Surgeon-driven bone health referral for patients having lower limb joint replacement
Official title: The Impact of a Surgeon-Initiated Bone Health Referral Pathway on Implant-Related Complications in Patients With Osteoporosis Undergoing Lower Extremity Arthroplasty
Run by Johns Hopkins University · NCT05845021 · Data updated 2026-11-12
This study is testing if sending patients with osteoporosis to a bone health specialist before getting lower limb joint replacement surgery can help reduce fractures and complications compared to regular care.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 50 Years and up |
| Sex | All |
| Enrollment | 2000 (estimated) |
| Sponsor | Johns Hopkins University Academic / other |
| Locations | 1 site (Columbia, Maryland) |
| Status | Recruiting |
| Started | September 27, 2023 |
| Main results expected | October 2027 |
| Study ends | July 2028 |
| Registry record updated | October 27, 2026 |
| Trial ID | NCT05845021 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals over 50 years old with a DEXA-confirmed diagnosis of osteoporosis.
✕Probably not a fit
Patients with a prior diagnosis or treatment for osteoporosis 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 clinical trial investigates the effectiveness of a surgeon-initiated bone health referral pathway for patients with osteoporosis undergoing lower extremity arthroplasty. Patients will be randomly assigned to either the treatment group, which receives a referral to endocrinology for specialized care, or the control group, which follows standard care with their primary care provider. The study aims to compare rates of fragility fractures and implant-related complications between the two groups. By analyzing outcomes, the researchers hope to determine if the specialized referral pathway improves patient care and reduces complications.
Why it matters
Potential benefit: If successful, this approach could lead to improved bone health management and reduced complications for patients undergoing joint replacement surgery.
How similar studies have gone: Other studies have shown that specialized referral pathways can improve patient outcomes, suggesting potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * \>50 * DEXA-confirmed diagnosis of osteoporosis Exclusion Criteria: * Prior diagnosis of osteoporosis * Prior treatment for osteoporosis
Where it's running
-
Charter Professional Center
Columbia, Maryland, United States Recruiting
Study contacts
- Principal investigator: Savyasachi Thakkar, MD — Johns Hopkins School of Medicine
- Study coordinator: Savyasachi C Thakkar, MD
- Email: sthakka2@jhmi.edu
- Phone: 443-997-2663
Similar studies
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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.