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| ID | Type | Description | Link |
|---|---|---|---|
| 10330042310003 | Other Grant/Funding Number | ZonMW |
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| Name | Class |
|---|---|
| Reinier Haga Orthopedisch Centrum | OTHER |
| JointResearch | OTHER |
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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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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Routine Follow-up (RFU) | Patients planned for total hip or knee surgery who will receive routinely scheduled follow-ups. | ||
| Check-ups on-demand (COD) | Patients planned for total hip or knee surgery who will receive check-ups on-demand. |
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| Measure | Description | Time Frame |
|---|---|---|
| The participants' experiences with their follow-up regimen. | The participants' experiences will be explored using a mix of semi-structured open-ended focus group questions. | Experiences gained between the baseline clinical visit and a clinical visit one year later. |
| The participants' satisfaction with their follow-up regimen. | The participants' satisfaction will be explored using a mix of semi-structured open-ended focus group questions. | Perceived satisfaction between the baseline clinical visit and a clinical visit one year later. |
| The health care professionals' experiences with the different follow-up regimens. | The health care professionals' experiences will be explored using a mix of semi-structured open-ended interview questions. | Experiences gained between the baseline clinical visit and a clinical visit one year later. |
| The health care professionals' satisfaction with the different follow-up regimens. | The health care professionals' satisfaction will be explored using a mix of semi-structured open-ended interview questions. | Perceived satisfaction between the baseline clinical visit and a clinical visit one year later. |
| The participants' and health care professionals' acceptability of the two different follow-up regimens. | The participants' and health care professionals' acceptability of the two different follow-up regimens will be explored using a mix of semi-structured open-ended focus group questions. | Acceptability of follow-up regimens from the baseline clinical visit to a clinical visit one year later. |
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Inclusion Criteria:
• A good command of the Dutch language
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dominique C. Baas, PhD | Contact | 0031-(0)887535153 | dbaas@tergooi.nl | |
| Lex D. de Jong, PhD | Contact | 0031-(0)880058275 | LDdeJong@Rijnstate.nl |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tergooi MC | Hilversum | Netherlands |
|
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17964352 | Background | 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. | |
| 30496082 | Background | 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. |
| Label | URL |
|---|---|
| Published information about HAKA-trial work package 1 | View source |
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Supporting data-including an overview of all themes, original Dutch quotes from focus groups and interviews, and their English translations-will be compiled in a table and made openly available via an online data repository.
Beginning after publication with no end date.
Anyone will be able to access the qualitative supportive data via an online data repository.
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| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D010342 | Patient Acceptance of Health Care |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| 23651720 | Background | 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. |
| 33714635 | Background | 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. |
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| Background | American Academy of Orthopaedic Surgeons. American Academy of Orthopaedic Surgeons Surgical Management of Osteoarthritis of the Knee Evidence-Based Clinical Practice Guideline. 2022 |
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| Background | Federatie Medisch Specialisten. Total hip prosthesis (THP). 2019 |
| Background | ederatie Medisch Specialisten. Richtlijn Federatie Medisch Specialisten Totale Knieprothese (TKP). 2021 |
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| 35767667 | Background | Kingsbury SR, Smith LK, Czoski Murray CJ, Pinedo-Villanueva R, Judge A, West R, Smith C, Wright JM, Arden NK, Thomas CM, Kolovos S, Shuweihdi F, Garriga C, Bitanihirwe BKY, Hill K, Matu J, Stone M, Conaghan PG. Safety of disinvestment in mid- to late-term follow-up post primary hip and knee replacement: the UK SAFE evidence synthesis and recommendations. Southampton (UK): National Institute for Health and Care Research; 2022 Jun. Available from http://www.ncbi.nlm.nih.gov/books/NBK581549/ |
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| 25065760 | Background | Smith LK. A survey of the current state of hip arthroplasty surveillance in the United Kingdom. Musculoskeletal Care. 2014 Dec;12(4):232-8. doi: 10.1002/msc.1077. Epub 2014 Jul 28. No abstract available. |
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| 37051733 | Background | 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. |
| Background | National Joint Registry (NJR) Editorial Committee and contributors. 21st Annual Report, Hip Section. 2024. |
| Background | National Joint Registry (NJR) Editorial Committee and contributors. 21st Annual Report, Knee Section. 2024 |
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| Published information about HAKA-trial work package 2 | View source |
| D000074822 |
| Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |