Prevalence of Musculoskeletal Complaints in Nursing Home Residents

NCT06235710 | Completed DMC

• 1 other identifier: NL84320.068.23
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this observational study is to investigate the prevalence of joint complaints in nursing home residents with and without dementia. Primary objective: Number of tender or swollen joints. Secondary objectives:

1. 1.Only when it is possible for the nursing home resident to provide us this information: how nursing home residents themselves assess the severity of their joint complaints that day (at that time). If the nursing home resident cannot answer this question (reliably), the investigators use the Pain Assessment Checklist for Seniors with Severe Dementia (PACSLAC-D).
2. 2.Investigate mobility limitations among nursing home residents.
3. 3.To understand whether an accurate (differential) diagnosis for the joint complaints is reported in the electronic files.

Conditions

Rheumatoid Arthritis; Rheumatic Diseases; Musculoskeletal Diseases; Musculoskeletal Diseases or Conditions; Gout; Degenerative Joint Disease; Orthopedic Disorder; Arthritis; Polyarthritis; Musculoskeletal Pain; Arthrosis

Keywords

Rheumatic and musculoskeletal diseases; Prevalence; Nursing home residents

Outcome Measures

Primary Outcomes (1)

• The prevalence of joint complaints in nursing home residents with and without dementia.

  Our definition of joint complaints is: number of tender and / or swollen joints.

  Day 1

Secondary Outcomes (3)

• The severity of their joint complaints that day.

  Day 1

• Amount and severity of mobility limitations among nursing home residents.

  Day 1

• Information on whether an accurate (differential) diagnosis for the joint complaints is reported in the electronic files.

  Day 1

Other Outcomes (1)

• Additional information collected from the electronic patient files.

  Day 1

Study Arms (2)

Group 1: Nursing home residents without dementia

* Mentally competent nursing home resident ≥ 65 years; * No diagnosis of dementia (major neurocognitive disorder according to DSM-5 criteria); * The nursing home resident provides informed consent to participate in the study. In this study, nursing home residents all undergo a physical examination of the musculoskeletal system. In addition: \- In group 1: nursing home residents provide an answer on 3 non-incriminating questions (assessment general health, severity of joint complaints and pain in general).

Group 2: Nursing home residents with dementia

* Nursing home resident with dementia (major neurocognitive disorder according to DSM-5 criteria) ≥ 65 years; * The legal representative of the nursing home resident provides informed consent to participate in the study. In this study, nursing home residents all undergo a physical examination of the musculoskeletal system. In addition: In group 2: if possible, provide an answer on 1 non-incriminating question (severity of joint complaints). If the nursing home resident cannot answer this question (reliably), we use the Pain Assessment Checklist for Seniors with Severe Dementia (PACSLAC-D).

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

In total, 50 nursing home residents without dementia (group 1) and 50 nursing home residents with dementia (group 2), ≥ 65 years of age, will be included. In the Cicero Zorggroep nursing homes, residents are comparable to those living in other nursing homes in the Netherlands. They undergo the same assessment and screening (in the case of psychogeriatric care: mainly ZZP 5, and in somatic care mainly ZZP 6). Within Cicero, there are no specialized departments (e.g., for Parkinson's disease or young dementia patients), so each department consists of a representative cross-section of nursing home residents. In our study, we do not differentiate between subgroups, except for gender and the presence of dementia.

You may qualify if:

• Mentally competent nursing home resident ≥ 65 years;
• No diagnosis of dementia (major neurocognitive disorder according to DSM-5 criteria);
• The nursing home resident provides informed consent to participate in the study.
• Nursing home resident with dementia (major neurocognitive disorder according to DSM-5 criteria) ≥ 65 years;
• The legal representative of the nursing home resident provides informed consent to participate in the study.

You may not qualify if:

• Diagnosis dementia;
• Life expectancy \< 2 weeks (definition terminal nursing home resident).
• If, on the basis of an already known pattern of behaviour, it is expected that the potential participant will resist the proposed research (anticipated behaviour).

Sponsors & Collaborators

• Maastricht University Medical Center: lead

Study Sites (1)

Cicero Zorggroep

Brunssum, Limburg, 6440 AC, Netherlands

Location

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MeSH Terms

Conditions

Arthritis, Rheumatoid; Rheumatic Diseases; Musculoskeletal Diseases; Gout; Joint Diseases; Arthritis; Musculoskeletal Pain; Osteoarthritis

Condition Hierarchy (Ancestors)

Connective Tissue Diseases; Skin and Connective Tissue Diseases; Autoimmune Diseases; Immune System Diseases; Crystal Arthropathies; Purine-Pyrimidine Metabolism, Inborn Errors; Metabolism, Inborn Errors; Genetic Diseases, Inborn; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Metabolic Diseases; Nutritional and Metabolic Diseases; Muscular Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Marloes van Onna, MD; PhD

  Maastricht University Medical Centre

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 23, 2024
• First Posted: February 1, 2024
• Study Start: January 18, 2024
• Primary Completion: March 1, 2025
• Study Completion: May 1, 2025
• Last Updated: September 30, 2025

Record last verified: 2025-05

Locations

NL (1)