Preoperative nutrition and iron optimization for children having hip osteotomy

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional program implements a multidisciplinary preoperative nutrition pathway for children scheduled for varus-derotation osteotomy (VDRO) or pelvic osteotomy, incorporating iron deficiency screening and iron supplementation when indicated. The project enrolls a prospective cohort receiving the nutrition intervention and compares outcomes to a historical cohort of patients operated on between February 2022 and December 2024. Primary outcome is incidence of perioperative blood transfusion, with secondary outcomes including other perioperative surgical outcomes, feasibility, and family acceptability. The intervention is delivered at BC Children's Hospital and targets nutritional optimization before the planned >4-hour procedures.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* All patients scheduled for VDRO and/or pelvic osteotomy surgery (prospective cohort)
* All patients who had VDRO and/or pelvic osteotomy surgery between February 2022 and December 2024 (historical cohort)
* Ages 0-18 years old

Note that the investigators will include patients who do or do not have a diagnosis of a neuromotor condition. The investigators may not include patients who are enrolled in other conflicting research studies.

Exclusion Criteria:

* Patients who have undergone a major surgical intervention in the last 3 months
* Patients who have received a nutritional intervention that includes iron testing and treatment within the last 3 months
* Patients in whom oral/enteral iron supplementation is contraindicated
* Patients who have a bleeding disorder
* Patients taking erythropoietin
* Patients who cannot read and understand English\*

  * Patients and their families who cannot read and understand English will be excluded from the study because the surveys and interviews are conducted in English. These patients will still have access to the same nutrition management and interventions as study participants.

Where it's running

• BC Children's Hospital
  Vancouver, British Columbia, Canada Recruiting

Study contacts

• Principal investigator: Teresa Skelton, MD — University of British Columbia
• Study coordinator: Steffanie Fisher, MSc
• Email: steffanie.fisher@bcchr.ca
• Phone: 604-875-2000

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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.