Appropriateness of total hip joint replacement

Quintana, José M.; Escobar, Antonio; Azkárate, Jesús; Goenaga, J. Ignacio; Bilbao, Amaia

doi:10.1093/intqhc/mzi047

Cited by 18 publications

(15 citation statements)

References 16 publications

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“…However, these differences need to be considered when evaluating indications and thresholds for surgery, because many guidelines are based on the degree of pain and function on presentation [1,35]. Further studies to elucidate the nature of the differences therefore are required; if they reflect barriers to access, these should be addressed and eliminated.…”

Section: Discussionmentioning

confidence: 99%

Women Demonstrate More Pain and Worse Function Before THA but Comparable Results 12 Months After Surgery

Mannion

Impellizzeri

Naal

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Many studies report differences in patientreported outcome measures (PROMs) for men and women undergoing total hip arthroplasty (THA). Few studies have evaluated whether these are explained by corresponding differences in important preoperative factors. Questions/purposes (1) Are there differences between men and women in PROM scores preoperatively and 12 months after THA? (2) Do baseline differences in comorbidity, age, body mass index (BMI), and mental health status explain these differences in PROM scores? Methods Preoperatively, 300 patients completed the Oxford Hip Score (OHS), WOMAC, and SF-12; 261 (86%) of them (129 women, 64 ± 11 years; 132 men, 66 ± 10 years) completed the same questionnaires 12 months postoperatively and also rated the acceptability of their current symptoms and change in general health. Results Preoperatively, women showed worse scores than men in the OHS (À1.9; 95% confidence interval, À3.6 to À0.3) and WOMAC (À6.3; À10.9 to À1.7). At 12 months postoperatively, the absolute scores for all PROMs were not significantly different. After controlling for BMI, age, comorbidity, SF-12 mental health scores, and sociodemographic characteristics, the baseline differences remained. Conclusions Surgeons may be more reluctant to operate on women than men because they perceive that, because of their worse baseline status, women are likely to have worse outcomes; however, given that we found no evidence for differences in patient-reported outcomes at 12 months, these suspicions would appear to be unfounded. Women and men can be expected to benefit to a similar extent from THA. Level of Evidence Level III, therapeutic study.

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Section: Discussionmentioning

confidence: 99%

Women Demonstrate More Pain and Worse Function Before THA but Comparable Results 12 Months After Surgery

Mannion

Impellizzeri

Naal

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…If none of the conditions was met, previous medical management was considered inadequate [20][21][22][23] .…”

Section: Methodsmentioning

confidence: 99%

“…The primary outcome measure was the clinical appropriateness of TJA. Clinical appropriateness for TJA, a dichotomous outcome variable, was obtained for each patient using an algorithm [20][21][22][23] . The algorithm classified each patient as either "appropriate" or "not appropriate" based on the following variables: age, adequacy of previous medical management, severity of pain, and functional limitation and surgical risk.…”

Section: Methodsmentioning

confidence: 99%

“…The algorithm classified each patient as either "appropriate" or "not appropriate" based on the following variables: age, adequacy of previous medical management, severity of pain, and functional limitation and surgical risk. For age, the algorithm categorized patients into 2 groups: 50-70 years of age and > 70 [20][21][22][23] . See Figure 1 for examples of appropriate and inappropriate scenarios.…”

Section: Methodsmentioning

confidence: 99%

“…We hypothesized that African Americans were less clinically appropriate for TJA than whites. We applied a previously validated algorithm to determine the clinical appropriateness or eligibility of each patient for TJA [20][21][22][23] .…”

mentioning

confidence: 99%

See 2 more Smart Citations

African Americans and Whites Are Equally Appropriate to be Considered for Total Joint Arthroplasty

Ang¹,

Tahir²,

Hanif³

et al. 2009

J Rheumatol

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Defining appropriateness criteria for endoscopic sinus surgery during management of uncomplicated adult chronic rhinosinusitis: a RAND/UCLA appropriateness study

Rudmik

Soler

Hopkins

et al. 2016

Int Forum Allergy Rhinol

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This study has developed and reported of list of appropriateness criteria to offer ESS as a treatment "option" during management of uncomplicated adult CRS. The extent or technique of ESS was not addressed in this study and will depend on surgeon and patient factors. Furthermore, these criteria are the minimal threshold to make ESS a treatment "option" and do not imply that all patients meeting these criteria require surgery. The decision to perform ESS should be made after an informed patient makes a preference-sensitive decision to proceed with surgery. Applying these appropriateness criteria for ESS may optimize patient selection, reduce the incidence of unwarranted surgery, and assist clinicians in providing high-quality, patient-centered care to patients with CRS.

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Appropriateness of total hip joint replacement

Abstract: We identified a low percentage of inappropriate indications and differences in some outcomes between centres. Compared with previously, there has been improvement in the use of this technique, although both periods are not methodologically comparable.

Cited by 18 publications

References 16 publications

Women Demonstrate More Pain and Worse Function Before THA but Comparable Results 12 Months After Surgery

Women Demonstrate More Pain and Worse Function Before THA but Comparable Results 12 Months After Surgery

African Americans and Whites Are Equally Appropriate to be Considered for Total Joint Arthroplasty

Defining appropriateness criteria for endoscopic sinus surgery during management of uncomplicated adult chronic rhinosinusitis: a RAND/UCLA appropriateness study

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