Decision trees for indication of total hip replacement on patients with osteoarthritis

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

doi:10.1093/rheumatology/kep264

Cited by 16 publications

(12 citation statements)

References 28 publications

(36 reference statements)

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“…The other 5 included original studies investigated decision tools to assess the appropriateness of TKA ( n = 2) [8, 9] or THA ( n = 3) [10, 11, 36] in OA patients.…”

Section: Resultsmentioning

confidence: 99%

“…Quintana et al developed three THA appropriateness algorithms in OA patients [10, 11, 36]. Two were established using the RAND/UCLA appropriateness method.…”

Section: Resultsmentioning

confidence: 99%

“…The other algorithm was based on the WOMAC as they wanted to develop a tool based on a disease specific instrument rather than on expert opinion [36]. Surgical risk, pre-intervention pain and functional limitations were found to significantly predict changes in the WOMAC pain domain 6 months after THA and pre-intervention functional limitations predicted changes in the functional limitation domain [36].…”

Section: Resultsmentioning

confidence: 99%

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Indication criteria for total hip or knee arthroplasty in osteoarthritis: a state-of-the-science overview

Gademan

Hofstede

Vlieland

et al. 2016

BMC Musculoskelet Disord

186

128

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BackgroundThis systematic review gives an overview of guidelines and original publications as well as the evidence on which the currently proposed indication criteria are based. Until now such a state-of-the-science overview was lacking.MethodsWebsites of orthopaedic and arthritis organizations (English/Dutch language) were independently searched by two authors for THA/TKA guidelines for OA. Furthermore, a systematic search strategy in several databases through August 2014 was performed. Quality of the guidelines was assessed with the AGREE II instrument, which consists of 6 domains (maximum summed score of 6 indicating high quality). Also, the level of evidence of all included studies was assessed.ResultsWe found 6 guidelines and 18 papers, out of 3065 references. The quality of the guidelines summed across 6 domains ranged from 0.46 to 4.78. In total, 12 THA, 10 TKA and 2 THA/TKA indication sets were found. Four studies stated that no evidence-based indication criteria are available. Indication criteria concerning THA/TKA consisted of the following domains: pain (in respectively 11 and 10 sets), function (12 and 7 sets), radiological changes (10 and 9 sets), failed conservative therapy (8 and 4 sets) and other indications (6 and 7 sets). Specific cut-off values or ranges were often not stated and the level of evidence was low.ConclusionThe indication criteria for THA/TKA are based on limited evidence. Empirical research is needed, especially regarding domain specific cut-off values or ranges at which the best postoperative outcomes are achieved for patients, taking into account the limited lifespan of a prosthesis.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-016-1325-z) contains supplementary material, which is available to authorized users.

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“…The other 5 included original studies investigated decision tools to assess the appropriateness of TKA ( n = 2) [8, 9] or THA ( n = 3) [10, 11, 36] in OA patients.…”

Section: Resultsmentioning

confidence: 99%

“…Quintana et al developed three THA appropriateness algorithms in OA patients [10, 11, 36]. Two were established using the RAND/UCLA appropriateness method.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Indication criteria for total hip or knee arthroplasty in osteoarthritis: a state-of-the-science overview

Gademan

Hofstede

Vlieland

et al. 2016

BMC Musculoskelet Disord

186

128

View full text Add to dashboard Cite

show abstract

“…7 Due to the chronicity and demand for constant care of the OA, its treatment aims at controlling patients sintomatology; however, in advance stages of the disease noninvasive treatments as medications and physical rehabilitation have limited value, and THA is recommended after rigorous criteria assessment. 6,[8][9][10][11][12][13] This surgery is associated with many undesirable risks and consequences. 8,14,15 The aging process is accompanied by important skeletal muscle alterations as reduction in muscle cross-sectional area and decline in muscular performance at slow and fast angular speeds.…”

Section: Introductionmentioning

confidence: 99%

“…27 The data were standardized to a range of values from 0 to 100, where 100 represents the worst health status possible. 13,27 In the present study, the valid and reliable Brazilian version of WOMAC was used.…”

mentioning

confidence: 99%

Muscular and functional performance measurement is reduced in elderly after total hip arthroplasty: an observational study

Borges¹,

Domingues²,

Dias³

et al. 2017

IPMRJ

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Objectives: To evaluate the functional and isokinetic muscular performance of the elderly, after total and unilateral hip arthroplasty due to hip osteoarthritis (OA).Methods: Twenty elderly with total hip arthroplasty (THA) and a matched control group were included. Isokinetic muscular performance (Biodex) and gait speeds were measured (GAITRite®). THA group completed the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire.Results: There were no differences between non-operated and operated legs. Significant differences between groups were evident for hip abduction (p≤0,008), knee flexion (p≤0,003) and knee extension (p≤0,003) movements. At the fast gait speed, statistical significant effects between groups were observed (THA=1,71m/s, Control=1,96m/s, p=0,017). THA elderly group showed lower scores in pain (6±11,85), stiffness (8,12±15,39) and function (9,12±20,45) in WOMAC domains. Conclusion:Years after THA surgery due to OA, the elderly were not restored to the same levels of strength and power of the hip and knee muscles, as compared with a matched control group

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Pain and sensitization after total knee replacement or nonsurgical treatment in patients with knee osteoarthritis: Identifying potential predictors of outcome at 12 months

Arendt-Nielsen

Simonsen

Laursen

et al. 2018

European Journal of Pain

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Decision trees for indication of total hip replacement on patients with osteoarthritis

Abstract: A simple decision tree based on WOMAC outcomes can help to determine the appropriate application of THR. It could also be used to evaluate clinical practice or for quality control.

Cited by 16 publications

References 28 publications

Indication criteria for total hip or knee arthroplasty in osteoarthritis: a state-of-the-science overview

Indication criteria for total hip or knee arthroplasty in osteoarthritis: a state-of-the-science overview

Muscular and functional performance measurement is reduced in elderly after total hip arthroplasty: an observational study

Pain and sensitization after total knee replacement or nonsurgical treatment in patients with knee osteoarthritis: Identifying potential predictors of outcome at 12 months

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