Pain levels after total hip replacement: their use as endpoints for survival analysis.

We have assessed the relative value of various outcome measures after THR, by the analysis of follow-up data from over 2000 patients. They had been reviewed clinically and radiologically six months after operation, at one year, and then every two years, some for 16 years. At each review their pain l...

Full description

Bibliographic Details
Main Authors: Britton, A, Murray, D, Bulstrode, C, McPherson, K, Denham, R
Format: Journal article
Language:English
Published: 1997
_version_ 1797065805113851904
author Britton, A
Murray, D
Bulstrode, C
McPherson, K
Denham, R
author_facet Britton, A
Murray, D
Bulstrode, C
McPherson, K
Denham, R
author_sort Britton, A
collection OXFORD
description We have assessed the relative value of various outcome measures after THR, by the analysis of follow-up data from over 2000 patients. They had been reviewed clinically and radiologically six months after operation, at one year, and then every two years, some for 16 years. At each review their pain level, stiffness and opinion of progress were scored and a radiograph taken. We found that pain level was the most informative outcome as a predictor of revision and correlated well with the patients' opinions. We made a comparison between the six types of implant in the series, using survival analysis and log-rank testing with different pain levels as endpoints. This analysis revealed differences which were not detected by survival analysis using the traditional endpoint of revision. We therefore recommend the use of different levels of pain as the main outcome measures after total hip replacement.
first_indexed 2024-03-06T21:33:51Z
format Journal article
id oxford-uuid:45933464-4e7c-4d7a-ae9c-9396609308dc
institution University of Oxford
language English
last_indexed 2024-03-06T21:33:51Z
publishDate 1997
record_format dspace
spelling oxford-uuid:45933464-4e7c-4d7a-ae9c-9396609308dc2022-03-26T15:08:30ZPain levels after total hip replacement: their use as endpoints for survival analysis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:45933464-4e7c-4d7a-ae9c-9396609308dcEnglishSymplectic Elements at Oxford1997Britton, AMurray, DBulstrode, CMcPherson, KDenham, RWe have assessed the relative value of various outcome measures after THR, by the analysis of follow-up data from over 2000 patients. They had been reviewed clinically and radiologically six months after operation, at one year, and then every two years, some for 16 years. At each review their pain level, stiffness and opinion of progress were scored and a radiograph taken. We found that pain level was the most informative outcome as a predictor of revision and correlated well with the patients' opinions. We made a comparison between the six types of implant in the series, using survival analysis and log-rank testing with different pain levels as endpoints. This analysis revealed differences which were not detected by survival analysis using the traditional endpoint of revision. We therefore recommend the use of different levels of pain as the main outcome measures after total hip replacement.
spellingShingle Britton, A
Murray, D
Bulstrode, C
McPherson, K
Denham, R
Pain levels after total hip replacement: their use as endpoints for survival analysis.
title Pain levels after total hip replacement: their use as endpoints for survival analysis.
title_full Pain levels after total hip replacement: their use as endpoints for survival analysis.
title_fullStr Pain levels after total hip replacement: their use as endpoints for survival analysis.
title_full_unstemmed Pain levels after total hip replacement: their use as endpoints for survival analysis.
title_short Pain levels after total hip replacement: their use as endpoints for survival analysis.
title_sort pain levels after total hip replacement their use as endpoints for survival analysis
work_keys_str_mv AT brittona painlevelsaftertotalhipreplacementtheiruseasendpointsforsurvivalanalysis
AT murrayd painlevelsaftertotalhipreplacementtheiruseasendpointsforsurvivalanalysis
AT bulstrodec painlevelsaftertotalhipreplacementtheiruseasendpointsforsurvivalanalysis
AT mcphersonk painlevelsaftertotalhipreplacementtheiruseasendpointsforsurvivalanalysis
AT denhamr painlevelsaftertotalhipreplacementtheiruseasendpointsforsurvivalanalysis