracture surgery across six US hospitals. The approach involves using a clinician-administered one-page bedside conversation aid to facilitate better communication between physicians and patients, along with brief training for clinicians. The effectiveness of this strategy will be assessed through a stepped wedge, cluster randomized trial over a 27-month period, with data collected during different phases of implementation.
Why it matters
Potential benefit: If successful, this study could lead to improved patient understanding and satisfaction regarding anesthesia choices for hip fracture surgery.
How similar studies have gone: Other studies have shown success with similar quality improvement approaches in enhancing patient-physician communication, indicating potential for positive outcomes in this context.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion: Age 50 and older Planned surgery to treat a hip fracture Exclusion: Contraindication to spinal anesthesia: current anticoagulant therapy or coagulopathy Contraindication to spinal anesthesia: critical aortic stenosis Contraindication to spinal anesthesia: skin infection over the lumbar spine
Where it's running
-
University of Florida Gainesville
Gainesville, Florida, United States Recruiting -
Henry Ford Hospital
Detroit, Michigan, United States Recruiting -
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, United States Recruiting -
Wake Forest University Baptist Medical Center
Winston-Salem, North Carolina, United States Recruiting -
Cleveland Clinic-Fairview
Cleveland, Ohio, United States Recruiting -
Penn Presbyterian Medical Center
Philadelphia, Pennsylvania, United States Recruiting
Study contacts
- Principal investigator: Mark Neuman, MD — University of Pennsylvania
- Study coordinator: Mark Neuman, MD
- Email: neumanm@pennmedicine.upenn.edu
- Phone: 215-746-7468
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Liposomal bupivacaine plus bupivacaine versus ropivacaine for PENG block in hip replacement
This trial will test whether adding liposomal bupivacaine to regular bupivacaine for a pericapsular nerve group (PENG) block gives longer and better pain relief than ropivacaine after hip replacement surgery.
-
Comparing implants to keep femoral neck fractures steady in adults under 65
We will test whether a new angle-stable implant (Dynaloc) keeps femoral neck fractures steadier than cancellous screws or a sliding hip screw in adults aged 18–64.
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Comparing internal fixation and hip arthroplasty for hip fractures in elderly patients
This study is testing whether surgery to fix a hip fracture or replacing the hip altogether helps older patients feel less pain and move better after their injury.
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Evaluating long-term outcomes of hip hemiarthroplasty surgeries
This study is trying to see how well hip hemiarthroplasty surgeries using specific implants work and are safe for adults over a long period of up to 10 years.
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Collarless Actis hip stem for cementless hip replacement in Asian patients
This study tests how well a collarless Actis hip stem works in adults undergoing primary hip replacement, focusing on outcomes over five years in an East Asian population.
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Bone marrow injection at the femoral neck fracture site in young adults with intracapsular hip fractures
This study tests whether injecting the patient’s own bone marrow into a femoral neck fracture helps it heal faster and reduces avascular necrosis in adults aged 18–55 with certain fracture types.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.