title: Differences in the views of orthopaedic surgeons and referring practitioners on the determinants of outcome after total hip replacement.
abstract: 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.
authors.affiliation: Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02120, USA.
authors.forename: T
authors.initials: T
authors.lastname: Stürmer
authors.forename: K
authors.initials: K
authors.lastname: Dreinhöfer
authors.forename: D
authors.initials: D
authors.lastname: Gröber-Grätz
authors.forename: H
authors.initials: H
authors.lastname: Brenner
authors.forename: P
authors.initials: P
authors.lastname: Dieppe
authors.forename: W
authors.initials: W
authors.lastname: Puhl
authors.forename: K-P
authors.initials: KP
authors.lastname: Günther
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000523:psychology* / Q000706:statistics & numerical data; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005060:Europe; D005260:Female; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology; D008875:Middle Aged; D009985:Orthopedics; D010821:Physicians, Family / Q000523:psychology; D011379:Prognosis; D012017:Referral and Consultation; D012307:Risk Factors; D016896:Treatment Outcome