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Comparison of hip function and quality of life of total hip arthroplasty and resurfacing arthroplasty in the treatment of young patients with arthritis of the hip joint at 5 years
ObjectiveTo compare the medium-term clinical effectiveness of total hip arthroplasty and resurfacing arthroplasty.DesignSingle centre, two-arm, parallel group, assessor blinded, randomised controlled trial with 1:1 treatment allocation.SettingA large teaching hospital in England.Participants122 pati...
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Published in: | BMJ open 2018-03, Vol.8 (3), p.e018849-e018849 |
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description | ObjectiveTo compare the medium-term clinical effectiveness of total hip arthroplasty and resurfacing arthroplasty.DesignSingle centre, two-arm, parallel group, assessor blinded, randomised controlled trial with 1:1 treatment allocation.SettingA large teaching hospital in England.Participants122 patients older than 18 years with severe arthritis of the hip joint, suitable for resurfacing arthroplasty of the hip. Patients were excluded if they were considered to be unable to adhere to trial procedures or complete questionnaires.InterventionsTotal hip arthroplasty (replacement of entire femoral head and neck); hip resurfacing arthroplasty (replacement of the articular surface of femoral head only, femoral neck remains intact). Both procedures replaced the articular surface of the acetabulum.OutcomesThe outcome measures were hip function assessed using the Oxford Hip Score (OHS) and health-related quality of life assessed using the EuroQol (EQ-5D). Patients were followed up annually for a minimum of 5 years. Outcome data were modelled using the generalised estimating equation methodology to explore temporal variations during follow-up.Results60 patients were randomly assigned to hip resurfacing arthroplasty and 62 to total hip arthroplasty. 95 (78%) of the 122 original study participants provided data at 5 years. There was a small decrease in both hip functions and quality of life in both groups of patients each year during the 5-year follow-up period. However, there was no evidence of a significant difference between treatments group in the OHS (P=0.333) or the EQ-5D (P=0.501).ConclusionsWe previously reported no difference in outcome in the first year after surgery. The current medium-term results also show no evidence of a difference in hip function or health-related quality of life in the 5 years following a total hip arthroplasty versus resurfacing arthroplasty.Trial registration numberISRCTN33354155. UKCRN 4093. |
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Patients were excluded if they were considered to be unable to adhere to trial procedures or complete questionnaires.InterventionsTotal hip arthroplasty (replacement of entire femoral head and neck); hip resurfacing arthroplasty (replacement of the articular surface of femoral head only, femoral neck remains intact). Both procedures replaced the articular surface of the acetabulum.OutcomesThe outcome measures were hip function assessed using the Oxford Hip Score (OHS) and health-related quality of life assessed using the EuroQol (EQ-5D). Patients were followed up annually for a minimum of 5 years. Outcome data were modelled using the generalised estimating equation methodology to explore temporal variations during follow-up.Results60 patients were randomly assigned to hip resurfacing arthroplasty and 62 to total hip arthroplasty. 95 (78%) of the 122 original study participants provided data at 5 years. There was a small decrease in both hip functions and quality of life in both groups of patients each year during the 5-year follow-up period. However, there was no evidence of a significant difference between treatments group in the OHS (P=0.333) or the EQ-5D (P=0.501).ConclusionsWe previously reported no difference in outcome in the first year after surgery. The current medium-term results also show no evidence of a difference in hip function or health-related quality of life in the 5 years following a total hip arthroplasty versus resurfacing arthroplasty.Trial registration numberISRCTN33354155. UKCRN 4093.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2017-018849</identifier><identifier>PMID: 29530907</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Age Factors ; Arthritis ; Arthroplasty, Replacement, Hip - rehabilitation ; Clinical trials ; England ; Exercise ; Female ; Follow-Up Studies ; Hip joint ; Hip Joint - physiopathology ; Hip Joint - surgery ; Humans ; Joint surgery ; Male ; Middle Aged ; Outcome Assessment (Health Care) ; Pain Measurement ; Patients ; Postoperative Complications - epidemiology ; Postoperative Complications - physiopathology ; Postoperative Complications - surgery ; Quality of Life ; Recovery of Function - physiology ; Surgeons ; Surgery ; Transplants & implants</subject><ispartof>BMJ open, 2018-03, Vol.8 (3), p.e018849-e018849</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>2018 Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b472t-fba073e0a9b6160d36d030a90f31ae70edae6eb612998e422f912c2fd8f4b25a3</citedby><cites>FETCH-LOGICAL-b472t-fba073e0a9b6160d36d030a90f31ae70edae6eb612998e422f912c2fd8f4b25a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2015281409/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2015281409?