Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Pilot study: Is a long‐term follow‐up service beneficial for patients undergoing revision hip replacement surgery?

Smith, Lindsay K., Turner, Emma, Lenguerrand, Erik, Powell, Jane and Palmer, Shea 2021. Pilot study: Is a long‐term follow‐up service beneficial for patients undergoing revision hip replacement surgery? Musculoskeletal Care 19 (3) , pp. 259-268. 10.1002/msc.1521

[thumbnail of Musculoskeletal Care - 2020 - Smith - Pilot study Is a long‐term follow‐up service beneficial for patients undergoing.pdf] PDF - Published Version
Available under License Creative Commons Attribution.

Download (438kB)

Abstract

Purpose Total hip arthroplasty (THA) is highly successful but some patients will require later revision surgery. This pilot study evaluates the effects of long-term follow-up for patients undergoing revision hip replacement. Methods Consecutive patients undergoing aseptic revision of THA were recruited from a large orthopaedic unit to a single centre, observational study. Primary outcomes were changes in patient-reported scores from pre-revision to 12 months post-surgery. Secondary outcomes were costs during hospital stay up to 6 months post-revision. Participants were retrospectively allocated to two groups—those with regular orthopaedic review prior to revision (Planned revision) or those without (Unplanned revision). Results 52 patients were recruited, 7 were unrevised, one incomplete baseline questionnaires. There were 25 planned and 19 unplanned revisions with no significant differences between groups at baseline. At 12 months, 34 complete data sets were available for analysis, 17 in each group. Change scores were analysed with Mann–Whitney U test; none reached statistical significance. There was a significant difference for length of stay: Planned group 5 days (2–22), Unplanned 11 days (3–86) (Mann–Whitney U test, p = 0.023). No significant differences found for theatre time or component costs. Resource costs post-revision surgery are presented. Conclusion This pilot study indicates that some change in methods would be required for future work. The results show that there may be some financial benefit from providing long-term follow-up of THA but a larger study is needed to explore these findings and to discuss the impact on recommended guidelines.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Publisher: Wiley
ISSN: 1478-2189
Date of First Compliant Deposit: 6 April 2023
Date of Acceptance: 7 October 2020
Last Modified: 05 Jun 2023 15:14
URI: https://orca.cardiff.ac.uk/id/eprint/158073

Actions (repository staff only)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics