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Related Experiment Videos

Equity and need when waiting for total hip replacement surgery.

Ray Fitzpatrick1, Josephine M Norquist, Barnaby C Reeves

  • 1Department of Public Health, Institute of Health Sciences, University of Oxford, Oxford, UK. raymond.fitzpatrick@dphpc.oxford.ac.uk

Journal of Evaluation in Clinical Practice
|January 21, 2004
PubMed
Summary

Long waiting times for total hip replacement (THR) appointments and surgery are linked to patient factors like pain and disability. Sociodemographic and health status significantly impact these delays.

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Area of Science:

  • Orthopedic surgery outcomes
  • Health services research

Background:

  • Long waiting times for total hip replacement (THR) are a significant concern in healthcare systems.
  • Understanding factors influencing these delays is crucial for improving patient access and outcomes.

Purpose of the Study:

  • To investigate sociodemographic and health status factors associated with waiting times for initial outpatient appointments and subsequent total hip replacement (THR) surgery.
  • To identify predictors of prolonged waiting periods in the patient pathway for THR.

Main Methods:

  • A survey of patients undergoing THR in five English regions between September 1996 and October 1997.
  • Preoperative questionnaires collected data on waiting times for outpatient appointments and surgery, alongside the 12-item Oxford Hip Score (OHS).
Keywords:
Empirical ApproachHealth Care and Public Health

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Main Results:

  • Region, sector (private vs. public), housing tenure, and preoperative OHS score were independently associated with waiting over 3 months for an outpatient appointment.
  • Region, housing tenure, and gender were independently associated with waiting 6 months or longer on the surgical waiting list.

Conclusions:

  • A substantial number of patients experienced extended waiting times for both outpatient appointments and THR surgery.
  • Waiting times varied significantly based on social, geographical, and healthcare system factors.
  • Patients with greater preoperative pain and disability experienced longer waits for appointments, and longer waits correlated with worse symptoms, indicating potential issues with prioritization criteria.