Hip Arthroplasty ReplacementNCT07201116
Health-GIS Platform for Hip Replacement Rehabilitation Coordination
A study testing Health-GIS Rehabilitation Coordination Platform and Standard Rehabilitation Referral in people with Hip Arthroplasty Replacement and Hip Arthroplasty, Total, run by Tulip Medicine at 1 site in Kazakhstan.
Trial summary
This study tests whether a mobile phone app with mapping technology can help patients find rehabilitation services faster after hip replacement surgery. After having their hip replaced, patients typically need several months of physical therapy to recover fully. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hip Arthroplasty Replacement, Hip Arthroplasty, Total, Rehabilitation
- What is being tested?
- Health-GIS Rehabilitation Coordination Platform and Standard Rehabilitation Referral
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 142 participants
- Where
- 1 siteKazakhstan
- Study dates
- 28 Nov 2024to 19 Dec 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age ≥18 years
- Completed primary total hip arthroplasty within the past 7 days
- Ability to understand study procedures and provide signed informed consent
- Fluency in Russian or Kazakh language
- Access to smartphone or tablet device with internet connectivity
Who cannot join
- Severe cognitive impairment
- Participation in another clinical trial that might interfere with study outcomes
- Intraoperative or postoperative complications requiring extended hospitalization after total hip arthroplasty
- Medical contraindications to rehabilitation
- Planned total hip arthroplasty within 12 months
- Severe visual impairments preventing mobile application usage
- Patients who declined to participate after being informed about the study protocol
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effectiveness of a Geographic Information System-Integrated Mobile Platform for Coordinating Early Stage Rehabilitation After Total Hip Arthroplasty: A Randomized Controlled Trial
This study tests whether a mobile phone app with mapping technology can help patients find rehabilitation services faster after hip replacement surgery. After having their hip replaced, patients typically need several months of physical therapy to recover fully. However, many patients face long waiting times or don't know where to find rehabilitation services near them.
In this study, half of the patients will use a new mobile app that shows rehabilitation centers on a map, displays available appointment times, and allows patients to compare services and costs. The other half will receive standard care, where they must contact their family doctor to help find rehabilitation services.
The study will measure how quickly patients start rehabilitation after leaving the hospital, how well their hip functions after treatment, their quality of life, and pain levels. The investigators will also look at whether the app is easy to use.
Read the detailed description
Total hip arthroplasty (hip replacement) is one of the most successful surgical procedures in modern orthopedics, with over 528 million people worldwide affected by osteoarthritis requiring joint replacement. The demand is projected to increase dramatically: 71% growth in the US by 2030 (635,000 procedures), 198% growth in Australia by 2046 (94,086 procedures), and 99-147% growth in Japan by 2030 depending on demographic groups.
Success of hip replacement surgery largely depends on timely access to rehabilitation services, particularly during the early recovery period (first 3-6 months post-surgery). Current medical rehabilitation principles emphasize early initiation, continuity, and seamless care coordination to optimize clinical outcomes. However, healthcare systems worldwide face significant challenges in organizing effective rehabilitation services.
The primary objective is to evaluate the effectiveness of implementing a GIS-integrated rehabilitation coordination platform for organizing early-stage rehabilitation after total hip arthroplasty. The investigators hypothesize that using a specialized mobile application with integrated GIS components will eliminate information gaps, ensure equitable patient flow distribution among medical organizations, reduce time from surgical discharge to second-stage rehabilitation initiation, and consequently improve functional treatment outcomes while enhancing healthcare system resource utilization efficiency.
After discharge from surgical hospitals, patients often encounter an information vacuum regarding available rehabilitation services. Primary care physicians typically have limited knowledge of regional rehabilitation centers, severely restricting patient routing options. This leads to systematic violations of key rehabilitation principles - early initiation and continuity of care - negatively impacting surgical outcomes.
Kazakhstan's healthcare system exemplifies these challenges, with critical imbalances between rehabilitation service demand and supply. Leading national centers performing thousands of hip replacements annually can provide rehabilitation to only a small fraction of patients, creating waiting lists extending several months. This disproportion generates systematic risks and healthcare delivery violations, with over 5.9 million healthcare delivery defects identified in 2024, including inappropriate service volume increases, unjustified medical care provision, and deviations from clinical protocols.
