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Population requirement for primary hip-replacement surgery: a cross-sectional study.

S Frankel1, J Eachus, N Pearson

  • 1Department of Social Medicine, University of Bristol. stephen.frankel@bristol.ac.uk

Lancet (London, England)
|April 28, 1999
PubMed
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The study estimates England needs 46,600 primary total hip replacements annually. Current provision is around 43,500, suggesting demand for hip surgery is achievable with agreed criteria.

Area of Science:

  • Orthopedic Surgery
  • Epidemiology
  • Public Health

Background:

  • Significant unmet demand exists for elective surgeries like total hip replacement (THR) globally.
  • Estimating population needs for THR is crucial for healthcare planning in England.

Purpose of the Study:

  • To determine the population requirement for primary total hip replacement in England.
  • To assess the gap between estimated need and current provision of THR.

Main Methods:

  • Cross-sectional study of 28,080 individuals aged 35+ in Avon and Somerset, UK.
  • Two-stage disease identification: screening questionnaire and clinical examination.
  • Statistical modeling used to estimate incident disease and surgical requirement based on pain, function, comorbidity, and patient preference.

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Main Results:

  • Prevalence of hip disease requiring surgery was 15.2 per 1000 (aged 35-85).
  • Estimated annual incidence of hip disease requiring surgery was 2.23 per 1000.
  • Total estimated annual requirement for THR in England is 46,600 operations, compared to 43,500 provided.

Conclusions:

  • The findings suggest that meeting the demand for total hip replacement is feasible.
  • Agreed-upon surgical criteria can guide the satisfaction of THR needs.