scholarly journals Measurement of patient perceptions of pain and disability in relation to total hip replacement: the place of the Oxford hip score in mixed methods

1999 ◽  
Vol 8 (4) ◽  
pp. 228-233 ◽  
Author(s):  
R. McMurray ◽  
J. Heaton ◽  
P. Sloper ◽  
S. Nettleton
Keyword(s):  
Mixed Methods ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Patient Perceptions ◽  
Total Hip ◽  
Oxford Hip Score

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 What does standard rehabilitation practice after total hip replacement in the UK entail? results of a mixed methods study

2013 ◽  
Vol 14 (1) ◽  
Author(s):  
Tosan Okoro ◽  
Ashok Ramavath ◽  
Jan Howarth ◽  
Jane Jenkinson ◽  
Peter Maddison ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Mixed Methods Study ◽  
Total Hip ◽  
The Uk

scholarly journals Joint preservation surgery: a priority to be thought of in selective hip osteoarthritis

2020 ◽  
Vol 6 (2) ◽  
pp. 404
Author(s):  
Subramaian Kanthalu Narayanan ◽  
Rajesh Sellappan
Keyword(s):  
Total Hip Replacement ◽  
Femoroacetabular Impingement ◽  
Hip Replacement ◽  
Severe Pain ◽  
Hip Osteoarthritis ◽  
Total Hip ◽  
Joint Preservation ◽  
Arthroscopic Excision ◽  
Oxford Hip Score ◽  
Acetabular Rim

<p class="abstract">Femoroacetabular impingement (FAI) is one of the causes of hip arthritis. If FAI diagnosed earlier and treated properly, arthritis of hip and eventual total hip replacement (THR) can be potentially avoided. We report 48 yr male who presented with left hip severe pain, limp, restricted movements and unable do daily day activities. He is diagnosed to have pincer type of lesion in the acetabular rim and we did arthroscopic excision of the protruding fragment. The patient now has a pain free joint and able to squat and sit cross leg. His pre-operative oxford hip score was 30 which improved to 54. </p>

scholarly journals Predictive Model and Web-based Calculator for the Oxford Hip Score After Total Hip Replacement

2018 ◽  
Vol 07 (01) ◽  
Author(s):  
Talitha Koo Yen ◽  
Adriano Stofel Bispo ◽  
Danilo Lopes Paiva ◽  
Lucas GG Tiago de Souza ◽  
Eloisio B Lopes Neto
Keyword(s):  
Predictive Model ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Web Based ◽  
Total Hip ◽  
Oxford Hip Score

scholarly journals Thresholds for the Oxford Hip Score after total hip replacement surgery: a novel approach to postoperative evaluation

2017 ◽  
Vol 18 (4) ◽  
pp. 401-406 ◽  
Author(s):  
Nicolai Kjærgaard ◽  
Jonas B. Kjærsgaard ◽  
Christian L. Petersen ◽  
Michael U. Jensen ◽  
Mogens B. Laursen
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Postoperative Evaluation ◽  
Total Hip ◽  
Replacement Surgery ◽  
Hip Replacement Surgery ◽  
Novel Approach ◽  
Oxford Hip Score

Does waiting for total hip replacement matter? Prospective cohort study

2002 ◽  
Vol 7 (1) ◽  
pp. 19-25 ◽  
Author(s):  
Shakoor Hajat ◽  
Ray Fitzpatrick ◽  
Richard Morris ◽  
Barnaby Reeves ◽  
Marianne Rigge ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Term Outcome ◽  
Total Hip ◽  
Socially Disadvantaged ◽  
Confounding Variables ◽  
Disability Status ◽  
Before And After ◽  
Oxford Hip Score ◽  
The Impact