Healthcare digitalization offers innovative solutions to these systemic problems. Geographic Information Systems (GIS) have been successfully applied in various medical fields for analyzing spatial distribution of medical resources, optimizing patient routing, and improving service accessibility. A rehabilitation coordination platform with integrated GIS components could fundamentally transform rehabilitation service organization by providing transparency regarding available services, real facility capacity, and care accessibility.
- Being tested
- Health-GIS Rehabilitation Coordination Platform, Standard Rehabilitation Referral
- Keywords
- Total hip arthroplasty, Hip replacement, Rehabilitation, Patient navigation, Mobile health application, Geographic information systems, Healthcare delivery, Rehabilitation access, Post-operative care, Quality of life
- Medical subject headings
- Osteoarthritis, Hip
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Health-GIS Rehabilitation Coordination PlatformDevice
Participants receive access to a specialized mobile application with integrated Geographic Information System (GIS) components for rehabilitation service coordination. While hospitalized, patients submit rehabilitation requests through the platform, indicating their location, desired time, and specific rehabilitation needs. Registered rehabilitation centers within the platform receive these requests and can submit counter-proposals with available slots, services offered, and estimated costs. The platform provides real-time visualization of available rehabilitation facilities on an interactive map, displays facility ratings, services offered, current capacity, and waiting times. Patients receive automated notifications about new proposals and can compare options based on location proximity, service quality ratings, and availability. Technical support is available through in-app messaging and a dedicated helpline during business hours.
Standard Rehabilitation ReferralOther
Upon discharge, patients receive written recommendations stating that rehabilitation is advised as part of their post-operative care plan. No specific rehabilitation facilities are recommended or contacts provided by the surgical team. Patients are instructed to contact their assigned primary care physician (general practitioner) at their local polyclinic for further referral coordination. The primary care physician is responsible for identifying available rehabilitation facilities, making referrals, and coordinating the rehabilitation timeline based on their knowledge of local resources and current availability. This intervention represents routine clinical practice typically provided to patients after total hip arthroplasty.
| Study group | Role | What they receive |
|---|---|---|
| GIS-Guided Rehabilitation App | Experimental | Patients receive access to a specialized mobile application with integrated Geographic Information System (GIS) components for rehabilitation service coordination after total hip arthroplasty. Receives: Device: Health-GIS Rehabilitation Coordination Platform |
| Standard Primary Care Referral | Active comparator | Patients receive standard rehabilitation referral process through primary care physicians after total hip arthroplasty Receives: Other: Standard Rehabilitation Referral |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to Rehabilitation Initiation
Time from discharge from surgical hospital to initiation of second-stage rehabilitation services, measured in days
Measured: 12 months from enrollment
SF-12 Quality of Life Score
12-Item Short Form Health Survey (SF-12) Physical Component Summary (PCS): 0-100 Mental Component Summary (MCS): 0-100 Higher scores indicate better quality of life and better health status.
Measured: Baseline, 6 months, and 12 months from enrollment
Secondary outcomes (4)
Harris Hip Score
Functional outcome assessment measuring hip joint function, pain, and mobility. The scale ranges from 0 to 100, with higher scores indicating better hip function and less disability.
Measured: Baseline, 6 weeks, 6 months, and 12 months from enrollment
Visual Analog Scale (VAS) Pain Score
Pain intensity assessment using a 0-10 scale where 0 represents no pain and 10 represents maximum possible pain.
Measured: Baseline, 6 weeks, 6 months, and 12 months from enrollment
System Usability Scale (SUS) Score
Usability assessment of the Health-GIS platform for both patients and healthcare facilities. The scale ranges from 0 to 100, with higher scores indicating better usability and user satisfaction.
Measured: 3 months and 6 months from enrollment
Quality-Adjusted Life Years (QALY)
Health utility measured using SF-6D utility scores derived from SF-12 questionnaire, calculated using the area under the curve method over the 12-month study period The QALY score will range from 0 to 1. A higher QALY score represents a better overall health outcome over the 12-month period, indicating more time spent in a better state of health.
