title: Impact of Total Hip Resurfacing Arthroplasty on Health-Related Quality of Life Measures: A Systematic Review and Meta-Analysis.
abstract: The aim of this study was to investigate the effect of total hip resurfacing arthroplasty (RA) on general health-related quality of life (HRQOL) and disease/hip-specific measures. Original studies published after 2000, enrolling at least ten skeletally mature patients with a minimum follow-up of 6 months were considered. The standardized mean difference (SMD) was obtained with a random effects model. The cumulative patient population encompassed 1898 patients (2123 RA). Mean follow-up duration was 4 years. The physical component score (P<0.001) and mental component score (P=0.05) of SF-12, and the EuroQol-5D (P<0.0001) improved significantly. WOMAC global score and the subscales (P<0.00001) were also improved. Harris Hip Score (P<0.00001), Oxford Hip Score (P<0.001) and UCLA (P<0.00001) were markedly improved and patient satisfaction was favorable.
authors.affiliation: Department of Orthopaedics and Trauma Surgery, University of Duisburg-Essen, Germany; Open University of Cyprus, Health Care Management Program, Nicosia, Cyprus.
authors.forename: Christos
authors.initials: C
authors.lastname: Koutras
authors.affiliation: Center for Minimally Invasive Surgery, Neuwerk Hospital, Mönchengladbach, Germany; Department of General Surgery, University Hospital of Heraklion, University of Crete, Greece.
authors.forename: Stavros A
authors.initials: SA
authors.lastname: Antoniou
authors.affiliation: Open University of Cyprus, Health Care Management Program, Nicosia, Cyprus.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Talias
authors.affiliation: Department of Orthopaedics and Trauma Surgery, University of Duisburg-Essen, Germany.
authors.forename: Hansjoerg
authors.initials: H
authors.lastname: Heep
mesh_terms: D019644:Arthroplasty, Replacement, Hip; D006801:Humans; D017060:Patient Satisfaction; D011788:Quality of Life; D016896:Treatment Outcome
keywords: hip; meta-analysis; patient reported outcome; quality of life; resurfacing arthroplasty; surface replacement