Clinical trial Recruiting at 1 site Interventional Ages 18 to 80

Personalized approach to improve satisfaction after knee surgery

Official title: Improving Total Knee Arthroplasty Dissatisfaction at 1-year Through a Personalized Approach Focusing on PROMs Phenotypes: A Randomized Controlled Trial

Run by The Cleveland Clinic · NCT06298721 · Data updated 2026-11-12

This study is testing if using a personalized tool that includes mental health and physical therapy support can help people feel more satisfied after knee surgery compared to standard care alone.

Quick facts

Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment300 (estimated)
SponsorThe Cleveland Clinic
Academic / other
Locations1 site (Cleveland, Ohio)
StatusRecruiting
StartedMarch 12, 2024
Main results expectedMarch 1, 2027
Study endsMarch 1, 2027
Registry record updatedJune 11, 2026
Trial IDNCT06298721 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 80 scheduled for unilateral primary TKA with higher risk of dissatisfaction.

Probably not a fit

Patients requiring simultaneous or staged bilateral knee replacements or those with inflammatory arthritis 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 randomized controlled trial aims to enhance patient satisfaction following total knee arthroplasty (TKA) by implementing a Personalized Outcome Prediction Tool. Patients scheduled for primary TKA will be invited to participate and complete patient-reported outcome measures (PROMs) to assess their eligibility. Those who qualify will be randomized into two groups: one receiving standard care and the other receiving standard care plus the personalized tool, which includes mental health screenings and physical therapy assessments. The primary outcome will be measured by the proportion of patients who report dissatisfaction one year post-surgery.

Why it matters

Potential benefit: If successful, this approach could significantly improve patient satisfaction and outcomes after knee surgery.

How similar studies have gone: Other studies have shown promise in using personalized approaches to improve surgical outcomes, suggesting potential success for this method.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Adult subject (Age \>18 and \< 80 years of age)
2. The subject is proficient in the English language
3. The patient is voluntarily prepared to sign the 'Informed Consent Form'
4. The patient is scheduled for a unilateral primary TKA
5. TKA PROMs Phenotypes with higher risk of dissatisfaction
6. Patient is willing and able to complete the protocol required follow-up

Exclusion Criteria:

1. Patient requires simultaneous or staged bilateral knee replacements, staged \<90 days apart
2. Patients undergoing revision TKA
3. Inflammatory arthritis
4. History of infection in the joint undergoing TKA
5. Patient is considered a member of a protected population (e.g., prisoner, mentally incompetent, etc.)

Where it's running

  • Cleveland Clinic Foundation
    Cleveland, Ohio, United States
    Recruiting

Study contacts

  • Principal investigator: Nicolas S Piuzzi, MD — Cleveland Clinic Ohio
  • Study coordinator: Shujaa T Khan, MD
  • Email: khans34@ccf.org
  • Phone: 4199658274

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

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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.