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Top 10 priorities for problematic hip replacement research: a priority setting partnership led by the British Hip

Tim N Board1, Asim Khan2, Antony K Sorial3

  • 1The Centre for Hip Surgery, Wrightington Wigan and Leigh NHS Foundation Trust, Wigan, UK tim@timboard.co.uk.

BMJ Open
|March 12, 2026
PubMed

Insights

This study identified top research priorities for problematic hip replacements. These findings aim to guide future research and funding to enhance patient care and outcomes.

Area of Science:

  • Orthopaedic surgery
  • Patient outcomes research
  • Health services research

Background:

  • Problematic hip replacements pose significant challenges for patients and healthcare systems.
  • A clear understanding of research uncertainties is crucial for improving patient care.

Purpose of the Study:

  • To establish a prioritized list of research uncertainties concerning the assessment, management, and rehabilitation of patients with problematic hip replacements.
  • To guide future research and funding initiatives in this area.

Main Methods:

  • A national Priority Setting Partnership (PSP) was conducted in the UK.
  • The James Lind Alliance (JLA) methodology was employed, involving patients, carers, and healthcare professionals.
  • Data collection included nationwide surveys and a consensus workshop to refine and rank research questions.

Main Results:

  • An initial survey generated 201 questions, refined to 32.
  • An interim survey with 191 respondents narrowed the focus to 19 questions.
  • A final consensus workshop identified and agreed upon the top 10 research priorities.

Conclusions:

  • The study successfully identified key research priorities for problematic hip replacements.
  • Priorities focus on diagnosis, pain management, perioperative optimization, and infection control.
  • These findings will inform researchers and funders to improve outcomes for patients with problematic hip replacements.
Abstract

Keywords:
Adult orthopaedicsCaregiversDelphi TechniqueHipPAIN MANAGEMENTSurveys and Questionnaires

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