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>112,113,230,314,723,776,780,881,3180,25732,27528,27529,27903,27904,36991,36992,44569,53769,53771,74872,77340,77341,77347,77378</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29530907$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Costa, Matthew L</creatorcontrib><creatorcontrib>Achten, Juul</creatorcontrib><creatorcontrib>Foguet, Pedro</creatorcontrib><creatorcontrib>Parsons, Nicholas R</creatorcontrib><creatorcontrib>Young Adult Hip Arthroplasty team</creatorcontrib><title>Comparison of hip function and quality of life of total hip arthroplasty and resurfacing arthroplasty in the treatment of young patients with arthritis of the hip joint at 5 years</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectiveTo compare the medium-term clinical effectiveness of total hip arthroplasty and resurfacing arthroplasty.DesignSingle centre, two-arm, parallel group, assessor blinded, randomised controlled trial with 1:1 treatment allocation.SettingA large teaching hospital in England.Participants122 patients older than 18 years with severe arthritis of the hip joint, suitable for resurfacing arthroplasty of the hip. Patients were excluded if they were considered to be unable to adhere to trial procedures or complete questionnaires.InterventionsTotal hip arthroplasty (replacement of entire femoral head and neck); hip resurfacing arthroplasty (replacement of the articular surface of femoral head only, femoral neck remains intact). Both procedures replaced the articular surface of the acetabulum.OutcomesThe outcome measures were hip function assessed using the Oxford Hip Score (OHS) and health-related quality of life assessed using the EuroQol (EQ-5D). Patients were followed up annually for a minimum of 5 years. Outcome data were modelled using the generalised estimating equation methodology to explore temporal variations during follow-up.Results60 patients were randomly assigned to hip resurfacing arthroplasty and 62 to total hip arthroplasty. 95 (78%) of the 122 original study participants provided data at 5 years. There was a small decrease in both hip functions and quality of life in both groups of patients each year during the 5-year follow-up period. However, there was no evidence of a significant difference between treatments group in the OHS (P=0.333) or the EQ-5D (P=0.501).ConclusionsWe previously reported no difference in outcome in the first year after surgery. The current medium-term results also show no evidence of a difference in hip function or health-related quality of life in the 5 years following a total hip arthroplasty versus resurfacing arthroplasty.Trial registration numberISRCTN33354155. UKCRN 4093.</description><subject>Age Factors</subject><subject>Arthritis</subject><subject>Arthroplasty, Replacement, Hip - rehabilitation</subject><subject>Clinical trials</subject><subject>England</subject><subject>Exercise</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hip joint</subject><subject>Hip Joint - physiopathology</subject><subject>Hip Joint - surgery</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Outcome Assessment (Health Care)</subject><subject>Pain Measurement</subject><subject>Patients</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Postoperative Complications - surgery</subject><subject>Quality of Life</subject><subject>Recovery of Function - physiology</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Transplants & implants</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>PIMPY</sourceid><recordid>eNqNks9u1DAQxiMEolXpEyChSFy4pIydOIkvSGjFP6kSFzhbk2Tc9SqxU9sB7XP1BXGapWo54ct4PL_vs0eeLHvN4Iqxsn7fTQc3ky04sKYA1raVfJadc6iqogYhnj_an2WXIRwgrUpIIfjL7IxLUYKE5jy727lpRm-Cs7nT-d7MuV5sH03K0Q757YKjice1NhpNa4wu4nhPoo977-YRQyJW2lNYvMbe2JunRWPzuKc8esI4kY2rz9EtCZsxmnQQ8t8m7jeRiSbcX5QU6zUHZ5ICYy7yI6EPr7IXGsdAl6d4kf38_OnH7mtx_f3Lt93H66KrGh4L3SE0JQHKrmY1DGU9QJky0CVDaoAGpJpSjUvZUsW5loz3XA-trjousLzIPmy-89JNNPTpmR5HNXszoT8qh0Y9rVizVzfulxJtI0VTJYN3JwPvbhcKUU0m9DSOaMktQaXPKwUHaCGhb_9BD27xNrW3UoK3rAKZqHKjeu9C8KQfHsNArXOhTnOxihq1zUVSvXncx4Pm7xQk4GoDkvq_HP8AiWPJKw</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Costa, Matthew L</creator><creator>Achten, Juul</creator><creator>Foguet, Pedro</creator><creator>Parsons, Nicholas R</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180301</creationdate><title>Comparison of hip function and