Differences in the views of orthopaedic surgeons and referring practitioners on the determinants of outcome after total hip replacement

J Bone Joint Surg Br. 2005 Oct;87(10):1416-9. doi: 10.1302/0301-620X.87B10.16702.


In order to assess current opinions on the long-term outcome after primary total hip replacement, we performed a multicentre, cross-sectional survey in 22 centres from 12 European countries. Different patient characteristics were categorised into 'decreases chances', 'does not affect chances', and 'increases chances' of a favourable long-term outcome, by 304 orthopaedic surgeons and 314 referring practitioners. The latter were less likely to associate age older than 80 years and obesity with a favourable outcome than orthopaedic surgeons (p < 0.001 and p = 0.006, respectively) and more likely to associate age younger than 50 years with a favourable outcome (p = 0.006). Comorbidity, rheumatoid arthritis, and poor bone quality were thought to be associated with a decreased chance of a favourable outcome. We found important differences in the opinions regarding long-term outcome after total hip replacement within and between referring practitioners and orthopaedic surgeons. These are likely to affect access to and the provision of total hip replacement.

Publication types

  • Comparative Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / psychology*
  • Arthroplasty, Replacement, Hip / statistics & numerical data
  • Attitude of Health Personnel*
  • Clinical Competence
  • Cross-Sectional Studies
  • Europe
  • Female
  • Humans
  • Male
  • Medical Staff, Hospital / psychology
  • Middle Aged
  • Orthopedics
  • Physicians, Family / psychology
  • Prognosis
  • Referral and Consultation
  • Risk Factors
  • Treatment Outcome