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Perceptions of De-implementin...

Perceptions of De-implementing Routine Follow-ups After Hip and Knee Arthroplasty

Last Updated: 2025-06-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

90 participants

Study Classification

OBSERVATIONAL

Study Start Date

2026-09-01

Study Completion Date

2028-06-01

Brief Summary

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After undergoing total hip or total knee arthroplasty, current guidelines recommend routine follow-up with an X-ray within 3 months and again at 1 year. Follow-up at 5 years (for hip arthroplasties) or every 5 years (for knee arthroplasties) is also considered worthwhile according to the guidelines. However, these follow-up appointments require considerable time from patients, caregivers, and healthcare professionals, and it is unclear whether they are truly beneficial. It is possible that a single follow-up within 3 months is sufficient. This could potentially prevent over 100,000 unnecessary hospital visits per year, resulting in significant cost savings. If patients or healthcare providers have concerns, they can always request an additional follow-up.

The HAKA trial consists of three different work packages (WPs).The quantitative work packages 1 (WP1) and 2 (WP2) will investigate the 1-year and 10-year follow-up. The qualitative third work package (WP3) will explore and compare the patients' and health care professionals' (HCPs) experiences with, and perceptions about, RFU and COD after total hip and knee arthroplasty. The aim of the overarching HAKA-trial is to safely reduce routine follow-up appointments after total hip or knee arthroplasty and to revise current clinical guidelines accordingly.

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Detailed Description

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Conditions

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Hip Arthroplasty, Total Knee Arthroplasty, Total

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Routine Follow-up (RFU)

Patients planned for total hip or knee surgery who will receive routinely scheduled follow-ups.

No interventions assigned to this group

Check-ups on-demand (COD)

Patients planned for total hip or knee surgery who will receive check-ups on-demand.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

• A good command of the Dutch language

Exclusion Criteria

* N/A

Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Responsible Party

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Responsibility Role SPONSOR

Locations

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Tergooi MC

Hilversum, , Netherlands

Site Status

Countries

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Netherlands

Central Contacts

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Dominique C. Baas, PhD

Role: CONTACT

[email protected]

0031-(0)887535153

Lex D. de Jong, PhD

Role: CONTACT

[email protected]

0031-(0)880058275

Facility Contacts

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Dominique C. Baas, PhD

Role: primary

[email protected]

0031(0)0887535153

References

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Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007 Oct 27;370(9597):1508-19. doi: 10.1016/S0140-6736(07)60457-7.

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PMID: 17964352 (View on PubMed)

Price AJ, Alvand A, Troelsen A, Katz JN, Hooper G, Gray A, Carr A, Beard D. Knee replacement. Lancet. 2018 Nov 3;392(10158):1672-1682. doi: 10.1016/S0140-6736(18)32344-4.

Reference Type BACKGROUND

PMID: 30496082 (View on PubMed)

Christensen M, Folkmar K. No clinical value of post-operative routine X-ray following uncomplicated cementless primary total hip arthroplasty. Dan Med J. 2013 Apr;60(4):A4613.

Reference Type BACKGROUND

PMID: 23651720 (View on PubMed)

Hart AA, DeMik DE, Brown TS, Noiseux NO. Routine Radiographs After Total Joint Arthroplasty: Is There Clinical Value? J Arthroplasty. 2021 Jul;36(7):2431-2434. doi: 10.1016/j.arth.2021.02.050. Epub 2021 Feb 24.

Reference Type BACKGROUND

PMID: 33714635 (View on PubMed)

Dargel J, Oppermann J, Bruggemann GP, Eysel P. Dislocation following total hip replacement. Dtsch Arztebl Int. 2014 Dec 22;111(51-52):884-90. doi: 10.3238/arztebl.2014.0884.

Reference Type BACKGROUND

PMID: 25597367 (View on PubMed)

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PMID: 36469653 (View on PubMed)

Lindeque B, Hartman Z, Noshchenko A, Cruse M. Infection after primary total hip arthroplasty. Orthopedics. 2014 Apr;37(4):257-65. doi: 10.3928/01477447-20140401-08.

Reference Type BACKGROUND

PMID: 24762833 (View on PubMed)

Schwartz AM, Farley KX, Guild GN, Bradbury TL Jr. Projections and Epidemiology of Revision Hip and Knee Arthroplasty in the United States to 2030. J Arthroplasty. 2020 Jun;35(6S):S79-S85. doi: 10.1016/j.arth.2020.02.030. Epub 2020 Feb 19.

