CompletedNot Applicable

Interprofessional Preoperative Geriatric Assessment for Older Arthroplasty Patients With Multimorbidity

Finland157 participantsStarted 2019-08-19

Plain-language summary

The objective of this randomized control trial is to investigate effects and cost effectiveness of interprofessional preoperative assessment among older knee or hip arthroplasty patients. The main hypothesis is that preoperative assessment and optimization have a positive impact on the patents' quality of life and expenditure of social and health care services.

Who can participate

Age range

65 Years

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Place of residence: Kuopio or Vesanto municipality * Age ≥ 65 years * Clinical decision for knee or hip arthroplasty, elective operation with more than one month waiting time, primary arthroplasty of the index joint. * Multimorbidity: the patient has at least two chronic diseases with potential to affect functioning, diseases are defined according to the Function Comorbidity Index (FCI) Additional inclusion criteria, at least two of the following: * 5 or more medicines taken regularly (polypharmacy) * continuous walking distance less than 500 m * needs help in dressing and/or washing oneself * needs help when visiting or taking care of businesses outside home * body mass index ≤ 23 or ≥ 34 Exclusion Criteria: \- does not meet the above inclusion criteria

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

Health-related quality of life (15-D)

Timeframe: Preoperative measurement at baseline, postoperative measurements 3 and 9 months after the arthroplasty.

Costs of social and health care services

Timeframe: Changes in costs of care are evaluated for a period starting from one year before and ending two years after the baseline examinations.

Trial details

NCT IDNCT04001699

SponsorUniversity of Eastern Finland

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-12-17

View on ClinicalTrials.gov More Multimorbidity trials