Outcome of Total Hip Replacement in Japan and England: Comparison of Two Retrospective Cohorts

1998 ◽  
Vol 14 (4) ◽  
pp. 762-773 ◽  
Author(s):  
Kyoko Imamura ◽  
Nick Black
Keyword(s):  
Health Status ◽  
Regional Anesthesia ◽  
Total Hip Replacement ◽  
High Frequency ◽  
Clinical Management ◽  
Hip Replacement ◽  
Japanese Patients ◽  
Hospital Case ◽  
Total Hip ◽  
Anterolateral Incision

AbstractTwo retrospective cohorts of patients who had undergone a primary total hip replacement (THR) were studied in Japan and England. We analyzed information from hospital case notes and self-administered questionnaires. THR was highly effective in both countries, with significant improvements in morbidity and health status. There were, however, important differences in clinical management and outcome. Japanese patients were more likely to be treated under regional anesthesia by means of an anterior/anterolateral incision, to be transfused, to have a prosthesis implanted without cement, and to stay longer in the hospital. A higher rate of serious in-hospital complications occurred in England, mostly due to the high frequency of hypotension. The incidences of minor complications were consistent with known differences in risks between the two countries. The persistent postoperative perception of limping reported by the English patients was unexpected.

The Problem of ‘Noise’ in Monitoring Patient-Based Outcomes: Generic, Disease-Specific and Site-Specific Instruments for Total Hip Replacement

1996 ◽  
Vol 1 (4) ◽  
pp. 224-231 ◽  
Author(s):  
Jill Dawson ◽  
Ray Fitzpatrick ◽  
David Murray ◽  
Andrew Carr
Keyword(s):  
Health Status ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Site Specific ◽  
Change Scores ◽  
Total Hip ◽  
Sf 36 ◽  
Oxford Hip Score ◽  
Disease Specific

Objectives: To compare the performance of three types of patient-based health status instrument — generic, disease-specific and site-specific — in assessing changes resulting from total hip replacement (THR). Methods: A two-stage prospective study of patients undergoing surgery for THR involving an assessment at a pre-surgical clinic and a follow-up clinic at 6 months. 173 patients with a diagnosis of arthritis and being admitted for unilateral THR were recruited in the outpatient departments of a specialist orthopaedic hospital and peripheral clinics within Oxfordshire. Patients’ health status was assessed using the 12-item Oxford Hip Score, the Arthritis Impact Measurement Scales (AIMS) and SF-36 general health questionnaire together with their surgeons’ assessment using Charnley hip score obtained before and 6 months after surgery. Results: Effect sizes, used to compare change scores, revealed that pain and function domains changed most following THR on both the AIMS and the SF-36. 71 patients (41%) were assessed as having symptoms or problems currently affecting lower limb joints other than the hip recently replaced. Change scores were compared between these patients and all other patients who reported no current problems with other joints. The Oxford Hip Score found no significant difference between change scores for these two groups of patients while both AIMS and SF-36 physical and pain dimensions recorded significant differences of similar magnitude (physical P < 0.01, pain P < 0.05). Likely reasons for this were apparent on closer inspection of the item content of each instrument. Conclusions: Assessment of outcomes in THR is necessarily long-term. Within studies of this kind, a hip-specific instrument (Oxford Hip Score) is likely to be more able to distinguish between symptoms and functional impairment produced by the index joint, as compared with other joints and conditions, than either a disease-specific instrument (AIMS) or a generic health status measure (SF-36). This is important given the high probability of existing and subsequent co-morbidity affecting such populations of patients. This consideration is likely to be relevant to any long-term assessment programme following treatment for a condition which threatens bilateral expression over time.

scholarly journals Periprosthetic osteolysis after total hip replacement: molecular pathology and clinical management

2013 ◽  
Vol 21 (6) ◽  
pp. 389-396 ◽  
Author(s):  
Donald W. Howie ◽  
Susan D. Neale ◽  
David R. Haynes ◽  
Oksana T. Holubowycz ◽  
Margaret A. McGee ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Molecular Pathology ◽  
Clinical Management ◽  
Hip Replacement ◽  
Periprosthetic Osteolysis ◽  
Total Hip

scholarly journals Is regional anesthesia a safe technique for patients with severe ankylosing spondylitis undergoing total hip replacement surgery?

2018 ◽  
Vol 5 (8) ◽  
pp. 2913
Author(s):  
Elif Copuroglu ◽  
Gonul Sagiroglu
Keyword(s):  
Ankylosing Spondylitis ◽  
Regional Anesthesia ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Mouth Opening ◽  
Total Hip ◽  
Replacement Surgery ◽  
Hip Replacement Surgery ◽  
Anesthesia Management ◽  
First Case

Background: Authors report two cases of regional anesthesia management whom were scheduled for total hip replacement surgery due to ankylosing spondylitis.Methods: Mouth opening, and cervical spine movements were limited. Cervical ostheophytes have been recognized to cause distortion of the airway and can lead to unexpected difficulties during intubation.Results: In present first case report we described continuous spinal anesthesia for a patient with severe ankylosing spondylitis. We achieved successful anesthesia using epidural catheter by insertion of spinal area. Awake epidural anesthesia management was described in second case of the study.Conclusions: Authors suggest that regional anesthesia can be safely and effectively used as an alternative to general anesthesia in patients with ankylosing spondylitis.

Unilateral Atelectasis during Total Hip Replacement Surgery under Regional Anesthesia: A case report

2005 ◽  
Vol 49 (5) ◽  
pp. 720
Author(s):  
Byung Gun Kim ◽  
Hyo Jin Byon ◽  
Jung Uk Han ◽  
Hong Sik Lee ◽  
Young Deog Cha ◽  
...  
Keyword(s):  
Case Report ◽  
Regional Anesthesia ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
Replacement Surgery ◽  
Hip Replacement Surgery

scholarly journals Is Preoperative Patient-Reported Health Status Associated with Mortality after Total Hip Replacement?

2017 ◽  
Vol 14 (8) ◽  
pp. 899
Author(s):  
Peter Cnudde ◽  
Szilard Nemes ◽  
Maziar Mohaddes ◽  
John Timperley ◽  
Göran Garellick ◽  
...  
Keyword(s):  
Health Status ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
Patient Reported ◽  
Reported Health ◽  
Preoperative Patient

Total Hip Replacement: The Preoperative Health Status of Patients in Japan Compared with England and the United States

1997 ◽  
Vol 13 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Kyoko Imamura ◽  
Nick A. Black
Keyword(s):  
United States ◽  
Health Care ◽  
Health Status ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
The United States ◽  
Published Data ◽  
Total Hip ◽  
Excellent Health ◽  
Hip Disease

AbstractTo explore the contribution of health care to the excellent health status enjoyed by the Japanese compared with other industrialized populations, the preoperative health status of a retrospective cohort of 256 patients who underwent total hip replacement in Japan was compared with 301 patients in England (and published data from the United States). Patients in Japan had less severe hip disease, less comorbidity (in particular, less cardiovascular disease), and were in better general health. This finding suggests that health care contributes little to explaining the better health of people in Japan compared with England and the United States.

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