The Cost-effectiveness of Routine Follow-up After Primary Total Hip Arthroplasty

Bolz, Katharina; Crawford, Ross; Donnelly, Bill; Whitehouse, Sarah L.; Graves, Nicholas

doi:10.1016/j.arth.2008.12.009

Cited by 28 publications

(39 citation statements)

References 15 publications

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“…Furthermore, in surgical environments, E-Pro may contribute to reducing routine follow-up costs for total joint arthroplasty [35]. Patients can provide information of a demographic nature or related to their condition or response to medical, allied health, or surgical treatment and can be sent information regarding their condition, benchmarked response to treatment [36e50], or instructions regarding actions required.…”

Section: Discussionmentioning

confidence: 99%

“…They had hip (n 5 24) or knee OA (n 5 38) that ranged in duration from 0.7 years to 30 years (mean 5 9.0) ( Table 1) Twenty-three patients (37.1%) had concomitant hand OA with mean disease duration of 9.5 years (range 5 0e40). Kellgren and Lawrence (KeL) radiographic grades (IeIV) were as follows: KeL Grade III (27), KeL Grade IV (35).…”

Section: Descriptive Statisticsmentioning

confidence: 99%

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Osteoarthritis Index delivered by mobile phone (m-WOMAC) is valid, reliable, and responsive

Bellamy

Wilson

Hendrikz

et al. 2011

Journal of Clinical Epidemiology

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Section: Discussionmentioning

confidence: 99%

Section: Descriptive Statisticsmentioning

confidence: 99%

Osteoarthritis Index delivered by mobile phone (m-WOMAC) is valid, reliable, and responsive

Bellamy

Wilson

Hendrikz

et al. 2011

Journal of Clinical Epidemiology

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“…Hence, the need for follow-ups after THR for all patients is being questioned [8,9]. As a consequence, many healthcare providers have abandoned routine follow-ups after standard THRs.…”

Section: Introductionmentioning

confidence: 99%

Can patient-reported outcomes predict re-operations after total hip replacement?

Eneqvist

Nemes

Bülow

et al. 2018

International Orthopaedics (SICOT)

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Purpose We investigated if patient-reported outcomes (PROMs) one year after total hip replacement (THR) can predict the risk of re-operation using data from the Swedish Hip Arthroplasty Register. Methods A total of 75,899 patients with THR due to osteoarthritis operated in 2002-2014 were included. We used Kaplan-Meier and Cox regression to investigate the relationship between one-year post-operative PROMs and risk of re-operation (all types of further hip surgery). The predictive power of the model and post-operative PROMs were evaluated by concordance index (C). Results Kaplan-Meier estimates for not being re-operated at eight years was 95.5% (95%CI; 95.3-95.8). Cox regression analyses showed that all PROMs, except for EQ-VAS, were associated with re-operation. The full model had a concordance index of 0.68. Satisfaction (C = 0.65) and pain (C = 0.65) in isolation had the highest predictive power. Conclusions Worse PROMs predicted higher risk of re-operation. Therefore, we believe PROMs may be helpful in identifying patients at risk for re-operation and timely address their problems.

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“…Bolz et al (2010) (6) suggest that there might be no requirement for routine follow up in the first seven years post surgery. Others have suggested that the first signs of aseptic loosening appear in the mid-term (13,14,46) and that predictions about long term survival can be made from a review at this stage (47).…”

Section: Discussionmentioning

confidence: 99%

“…However, the economics of healthcare delivery remain a significant challenge and increasing numbers of primary THA add to the burden (6)(7)(8)(9). Many orthopaedic units now face pressure to discharge arthroplasty patients early in the postoperative period and to leave further care to the general practitioner.…”

Section: Introductionmentioning

confidence: 99%

Empirical Support for Radiographic Review: A Follow-Up Study of Total Hip Arthroplasty

et al. 2012

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Routine post surgery surveillance of total hip arthroplasty (THA) is widely recommended to identify asymptomatic failure but inclusion of an x-ray adds to service costs. Evidence is needed to support orthopaedic opinion in order to identify what should be included in surveillance. An investigation was conducted to establish whether an x-ray is needed in addition to patient reported outcome measures. One hundred and fifty-four THA had been assessed at 3 years and were reviewed again at 6 to 9 years (mid-term) when radiographic signs of deterioration commonly appear. Data were explored for associations between radiographic changes and changes in the participants' Oxford Hip Score, age, EuroQol 5-D score or comorbidities. Hierarchical multiple regression analysis showed that the number of radiographic changes could not be predicted by any of the other variables. This supports the inclusion of an x-ray in THA surveillance and suggests that the state of the THA cannot be determined by the use of patient reported outcome measures alone. This has implications for future arthroplasty surveillance.

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The Cost-effectiveness of Routine Follow-up After Primary Total Hip Arthroplasty

Cited by 28 publications

References 15 publications

Osteoarthritis Index delivered by mobile phone (m-WOMAC) is valid, reliable, and responsive

Osteoarthritis Index delivered by mobile phone (m-WOMAC) is valid, reliable, and responsive

Can patient-reported outcomes predict re-operations after total hip replacement?

Empirical Support for Radiographic Review: A Follow-Up Study of Total Hip Arthroplasty

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