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Centre for Policy on Ageing | |
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Population requirement for primary hip-replacement surgery
— a cross-sectional study | | Author(s) | Stephen Frankel, Jenny Eachus, Nicky Pearson |
| Journal title | The Lancet, vol 353, no 9161, 17 April 1999 |
| Pages | pp 1304-1309 |
| Keywords | Musculoskeletal diseases ; Surgery ; Needs [elderly] ; Cross sectional surveys ; Avon [1974-1996] ; Somerset. |
| Annotation | There has been a long-standing failure in many countries to satisfy the demand for several elective surgical treatments, including total hip replacement. The authors estimated the population requirement in England, based on a cross-sectional study of a stratified random sample of 28,080 people aged 35 and over from 40 general practices in inner-city, urban and rural areas of Avon and Somerset. Prevalent disease was identified by: a self-report screening questionnaire (reported by 3169) and subsequent clinical examination (2018 invited). Requirement for hip replacement surgery was estimated on the basis of pain (107 per 1000 for men, 173 per 1000 for women) and loss of functional ability, with adjustment for evidence of comorbidity and patients' treatment preferences. The prevalence of hip disease requiring surgery was 15.2 per 1000 aged 36-85 years. The corresponding annual incidence of hip disease requiring surgery was estimated as 2.23, which suggests an overall requirement in England of 46,000 operations per year; recent actual provision was 43,500. This research suggests that the satisfaction of demand for total hip replacement, given agreed criteria for surgery, is a realistic objective. (RH). |
| Accession Number | CPA-990423203 A |
| Classmark | CL: LKA: IK: 3KB: 8A: 8SO * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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