Interprofessional Preoperative Geriatric Assessment for Older Arthroplasty Patients With Multimorbidity

NCT04001699 | Unknown

• 1 other identifier: HERIT
• Study Type: interventional
• Target: 140
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Multimorbidity; Knee Arthrosis; Hip Arthrosis

Keywords

preoperative; geriatric assessment; interprofessional team

Outcome Measures

Primary Outcomes (2)

• Health-related quality of life (15-D)

  Change in quality of life is measured using the 15-dimensions health-related quality of life questionnaire (15-D) in three time points

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

• Costs of social and health care services

  Data on the use and costs of social and health care services are obtained from the national and local care registers. The costs of the intervention are evaluated by measuring working time of the inter-professional team members (used per every study patient).

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

Study Arms (2)

Intervention

EXPERIMENTAL

Preoperative assessment conducted by an interprofessional team

Other: Preoperative geriatric assessment

Usual care

ACTIVE COMPARATOR

Usual care

Other: Preoperative geriatric assessment

Interventions

Preoperative geriatric assessment OTHER

In addition to the usual care, patients randomized to the intervention group receive preoperative assessment conducted by an interprofessional team including geriatrician, registered nurse, physiotherapist and pharmacist. Based on the assessment, a preoperative optimization plan is constructed focusing on the treatment of the patient's chronic conditions, nutritional status, medication and physical activity.

Intervention; Usual care

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• 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)
• 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

Sponsors & Collaborators

• University of Eastern Finland: lead
• Kuopio University Hospital: collaborator

Study Sites (1)

University of Eastern Finland

Kuopio, FI-70211, Finland

Location

MeSH Terms

Conditions

Osteoarthritis, Hip

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Study Officials

• Eija Lönnroos

  University of Eastern Finland, Institute of Public Health and Clinical Nutrition

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Eija Lönnroos, MD, PhD

CONTACT

+358 40 3552932; eija.lonnroos@uef.fi

Kaisa Haatainen

CONTACT

kaisa.haatainen@kuh.fi

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: professor

Study Record Dates

• First Submitted: June 25, 2019
• First Posted: June 28, 2019
• Study Start: August 19, 2019
• Primary Completion: December 31, 2022
• Study Completion: December 31, 2024
• Last Updated: June 28, 2019

Record last verified: 2019-06

Data Sharing

• IPD Sharing: Will not share

Locations

FI (1)