Population requirement for primary hip-replacement surgery: a cross-sectional study

Autor:	Stephen Frankel, Jenny Eachus, Nicky Pearson, Rosemary Greenwood, Philip Chan, Tim J Peters, Jenny Donovan, George Davey Smith, Paul Dieppe
Rok vydání:	1999
Předmět:	Adult Male medicine.medical_specialty Waiting Lists Cross-sectional study Arthroplasty Replacement Hip medicine.medical_treatment Population Knee replacement Physical examination Osteoarthritis Hip Sampling Studies State Medicine Surveys and Questionnaires Prevalence medicine Humans Functional ability education Aged Aged 80 and over education.field_of_study Health Care Rationing medicine.diagnostic_test business.industry Incidence Incidence (epidemiology) General Medicine Middle Aged medicine.disease Arthralgia Comorbidity Surgery Cross-Sectional Studies England Elective Surgical Procedures Orthopedic surgery Physical therapy Female Hip Prosthesis business Needs Assessment
Zdroj:	The Lancet. 353:1304-1309
ISSN:	0140-6736
DOI:	10.1016/s0140-6736(98)06451-4
Popis:	Summary Background There has been a long-standing failure in many countries to satisfy the demand for several elective surgical treatments, including total hip replacement. We set out to estimate the population requirement for primary total hip replacement in England. Methods We undertook a cross-sectional study of a stratified random sample of 28 080 individuals aged 35 and over from 40 general practices in inner-city, urban, and rural areas of Avon and Somerset, UK. Prevalent disease was identified through a two-stage process: a self-report screening questionnaire (22 978 of 26 046 responded) and subsequent clinical examination, incident disease was estimated from the point prevalence by statistical modelling. The requirement for total hip replacement surgery was estimated on the basis of pain and loss of functional ability, with adjustment for evidence of comorbidity and patients' treatment preferences. Findings 3169 people reported hip pain on the screening questionnaire. 2018 were invited for clinical examination, and 1405 attended. The prevalence of self-reported hip pain was 107 per 1000 (95% Cl 101–113) for men and 173 per 1000 (166–180) for women. The prevalence of hip disease severe enough to require surgery was 15·2 (12·7–17·8) per 1000 aged 35–85 years. The corresponding annual incidence of hip disease requiring surgery was estimated as 2·23 (1·56–2·90), which suggests an overall requirement in England of 46 600 operations per year for patients who expressed a preference for, and were suitable for, surgery; the recent actual provision in England was about 43 500. Interpretation This research suggests that the satisfaction of demand for total hip replacement, given agreed criteria for surgery, is a realistic objective.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e3b2716646c15491f82c8d454ab07d61 https://doi.org/10.1016/s0140-6736(98)06451-4 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.