The young osteoarthritic hip

Busch, Vincent

doi:10.3109/17453674.2015.1041354

Cited by 3 publications

(1 citation statement)

References 108 publications

(60 reference statements)

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“…Arthroplasty care in the United States has become highly standardized and has been optimized to expedite recovery and minimize risk for complications [ [16] , [17] , [18] , [19] , [20] ]. It remains unclear how well these processes can be translated to a community without longitudinal presence of an experienced surgical team and in the setting of poor resource availability.…”

Section: Introductionmentioning

confidence: 99%

Patient-Reported Outcomes After Total Hip Arthroplasty in a Low-Resource Country by a Visiting Surgical Team

Harold

Pereira

et al. 2021

Arthroplasty Today

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Background: Total hip arthroplasty (THA) is a highly successful procedure but limited in many lowresource nations. In response, organizations globally have conducted service trips to provide arthroplasty care to underserved populations. Few outcomes data are currently available related to these trips. Our study aims to demonstrate the feasibility of tracking patient-reported outcomes and complications after THA in a low-resource setting and that outcomes are comparable to those in developed countries. Methods: We completed an arthroplasty service trip to Brazil in 2017 where we performed 46 THAs on 38 patients. The mean patient age was 48.8 years. Forty-seven percent were female. Patient-reported outcome scores were collected preoperatively and postoperatively at 2, 6, and 12 weeks and 1 year. A multivariate regression analysis was performed to identify associations between patient factors and 12week outcomes. Results: The mean modified Harris Hip Score, Hip Disability and Osteoarthritis Outcome Score, Patient-Reported Outcome Measurement Information System Short Form (PROMIS-SF) Pain Interference, and PROMIS-SF Physical Function all improved significantly compared to baseline at 2, 6, and 12 weeks and 1 year postoperatively. At 1 year, only 29% of patients (11 of 38) were reachable by phone for followup.Multivariate regression analysis at 12 weeks found that females had more improvement in Hip Disability and Osteoarthritis Outcome Score for Joint Replacement scores (P ¼ .003) and PROMIS-SF Pain Interference scores (P ¼ .01) than males, and patients with rheumatoid arthritis had more improvement in PROMIS-SF Pain Interference scores (P ¼ .008) compared with all other diagnoses. Conclusion: Patients in low-resource countries benefitted significantly from THA performed by a visiting surgical team. However, following up patients is difficult in low-resource countries once they leave the hospital.

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Section: Introductionmentioning

confidence: 99%

Patient-Reported Outcomes After Total Hip Arthroplasty in a Low-Resource Country by a Visiting Surgical Team

Harold

Pereira

et al. 2021

Arthroplasty Today

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The effect of economic downturn on the volume of surgical procedures: A systematic review

Fujihara

Lark

Fujihara

et al. 2017

International Journal of Surgery

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Etiology, Outcomes, and Complications of Total Hip Arthroplasty in Younger Patients: A Nationwide Big Data Analysis

Maman,

Fournier,

Steinfeld

et al. 2024

JCM

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Background: This study investigates the rising trend of total hip arthroplasty (THA) in patients under 55 years old, commonly referred to as “younger” THA patients. Traditionally a procedure for older adults with osteoarthritis, THA is increasingly performed on younger patients. Methods: Using data from the Nationwide Inpatient Sample (NIS) from 2016 to 2019, we analyze the factors driving this trend, including the causes of hip issues, patient characteristics, and coexisting medical conditions. The study examines in-hospital mortality, length of stay, post-surgical complications, and hospitalization costs for 231,630 THA patients aged 18–54.9, identified using ICD-10 codes. Results: Statistical analysis revealed that younger patients (aged 18–34.9) had higher rates of chronic anemia, inflammatory bowel disease, sickle cell disorders, connective tissue disorders, and coagulation defects compared to patients aged 35–44.9 and 45–54.9. They also experienced the longest hospital stays (2.08 days) and highest costs ($70,540). Significant odds ratios were found for sickle cell disorders (36.078), coagulation defects (1.566), inflammatory bowel disease (2.582), connective tissue disorders (11.727), hip dislocation (3.447), and blood transfusion (1.488) in younger patients compared to other THA patients. Conclusions: Comprehensive analysis of these unique needs is crucial for optimizing care, tailoring treatment, managing co-existing conditions, and personalizing recovery strategies to improve outcomes and quality of life for younger THA patients.

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The young osteoarthritic hip

Cited by 3 publications

References 108 publications

Patient-Reported Outcomes After Total Hip Arthroplasty in a Low-Resource Country by a Visiting Surgical Team

Patient-Reported Outcomes After Total Hip Arthroplasty in a Low-Resource Country by a Visiting Surgical Team

The effect of economic downturn on the volume of surgical procedures: A systematic review

Etiology, Outcomes, and Complications of Total Hip Arthroplasty in Younger Patients: A Nationwide Big Data Analysis

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