Measured: 12 months from enrollment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Oct 2025
- Study start28 Nov 2024
- Primary completion19 Dec 2025
- Study completion19 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Hip Arthroplasty ReplacementStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Care provider, Investigator, Outcomes assessor
- Enrolment
- 142 participants (actual)
Sponsor and investigators
- Lead sponsor
- Tulip Medicine
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Didar Khassenov, Tulip Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07201116
- Sponsor's protocol ID
- NROC 4
- Status last verified
- Mar 2026
- First submitted
- 23 Sep 2025
- Last updated
- 10 Mar 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Kurban Z, Bulekbayeva S, Slivkina N, Titskaya E, Ussin Y, Zorgulov G, Adylkhanov F, Aldakuatova D. Effectiveness of a Geographic Information System-Integrated Mobile Platform for Coordinating Early Stage Rehabilitation After Total Hip Arthroplasty: A Randomized Controlled Trial. Int J Environ Res Public Health. 2026 Jun 3;23(6):751. doi: 10.3390/ijerph23060751.
PubMed 42354282
Study at a glance
From the registry record, last updated by the sponsor on 10 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of a Geographic Information System-Integrated Mobile Platform for Coordinating Early Stage Rehabilitation After Total Hip Arthroplasty: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07201116
- Acronym / sponsor ID
- NROC 4
- Keywords
- Total hip arthroplasty, Hip replacement, Rehabilitation, Patient navigation, Mobile health application, Geographic information systems, Healthcare delivery, Rehabilitation access
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 142 participants (actual)
- Lead sponsor
- Tulip MedicineUniversity, hospital or other
- Study start
- 28 Nov 2024 (actual)
- Primary completion
- 19 Dec 2025 (actual)
- Study completion
- 19 Dec 2025 (actual)
- First posted
- 1 Oct 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study tests whether a mobile phone app with mapping technology can help patients find rehabilitation services faster after hip replacement surgery. After having their hip replaced, patients typically need several months of physical therapy to recover fully. However, many patients face long waiting times or don't know where to find rehabilitation services near them.
In this study, half of the patients will use a new mobile app that shows rehabilitation centers on a map, displays available appointment times, and allows patients to compare services and costs. The other half will receive standard care, where they must contact their family doctor to help find rehabilitation services.
The study will measure how quickly patients start rehabilitation after leaving the hospital, how well their hip functions after treatment, their quality of life, and pain levels. The investigators will also look at whether the app is easy to use.
Detailed description
Total hip arthroplasty (hip replacement) is one of the most successful surgical procedures in modern orthopedics, with over 528 million people worldwide affected by osteoarthritis requiring joint replacement. The demand is projected to increase dramatically: 71% growth in the US by 2030 (635,000 procedures), 198% growth in Australia by 2046 (94,086 procedures), and 99-147% growth in Japan by 2030 depending on demographic groups.
Success of hip replacement surgery largely depends on timely access to rehabilitation services, particularly during the early recovery period (first 3-6 months post-surgery). Current medical rehabilitation principles emphasize early initiation, continuity, and seamless care coordination to optimize clinical outcomes. However, healthcare systems worldwide face significant challenges in organizing effective rehabilitation services.
The primary objective is to evaluate the effectiveness of implementing a GIS-integrated rehabilitation coordination platform for organizing early-stage rehabilitation after total hip arthroplasty. The investigators hypothesize that using a specialized mobile application with integrated GIS components will eliminate information gaps, ensure equitable patient flow distribution among medical organizations, reduce time from surgical discharge to second-stage rehabilitation initiation, and consequently improve functional treatment outcomes while enhancing healthcare system resource utilization efficiency.
After discharge from surgical hospitals, patients often encounter an information vacuum regarding available rehabilitation services. Primary care physicians typically have limited knowledge of regional rehabilitation centers, severely restricting patient routing options. This leads to systematic violations of key rehabilitation principles - early initiation and continuity of care - negatively impacting surgical outcomes.
Kazakhstan's healthcare system exemplifies these challenges, with critical imbalances between rehabilitation service demand and supply. Leading national centers performing thousands of hip replacements annually can provide rehabilitation to only a small fraction of patients, creating waiting lists extending several months. This disproportion generates systematic risks and healthcare delivery violations, with over 5.9 million healthcare delivery defects identified in 2024, including inappropriate service volume increases, unjustified medical care provision, and deviations from clinical protocols.
