Multimorbidity Clinical Trial
Official title:
Interprofessional Preoperative Geriatric Assessment for Older Arthroplasty Patients With Multimorbidity - a Randomized Clinical Trial
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.
Knee and hip arthrosis are common conditions among older adults. Progression of arthrosis
often leads to worsening of symptoms and decreased mobility, daily functioning and quality of
life. Total joint arthroplasty improves pain in end-stage arthrosis but accustomed
postoperative care and rehabilitation alone may not guarantee optimal regain of functioning
for frail and vulnerable older arthroplasty patients. Preoperative optimization of older
patients with multimorbidity and functional limitations may improve benefits of the
arthroplasty even at lower costs. Patients randomized into intervention arm of the present
study receive preoperative assessment with treatment and prehabilitation plan. The focuses of
the intervention are patient's chronic conditions, nutritional status, medication and
physical activity. The intervention is delivered by multiprofessional team (geriatrician,
registered nurse, physiotherapist and pharmacist).
Older adults undergoing surgery are a rapidly growing but vulnerable patient group. Knowledge
on effects of preoperative evaluation and optimization is sparse, especially on the effects
of multi-domain interventions.
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