Dexamethasone for Quality of Life After Hip Surgery
The Effect of Corticosteroids on Quality of Life Following Total Hip Arthroplasty: HIPSTER Study
Recruiting
Phase 4Interventional Study
Postoperative Quality of RecoveryHealth-Related Quality-of-LifeQuality of Life
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
60 and older
Sex
Any
Trial phase
Phase 4
Study type
Interventional
Purpose
Treatment
Participants needed
224 (estimated)
Sponsor
Ziekenhuis Oost-Limburg · Other
Who this trial is looking for
This trial is looking for older adults who are having total hip replacement surgery. Participants will receive a single dose of either 5 mg or 25 mg of dexamethasone during the surgery to see how it affects their recovery and quality of life up to three months later.
Are You a Good Fit for This Trial?
You may be able to join if
I am 60 years old or older.
I am scheduled for elective total hip arthroplasty.
I will have the procedure under spinal anaesthesia.
You may not be able to join if
I am having hip revision surgery.
I am having both hips replaced at the same time.
I am allergic to dexamethasone or other corticosteroids.
I have been taking corticosteroids every day for more than 4 weeks in the last 3 months.
I have active gastric or intestinal ulcers.
I cannot give informed consent.
I need urgent, non-elective surgery.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
Total hip arthroplasty (THA) is a highly effective and commonly performed procedure for end-stage osteoarthritis. Perioperative inflammation contributes to postoperative pain, fatigue, and delayed recovery. Dexamethasone, a potent glucocorticoid with strong anti-inflammatory properties, is widely used in orthopedic surgery and incorporated into Enhanced Recovery After Surgery (ERAS) protocols for …
Total hip arthroplasty (THA) is a highly effective and commonly performed procedure for end-stage osteoarthritis. Perioperative inflammation contributes to postoperative pain, fatigue, and delayed recovery. Dexamethasone, a potent glucocorticoid with strong anti-inflammatory properties, is widely used in orthopedic surgery and incorporated into Enhanced Recovery After Surgery (ERAS) protocols for THA to reduce pain, PONV, and fatigue. While intermediate doses of dexamethasone (25 mg) are considered safe and beneficial in the short term, their long-term effects on health-related quality of life and persistent pain remain unclear.
Therefore, the main objective of the HIPSTER trial is to evaluate the effect of different doses of a single intraoperative intravenous dose of dexamethasone (5 mg versus 25 mg) on health-related quality of life up to three months after surgery.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* aged 60 years or older;
* scheduled for elective total hip arthroplasty;
* procedure under spinal anaesthesia.
Exclusion Criteria:
* hip revision surgery (reoperation);
* bilateral total hip arthroplasty during the same procedure;
* known hypersensitivity to dexamethasone or…
Inclusion Criteria:
* aged 60 years or older;
* scheduled for elective total hip arthroplasty;
* procedure under spinal anaesthesia.
Exclusion Criteria:
* hip revision surgery (reoperation);
* bilateral total hip arthroplasty during the same procedure;
* known hypersensitivity to dexamethasone or other corticosteroids;
* chronic systemic use of corticosteroids, defined as daily corticosteroid therapy for \> 4 weeks within the last 3 months, with anticipated need for a perioperative stress dose of corticosteroids;
* active gastric of intestinal ulcers;
* lack of informed consent or inability to give informed consent;
* urgent, non-elective surgery.
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