quality of life of total hip arthroplasty and resurfacing arthroplasty in the treatment of young patients with arthritis of the hip joint at 5 years</title><author>Costa, Matthew L ; Achten, Juul ; Foguet, Pedro ; Parsons, Nicholas R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b472t-fba073e0a9b6160d36d030a90f31ae70edae6eb612998e422f912c2fd8f4b25a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Age Factors</topic><topic>Arthritis</topic><topic>Arthroplasty, Replacement, Hip - rehabilitation</topic><topic>Clinical trials</topic><topic>England</topic><topic>Exercise</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hip joint</topic><topic>Hip Joint - physiopathology</topic><topic>Hip Joint - surgery</topic><topic>Humans</topic><topic>Joint surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Outcome Assessment (Health Care)</topic><topic>Pain Measurement</topic><topic>Patients</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Postoperative Complications - surgery</topic><topic>Quality of Life</topic><topic>Recovery of Function - physiology</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Costa, Matthew L</creatorcontrib><creatorcontrib>Achten, Juul</creatorcontrib><creatorcontrib>Foguet, Pedro</creatorcontrib><creatorcontrib>Parsons, Nicholas R</creatorcontrib><creatorcontrib>Young Adult Hip Arthroplasty team</creatorcontrib><collection>BMJ Journals (Open Access)</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Costa, Matthew L</au><au>Achten, Juul</au><au>Foguet, Pedro</au><au>Parsons, Nicholas R</au><aucorp>Young Adult Hip Arthroplasty team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of hip function and quality of life of total hip arthroplasty and resurfacing arthroplasty in the treatment of young patients with arthritis of the hip joint at 5 years</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>8</volume><issue>3</issue><spage>e018849</spage><epage>e018849</epage><pages>e018849-e018849</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectiveTo compare the medium-term clinical effectiveness of total hip arthroplasty and resurfacing arthroplasty.DesignSingle centre, two-arm, parallel group, assessor blinded, randomised controlled trial with 1:1 treatment allocation.SettingA large teaching hospital in England.Participants122 patients older than 18 years with severe arthritis of the hip joint, suitable for resurfacing arthroplasty of the hip. Patients were excluded if they were considered to be unable to adhere to trial procedures or complete questionnaires.InterventionsTotal hip arthroplasty (replacement of entire femoral head and neck); hip resurfacing arthroplasty (replacement of the articular surface of femoral head only, femoral neck remains intact). Both procedures replaced the articular surface of the acetabulum.OutcomesThe outcome measures were hip function assessed using the Oxford Hip Score (OHS) and health-related quality of life assessed using the EuroQol (EQ-5D). Patients were followed up annually for a minimum of 5 years. Outcome data were modelled using the generalised estimating equation methodology to explore temporal variations during follow-up.Results60 patients were randomly assigned to hip resurfacing arthroplasty and 62 to total hip arthroplasty. 95 (78%) of the 122 original study participants provided data at 5 years. There was a small decrease in both hip functions and quality of life in both groups of patients each year during the 5-year follow-up period. However, there was no evidence of a significant difference between treatments group in the OHS (P=0.333) or the EQ-5D (P=0.501).ConclusionsWe previously reported no difference in outcome in the first year after surgery. The current medium-term results also show no evidence of a difference in hip function or health-related quality of life in the 5 years following a total hip arthroplasty versus resurfacing arthroplasty.Trial registration numberISRCTN33354155. UKCRN 4093.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>29530907</pmid><doi>10.1136/bmjopen-2017-018849</doi><oa>free_for_read</oa></addata></record> |
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subjects | Age Factors Arthritis Arthroplasty, Replacement, Hip - rehabilitation Clinical trials England Exercise Female Follow-Up Studies Hip joint Hip Joint - physiopathology Hip Joint - surgery Humans Joint surgery Male Middle Aged Outcome Assessment (Health Care) Pain Measurement Patients Postoperative Complications - epidemiology Postoperative Complications - physiopathology Postoperative Complications - surgery Quality of Life Recovery of Function - physiology Surgeons Surgery Transplants & implants |
title | Comparison of hip function and quality of life of total hip arthroplasty and resurfacing arthroplasty in the treatment of young patients with arthritis of the hip joint at 5 years |
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