Clinical trial Recruiting at 9 sites Interventional Ages 50 and up

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 typeInterventional
Ages50 Years and up
SexAll
Enrollment1000 (estimated)
SponsorJointResearch
Academic / other
Locations9 sites (Amsterdam and 8 other locations)
StatusRecruiting
StartedJuly 1, 2025
Main results expectedAugust 31, 2028
Study endsDecember 31, 2029
Registry record updatedNovember 18, 2025
Trial IDNCT06971757 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

  • 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
  • Canisius Wilhelmina Ziekenhuis
    Nijmegen, Netherlands
    Recruiting
  • ZorgSaam Zeeuws Vlaanderen
    Terneuzen, Netherlands
    Recruiting
  • Rhoc
    Zoetermeer, Netherlands
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.