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

NCT07070570 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1500

Last updated 2025-07-17

No results posted yet for this study

Summary

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 guideline. 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). This trial (WP2) investigates the 10-year follow-up, WP1 examines the 1-year follow-up, and WP3 is a qualitative study exploring the experiences and perceptions of patients and healthcare professionals. The aim of the HAKA trial is to safely reduce routine follow-up appointments after total hip or knee arthroplasty and to revise current clinical guidelines accordingly.

Conditions

  • Hip Arthroplasty, Total
  • Knee Arthroplasty, Total

Interventions

OTHER

Routine Follow-Up (RFU)

Standard follow-up care with scheduled X-ray, clinical visit and questionnaires at 10 years after surgery

OTHER

Active Check-Up on Demand (ACOD)

X-ray, clinical visit and questionnaires at 10 years after surgery when requested by the patient or healthcare provider.

OTHER

Passive Check-Up on Demand (PCOD)

X-ray and clinical visit (without questionnaires) at 10 year when requested by the patient or healthcare provider.

Sponsors & Collaborators

  • JointResearch

    collaborator OTHER

  • Tergooi Medical Center

    collaborator OTHER

  • Reinier Haga Orthopedisch Centrum

    lead OTHER

Study Design

Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
50 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2025-09-01
Primary Completion
2028-08-31
Completion
2029-12-31

Countries

  • Netherlands

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07070570 on ClinicalTrials.gov