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Could a geriatric check before knee or hip surgery boost recovery and cut costs?

NCT ID NCT04001699

Knowledge-focused Sponsor: University of Eastern Finland Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study looked at whether a team-based health assessment before knee or hip replacement surgery improves quality of life and reduces healthcare costs for patients aged 65 and older with multiple chronic conditions. 157 patients were randomly assigned to receive either usual care or an additional assessment by a geriatrician, nurse, physiotherapist, and pharmacist. The team created a plan to manage chronic diseases, nutrition, medications, and physical activity before surgery.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Preoperative geriatric assessment by an interprofessional team
What this could lead to
If successful, this could show that a thorough check-up before surgery improves recovery and lowers healthcare costs for older patients with multiple health issues.
What could go wrong
This is a small, completed study (157 participants) in two Finnish municipalities, so results may not apply to other regions or larger populations. The intervention is a care process, not a drug, so benefits may be modest.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

157 people

The number who actually took part.

Started

Aug 2019

Finished

Dec 2025

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

65 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

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

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Conditions

The condition(s) this trial relates to.

osteoarthritis, hip osteoarthritis, knee

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Hip arthrosis Knee arthrosis Multimorbidity

Contacts and locations

Locations

  • University of Eastern Finland

    Kuopio, FI-70211, Finland

More trials for these conditions

Other studies related to the condition(s) this trial covers.