Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Life expectancy and cost utility after total hip replacement

G Garellick1, H Malchau, P Herberts

  • 1Department of Orthopaedics, Sahlgrenska University Hospital, Göteborg University, Sweden.

Clinical Orthopaedics and Related Research
|May 13, 1998
PubMed
Summary

Total hip replacement surgery shows good cost utility in elderly patients, even with a 33% 8-year mortality rate. Indications for hip replacement in older adults can be expanded, suggesting earlier surgical intervention.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Critical appraisal of the "one-day-per-percent" rule - A register-based observational study.

Burns : journal of the International Society for Burn Injuries·2024
Same author

The value of "diaphragmatic relaxing incision" for the durability of the crural repair in patients with paraesophageal hernia: a double blind randomized clinical trial.

Frontiers in surgery·2023
Same author

A randomized, triple-blinded controlled clinical study with a novel disease-modifying drug combination in equine lameness-associated osteoarthritis.

Osteoarthritis and cartilage open·2023
Same author

Nerve growth factor in the equine joint.

Veterinary journal (London, England : 1997)·2020
Same author

Longitudinal changes in patient-reported outcome measures following total hip arthroplasty and predictors of deterioration during follow-up: a seven-year prospective international multicentre study.

The bone & joint journal·2019
Same author

Infographic: Total hip arthroplasty component wear and stability.

The bone & joint journal·2019

Area of Science:

  • Orthopedic Surgery
  • Geriatric Medicine
  • Health Economics

Background:

  • Elderly patients often present with advanced osteoarthritis, posing surgical challenges.
  • Hip replacement is a common procedure, but its long-term outcomes and cost-effectiveness in the elderly require ongoing evaluation.

Purpose of the Study:

  • To assess the long-term mortality, quality of life, and cost utility of cemented total hip replacement in elderly patients.
  • To evaluate the potential for expanding indications for hip replacement in this demographic.

Main Methods:

  • Prospective study of 410 cemented hip replacements in 372 patients (mean age 71 years).
  • Analysis of 8-year mortality rates, adjusted quality of life, and cost-utility estimates.
  • Comparison with age-matched control populations where applicable.

Related Experiment Videos

Main Results:

  • An 8-year mortality rate of 33% was observed in the study cohort.
  • Mortality was lower than in age-matched controls, likely due to patient selection.
  • Total hip replacement demonstrated favorable cost utility, even in elderly individuals.
  • Quality of life was positively impacted by the procedure.

Conclusions:

  • Cemented total hip replacement is a cost-effective intervention for elderly patients.
  • The indications for hip replacement in the elderly population can be broadened.
  • Earlier surgical intervention for hip conditions in the elderly is recommended to improve outcomes.