Healthcare digitalization offers innovative solutions to these systemic problems. Geographic Information Systems (GIS) have been successfully applied in various medical fields for analyzing spatial distribution of medical resources, optimizing patient routing, and improving service accessibility. A rehabilitation coordination platform with integrated GIS components could fundamentally transform rehabilitation service organization by providing transparency regarding available services, real facility capacity, and care accessibility.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GIS-Guided Rehabilitation App | Experimental | Device: Health-GIS Rehabilitation Coordination PlatformPatients receive access to a specialized mobile application with integrated Geographic Information System (GIS) components for rehabilitation service coordination after total hip arthroplasty. |
| Standard Primary Care Referral | Active comparator | Other: Standard Rehabilitation ReferralPatients receive standard rehabilitation referral process through primary care physicians after total hip arthroplasty |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Age ≥18 years
- Completed primary total hip arthroplasty within the past 7 days
- Ability to understand study procedures and provide signed informed consent
- Fluency in Russian or Kazakh language
- Access to smartphone or tablet device with internet connectivity
Key exclusion criteria (7 listed)
- Severe cognitive impairment
- Participation in another clinical trial that might interfere with study outcomes
- Intraoperative or postoperative complications requiring extended hospitalization after total hip arthroplasty
- Medical contraindications to rehabilitation
- Planned total hip arthroplasty within 12 months
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Health-GIS Rehabilitation Coordination PlatformParticipants receive access to a specialized mobile application with integrated Geographic Information System (GIS) components for rehabilitation service coordination. While hospitalized, patients submit rehabilitation requests through the platform, indicating their location, desired time, and specific rehabilitation needs. Registered rehabilitation centers within the platform receive these requests and can submit counter-proposals with available slots, services offered, and estimated costs. The platform provides real-time visualization of available rehabilitation facilities on an interactive map, displays facility ratings, services offered, current capacity, and waiting times. Patients receive automated notifications about new proposals and can compare options based on location proximity, service quality ratings, and availability. Technical support is available through in-app messaging and a dedicated helpline during business hours. | Device | GIS-Guided Rehabilitation App |
| Standard Rehabilitation ReferralUpon discharge, patients receive written recommendations stating that rehabilitation is advised as part of their post-operative care plan. No specific rehabilitation facilities are recommended or contacts provided by the surgical team. Patients are instructed to contact their assigned primary care physician (general practitioner) at their local polyclinic for further referral coordination. The primary care physician is responsible for identifying available rehabilitation facilities, making referrals, and coordinating the rehabilitation timeline based on their knowledge of local resources and current availability. This intervention represents routine clinical practice typically provided to patients after total hip arthroplasty. | Other | Standard Primary Care Referral |
Primary outcome
Time to Rehabilitation Initiation
Time frame: 12 months from enrollment
Time from discharge from surgical hospital to initiation of second-stage rehabilitation services, measured in days
SF-12 Quality of Life Score
Time frame: Baseline, 6 months, and 12 months from enrollment
12-Item Short Form Health Survey (SF-12) Physical Component Summary (PCS): 0-100 Mental Component Summary (MCS): 0-100 Higher scores indicate better quality of life and better health status.
4 secondary outcomes
Harris Hip Score
Time frame: Baseline, 6 weeks, 6 months, and 12 months from enrollment
Visual Analog Scale (VAS) Pain Score
Time frame: Baseline, 6 weeks, 6 months, and 12 months from enrollment
System Usability Scale (SUS) Score
Time frame: 3 months and 6 months from enrollment
Quality-Adjusted Life Years (QALY)
Time frame: 12 months from enrollment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Mar 2026.
- Derived from this study: PubMed 42354282Kurban Z, Bulekbayeva S, Slivkina N, Titskaya E, Ussin Y, Zorgulov G, Adylkhanov F, Aldakuatova D. Effectiveness of a Geographic Information System-Integrated Mobile Platform for Coordinating Early Stage Rehabilitation After Total Hip Arthroplasty: A Randomized Controlled Trial. Int J Environ Res Public Health. 2026 Jun 3;23(6):751. doi: 10.3390/ijerph23060751.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Health-GIS Rehabilitation Coordination Platform and Standard Rehabilitation Referral in people with Hip Arthroplasty Replacement and Hip Arthroplasty, Total, run by Tulip Medicine at 1 site in Kazakhstan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 10 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Kazakhstan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to Rehabilitation Initiation (time frame: 12 months from enrollment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07201116, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Mar 2026.