title: Waiting time for primary hip replacement--a matter of priority.
abstract: BACKGROUND
  Government reformers often allocate priority to patients based on the time spent on a waiting list. This may conflict with the surgeon's agenda of priority based upon clinical need.
  
  
  METHODS
  We reviewed 125 consecutive patients who were awaiting total hip replacement on one consultant's surgical waiting list. We assessed hip pain and function by using a modified Harris Hip Score, which was calculated at the time of addition to the surgical waiting list, at pre-operative assessment and at 6 months' follow-up.
  
  
  RESULTS
  Analysis showed that although many patients (31.2%) deteriorate on a surgical waiting list, not all do so. Some stay clinically the same (53.8%) and some improve (15%) while awaiting surgery.
  
  
  CONCLUSIONS
  Patients should not be prioritised solely on the length of time they have spent on a surgical waiting list. Waiting lists should be continually reviewed.
authors.affiliation: Department of Trauma & Orthopaedics, Addenbrooke's NHS Trust, Cambridge, UK.
authors.forename: Debasis
authors.initials: D
authors.lastname: Chakravarty
authors.forename: Tjun
authors.initials: T
authors.lastname: Tang
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Vowler
authors.forename: Richard
authors.initials: R
authors.lastname: Villar
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D006292:Health Priorities; D006621:Hip Joint / Q000503:physiopathology; D006801:Humans; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods; D013222:State Medicine; D013997:Time Factors; D006113:United Kingdom; D014850:Waiting Lists