Reference Type BACKGROUND

PMID: 32151524 (View on PubMed)

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Kingsbury SR, Smith LKK, Pinedo-Villanueva R, Judge A, West R, Wright JM, Stone MH, Conaghan PG. Mid- to late-term follow-up of primary hip and knee arthroplasty: the UK SAFE evidence-based recommendations. Bone Jt Open. 2023 Feb 9;4(2):72-78. doi: 10.1302/2633-1462.42.BJO-2022-0149.R1.

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National Joint Registry (NJR) Editorial Committee and contributors. 21st Annual Report, Hip Section. 2024.

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National Joint Registry (NJR) Editorial Committee and contributors. 21st Annual Report, Knee Section. 2024

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Pinedo-Villanueva R, Kolovos S, Burn E, Delmestri A, Smith LK, Judge A, Kingsbury SR, Stone MH, Conaghan PG. Association between outpatient follow-up and incidence of revision after knee and hip replacements: a population-based cohort study. BMC Musculoskelet Disord. 2023 Feb 8;24(1):106. doi: 10.1186/s12891-023-06190-7.

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Other Identifiers

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10330042310003

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

N25.014

Identifier Type: -

Identifier Source: org_study_id

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Study Results

Basic Information

Brief Summary

Related Clinical Trials

HAKA: Routine Follow-Up at 1 Year After Hip- or Knee Arthroplasty: Wasting Resources or Appropriate Healthcare?

HAKA: Routine Follow-up at 10 Years After Hip- or Knee Arthroplasty: Wasting Resources or Appropriate Healthcare?

Questionnaire and Radiography for Prosthesis Follow-up

A Study of Posterior Hip Precautions After Total Hip Arthroplasty

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Detailed Description

Conditions

Study Design

Study Groups

Routine Follow-up (RFU)

Check-ups on-demand (COD)

Eligibility Criteria

Inclusion Criteria

Exclusion Criteria

Sponsors

Reinier Haga Orthopedisch Centrum

JointResearch

Tergooi Medical Center

Responsible Party

Locations

Tergooi MC

Countries

Central Contacts

Dominique C. Baas, PhD

Lex D. de Jong, PhD

Facility Contacts

Dominique C. Baas, PhD

References

Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007 Oct 27;370(9597):1508-19. doi: 10.1016/S0140-6736(07)60457-7.

Price AJ, Alvand A, Troelsen A, Katz JN, Hooper G, Gray A, Carr A, Beard D. Knee replacement. Lancet. 2018 Nov 3;392(10158):1672-1682. doi: 10.1016/S0140-6736(18)32344-4.

Christensen M, Folkmar K. No clinical value of post-operative routine X-ray following uncomplicated cementless primary total hip arthroplasty. Dan Med J. 2013 Apr;60(4):A4613.

Hart AA, DeMik DE, Brown TS, Noiseux NO. Routine Radiographs After Total Joint Arthroplasty: Is There Clinical Value? J Arthroplasty. 2021 Jul;36(7):2431-2434. doi: 10.1016/j.arth.2021.02.050. Epub 2021 Feb 24.

Dargel J, Oppermann J, Bruggemann GP, Eysel P. Dislocation following total hip replacement. Dtsch Arztebl Int. 2014 Dec 22;111(51-52):884-90. doi: 10.3238/arztebl.2014.0884.

Lindeque B, Hartman Z, Noshchenko A, Cruse M. Infection after primary total hip arthroplasty. Orthopedics. 2014 Apr;37(4):257-65. doi: 10.3928/01477447-20140401-08.

Schwartz AM, Farley KX, Guild GN, Bradbury TL Jr. Projections and Epidemiology of Revision Hip and Knee Arthroplasty in the United States to 2030. J Arthroplasty. 2020 Jun;35(6S):S79-S85. doi: 10.1016/j.arth.2020.02.030. Epub 2020 Feb 19.

Cassidy RS, O hEireamhoin S, Beverland DE. Guidelines for the follow-up of total hip arthroplasty: do they need to be revised? Bone Joint J. 2019 May;101-B(5):536-539. doi: 10.1302/0301-620X.101B5.BJJ-2018-0853.R2.

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