Indication Criteria for Total Hip Arthroplasty in Patients with Hip Osteoarthritis—Recommendations from a German Consensus Initiative
Abstract
:1. Introduction
2. Materials and Methods
2.1. Inauguration Workshop
- -
- No consensus, less than 50% agreement of the EKIT-Consensus-Panel;
- -
- Weak consensus, 50% to 74% agreement of the EKIT-Consensus-Panel;
- -
- Consensus, 75% to 94% agreement of the EKIT-Consensus-Panel;
- -
- Strong consensus, 95% or more agreement of the EKIT-Consensus-Panel [25].
2.2. Evidence Retrieval, Synthesis, and Derivation of Preliminary Recommendations
- (1)
- Confirmation of diagnosis;
- (2)
- Identification of a patient’s individual burden of illness;
- (3)
- Checking alternative treatment options;
- (4)
- Identification of contraindications;
- (5)
- Identification of modifiable risk factors;
- (6)
- Shared decision making.
2.3. EKIT-Consensus-Meeting
2.4. Development of a Checklist of Indication Criteria
3. Results
3.1. Evidence Retrieval
3.2. Consensus Voting
3.3. Development of a Checklist of Indication Criteria for THA in Hip OA
- (1)
- Ensure the diagnosis of hip OA via clinical examination and radiological signs;
- (2)
- Assess the patient’s individual burden of illness regarding hip-related complaints and health-related quality of life using validated measurement instruments;
- (3)
- Verify the use of alternative non-surgical therapies and their effectiveness during the last three months;
- (4)
- Confirm the absence of any contraindications.
- (5)
- Review of the medical implications regarding modifiable risk factors;
- (6)
- The patient’s individual treatment goals and the probability of their achievement.
4. Discussion
4.1. Main Findings
4.2. International Perspective
4.3. Clinical Considerations and Practical Implications
4.4. Strengths and Limitations
4.5. Implications for Further Research
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Lützner, C.; Deckert, S.; Günther, K.-P.; Postler, A.E.; Lützner, J.; Schmitt, J.; Limb, D.; Lange, T. Indication Criteria for Total Hip Arthroplasty in Patients with Hip Osteoarthritis—Recommendations from a German Consensus Initiative. Medicina 2022, 58, 574. https://doi.org/10.3390/medicina58050574
Lützner C, Deckert S, Günther K-P, Postler AE, Lützner J, Schmitt J, Limb D, Lange T. Indication Criteria for Total Hip Arthroplasty in Patients with Hip Osteoarthritis—Recommendations from a German Consensus Initiative. Medicina. 2022; 58(5):574. https://doi.org/10.3390/medicina58050574
Chicago/Turabian StyleLützner, Cornelia, Stefanie Deckert, Klaus-Peter Günther, Anne Elisabeth Postler, Jörg Lützner, Jochen Schmitt, David Limb, and Toni Lange. 2022. "Indication Criteria for Total Hip Arthroplasty in Patients with Hip Osteoarthritis—Recommendations from a German Consensus Initiative" Medicina 58, no. 5: 574. https://doi.org/10.3390/medicina58050574