Is a one-year routine check-up needed after hip or knee replacement?
Official title: Cost-effectiveness of Routine Follow-up at One Year After Total Hip and Knee Arthroplasty Compared to Check-up on Demand: a Multicenter Hybrid Stepped-wedge Cluster De-implementation Study
Run by JointResearch · NCT06971757 · Data updated 2026-11-12
This study will see if skipping the routine one-year clinic visit and using check-up on demand is safe and works well for people aged 50 and older after total hip or knee replacement.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 50 Years and up |
| Sex | All |
| Enrollment | 1000 (estimated) |
| Sponsor | JointResearch Academic / other |
| Locations | 9 sites (Amsterdam and 8 other locations) |
| Status | Recruiting |
| Started | July 1, 2025 |
| Main results expected | August 31, 2028 |
| Study ends | December 31, 2029 |
| Registry record updated | November 18, 2025 |
| Trial ID | NCT06971757 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
People aged 50 or older scheduled for primary total hip or knee replacement for osteoarthritis who can read Dutch or English, complete questionnaires, and provide informed consent.
✕Probably not a fit
Patients undergoing revision surgery, those operated for indications other than osteoarthritis, people with limited ability to report symptoms or access care quickly, or those already enrolled from a prior joint surgery are less likely to benefit from reduced routine follow-up.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
HAKA WP1 compares routine 1-year clinic follow-up (including an x-ray) with a check-up-on-demand approach after primary total hip or knee arthroplasty. Eligible patients aged 50 and older with osteoarthritis who undergo primary THA or TKA are enrolled and assigned to one of the two follow-up strategies. Main outcomes at one year include patient-reported physical function (PROMIS), pain, and healthcare consumption, with the option for extra visits if concerns arise. The goal is to determine whether reducing routine visits can lower healthcare use and costs without worsening patient outcomes.
Why it matters
Potential benefit: If successful, the approach could reduce unnecessary hospital visits and save time and costs while maintaining patient outcomes and access to care when needed.
How similar studies have gone: Some prior work suggests routine early follow-up often finds few unrecognized problems and that on-demand follow-up is promising, but large-scale randomized evidence confirming safety and cost savings is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Painful and disabled hip or knee joint resulting from osteoarthritis * Scheduled for primary THA or TKA surgery * Age 50 years or older at the time of THA or TKA * Capable and willing to complete questionnaires * Proficient in Dutch or English * Willing to provide informed consent Exclusion Criteria: * Other indication for surgery than osteoarthritis * Scheduled for hip or knee revision arthroplasty, except a conversion from unicompartmental knee arthroplasty to TKA or from hip hemiarthroplasty/resurfacing to THA * Already participating in this study due to a previous hip or knee surgery
Where it's running
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Olvg
Amsterdam, Netherlands Recruiting -
Amphia
Breda, Netherlands Recruiting -
Deventer Ziekenhuis
Deventer, Netherlands Recruiting -
Admiraal de Ruyter Ziekenhuis
Goes, Netherlands Recruiting -
Martini Ziekenhuis
Groningen, Netherlands Recruiting -
Tergooi MC
Hilversum, Netherlands Recruiting
Show 3 more locations
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Canisius Wilhelmina Ziekenhuis
Nijmegen, Netherlands Recruiting -
ZorgSaam Zeeuws Vlaanderen
Terneuzen, Netherlands Recruiting -
Rhoc
Zoetermeer, Netherlands Recruiting
Study contacts
- Study coordinator: Lidy A.C. Roubos, MSc.
- Email: L.A.C.Roubos@olvg.nl
- Phone: +31 20 599 3653
Similar studies
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This trial will test whether freezing the genicular nerves at least 24 hours before total knee replacement reduces long-term pain and improves recovery for adults having primary TKA for osteoarthritis.
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Types of persistent pain after hip or knee replacement
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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.