Evaluation of explicit criteria for total hip joint replacement

Quintana, José M.; Aróstegui, Inmaculada; Azkárate, Jesús; Goenaga, J. Ignacio; Elexpe, Xabier; Letona, Jon; Arcelay, Andoni

doi:10.1016/s0895-4356(00)00244-4

Cited by 63 publications

(54 citation statements)

References 40 publications

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“…The testeretest reliability of the RAND/UCLA appropriateness method has been studied for total knee replacement [13], total hip joint replacement [15], coronary artery bypass grafting (CABG) [14], and carotid endarterectomy (CEA) [16] (Table 2). In each study, the same panelists rerated a portion of the original rated indications after a time interval of 6 months to 1 year.…”

Section: Reliability Of the Rand/ucla Appropriateness Methodsmentioning

confidence: 99%

The appropriateness method has acceptable reliability and validity for assessing overuse and underuse of surgical procedures

Lawson¹,

Gibbons²,

Ko³

et al. 2012

Journal of Clinical Epidemiology

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Section: Reliability Of the Rand/ucla Appropriateness Methodsmentioning

confidence: 99%

The appropriateness method has acceptable reliability and validity for assessing overuse and underuse of surgical procedures

Lawson¹,

Gibbons²,

Ko³

et al. 2012

Journal of Clinical Epidemiology

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“…A good patient outcome after orthopaedic surgery is usually dependent, among other things, on an appropriate indication for surgery [34,37]. However, there is currently no consensus on objective indications for THA; most experts consider the severity of pain and disability to be important [33], but there is little agreement regarding the actual severity of symptoms that indicates the need for surgery [11].…”

Section: Introductionmentioning

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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“…This study does not offer new insights to improve the prioritization criteria for this type of surgery, but provides evidence that failing to apply some prioritization procedure to surgical wait-list management has consequences for control and functional capacity. Nevertheless, at this time, various priority criteria tools have been published, such as those proposed by Quintana et al [23] or Naylor et al [19]. These management procedures would permit application of the most convenient treatments at the most convenient times based on patients' physical condition and socioeconomic factors.…”

Section: Discussionmentioning

confidence: 99%

Factors and Consequences of Waiting Times for Total Hip Arthroplasty

Vergara

Bilbao

González

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Various priority criteria for waiting lists for THA have been proposed. These criteria, however, are not typically included in clinical practice, resulting in unclear management procedures. Further, the clinical effects of waiting times on subsequent pain control or function are unclear. Questions/purposes Therefore, we asked (1) what factors affect the waiting time for THA when no prioritization criteria are implemented, and (2) does waiting time influence pain and function after THA? Patient and Methods We prospectively identified all 1495 patients on a waiting list for THA during a year. Of these patients, 991 fulfilled the inclusion criteria, and waiting times were available for 695, of whom 527 (76%) responded to a followup questionnaire. Variables included wait time, sociodemographic data, comorbidities, and WOMAC and SF-36 questionnaires, collected preoperatively and 6 months after surgery. Results The mean wait time was 5 months (SD, 3.0). Patients with lower levels of pain and better function on the WOMAC scale, or better physical function on the SF-36, had longer waiting times. The gains in function were smaller for patients who waited more than 6 months. The likelihood of perceiving a gain greater than the minimal clinically important difference was greater for patients waiting less than 3 months. Conclusion Only pain and previous function were significant determinants of prioritizing patients on the waiting list. Suboptimal patient selection had clinical consequences in function gain that affect the quality of the clinical care.

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Evaluation of explicit criteria for total hip joint replacement

Cited by 63 publications

References 40 publications

The appropriateness method has acceptable reliability and validity for assessing overuse and underuse of surgical procedures

The appropriateness method has acceptable reliability and validity for assessing overuse and underuse of surgical procedures

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

Factors and Consequences of Waiting Times for Total Hip Arthroplasty

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