Objectives: To assess the impact on the outcome of total hip replacement of the length of timing spent waiting for surgery. Methods: One hundred and forty-three orthopaedic and general hospitals provided information about aspects of surgical practice for each total hip replacement conducted between September 1996 and October 1997 for publicly and privately funded operations in five English health regions. These data were linked to patient information about hip-related pain and disability status (measured using the Oxford Hip Score) before operation and at 3 and 12 months after. Data were analysed using multiple regression analysis. Results: Questionnaires were completed by surgeons for 10 410 (78%) patients treated during the recruitment period and by 7151 (54%) patients. Twelve months after total hip replacement, the majority of patients experienced substantial improvements in hip-related pain and disability (as measured by the Oxford Hip Score). Those patients who started with a worse Oxford Hip Score before the operation tended to remain worse after the operation. Worse pre-operative score was associated with an increased length of either outpatient or inpatient wait, and this trend remained after the operation. The relationship between waiting time and outcome remained after adjustment for possible confounding variables. A consistently worse score was observed in public compared with private patients at all three time-points. In addition, in both sectors, those patients who were socially disadvantaged had a worse score than more socially advantaged patients both before and after the operation. Conclusions: Waiting for surgery is associated with worse outcomes 12 months later. Longer-term outcome needs to be considered to see if this association persists.

scholarly journals Expectations versus results of total hip replacement - the patient’s view

2014 ◽  
Author(s):  
Anna Długosz
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Patient Reported Outcomes ◽  
Daily Activities ◽  
Emotional Status ◽  
Total Hip ◽  
Patient Reported ◽  
Oxford Hip Score ◽  
The Patient’S View ◽  
Overall Health Status

The aim of this prospective cohort study was to identify the expectations of patients undergoing total hip replacement (THR) and to evaluate a possible relationship between the fulfilment of these expectations and the patient-reported outcomes. The study group comprised 56 patients aged 27-79. The patients filled out the Oxford hip score (OHS) questionnaire and a survey, designed by us, with open and closed questions regarding the patient's expectations. The patients were surveyed twice, i.e. 1-7 days before surgery and 3 months after the surgery. Statistically significant results (p ≤ 0.05) were obtained in the areas: improving the overall health status, gait improvement, reducing pain, independence in daily activities. Results in the aspects: ability to return to work or sport and improving emotional status were statistically not relevant.

The Hemodynamic and Fibrinolytic Response to Low Dose Epinephrine and Phenylephrine Infusions During Total Hip Replacement Under Epidural Anesthesia

1992 ◽  
Vol 68 (04) ◽  
pp. 436-441 ◽  
Author(s):  
Nigel E Sharrock ◽  
George Go ◽  
Robert Mineo ◽  
Peter C Harpel
Keyword(s):  
Heart Rate ◽  
Deep Vein Thrombosis ◽  
Cardiac Index ◽  
Total Hip Replacement ◽  
Epidural Anesthesia ◽  
Hip Replacement ◽  
Low Dose ◽  
Total Hip ◽  
Vein Thrombosis ◽  
Deep Vein

SummaryLower rates of deep vein thrombosis have been noted following total hip replacement under epidural anesthesia in patients receiving exogenous epinephrine throughout surgery. To determine whether this is due to enhanced fibrinolysis or to circulatory effects of epinephrine, 30 patients scheduled for primary total hip replacement under epidural anesthesia were randomly assigned to receive intravenous infusions of either low dose epinephrine or phenylephrine intraoperatively. All patients received lumbar epidural anesthesia with induced hypotension and were monitored with radial artery and pulmonary artery catheters.Patients receiving low dose epinephrine infusion had maintenance of heart rate and cardiac index whereas both heart rate and cardiac index declined significantly throughout surgery in patients receiving phenylephrine (p = 0.0001 and p = 0.0001, respectively). Tissue plasminogen activator (t-PA) activity increased significantly during surgery (p <0.0005) and declined below baseline postoperatively (p <0.005) in both groups. Low dose epinephrine was not associated with any additional augmentation of fibrinolytic activity perioperatively. There were no significant differences in changes in D-Dimer, t-PA antigen, α2-plasmin inhibitor-plasmin complexes or thrombin-antithrombin III complexes perioperatively between groups receiving low dose epinephrine or phenylephrine. The reduction in deep vein thrombosis rate with low dose epinephrine is more likely mediated by a circulatory mechanism than by augmentation of fibrinolysis.

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