Clinical trial Recruiting at 1 site Interventional Ages 50 and up

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 typeInterventional
Ages50 Years and up
SexAll
Enrollment2000 (estimated)
SponsorJohns Hopkins University
Academic / other
Locations1 site (Columbia, Maryland)
StatusRecruiting
StartedSeptember 27, 2023
Main results expectedOctober 2027
Study endsJuly 2028
Registry record updatedOctober 27, 2026
Trial IDNCT05845021 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

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.