Impact of Total Hip Resurfacing Arthroplasty on Health-Related Quality of Life Measures: A Systematic Review and Meta-Analysis

Christos Koutras; Stavros A Antoniou; Michael A Talias; Hansjoerg Heep

doi:10.1016/j.arth.2015.05.014

Impact of Total Hip Resurfacing Arthroplasty on Health-Related Quality of Life Measures: A Systematic Review and Meta-Analysis

J Arthroplasty. 2015 Nov;30(11):1938-52. doi: 10.1016/j.arth.2015.05.014. Epub 2015 May 19.

Authors

Christos Koutras¹, Stavros A Antoniou², Michael A Talias³, Hansjoerg Heep⁴

Affiliations

¹ Department of Orthopaedics and Trauma Surgery, University of Duisburg-Essen, Germany; Open University of Cyprus, Health Care Management Program, Nicosia, Cyprus.
² Center for Minimally Invasive Surgery, Neuwerk Hospital, Mönchengladbach, Germany; Department of General Surgery, University Hospital of Heraklion, University of Crete, Greece.
³ Open University of Cyprus, Health Care Management Program, Nicosia, Cyprus.
⁴ Department of Orthopaedics and Trauma Surgery, University of Duisburg-Essen, Germany.

PMID: 26067708
DOI: 10.1016/j.arth.2015.05.014

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.

Keywords: hip; meta-analysis; patient reported outcome; quality of life; resurfacing arthroplasty; surface replacement.

Publication types

Meta-Analysis
Review
Systematic Review

MeSH terms

Arthroplasty, Replacement, Hip*
Humans
Patient Satisfaction
Quality of Life*
Treatment Outcome