Metal on metal resurfacing hip arthroplasty (hip resurfacing) - horizon scanning review
NHSC
Record ID 32001000989
English
Authors' objectives:
To summarise the current research evidence on metal on metal resurfacing hip arthroplasty (hip resurfacing).
Authors' recommendations:
- Clinical impact - Resurfacing hip arthroplasty appears at this stage to be a promising alternative to THR in younger patients. Results from long-term follow-up of each individual implant type are essential to determine outcomes prior to increased usage and certainly before use as a direct replacement of primary THR in older people.
- Service impact - The use of hip resurfacing is unlikely to make a great additional impact on orthopaedic services, although there may be a pool of younger patients not currently seen regularly by specialist services who will be referred for consideration of resurfacing. Hip resurfacing may reduce overall long-term service use by the relief of symptoms and its potential to reduce need for costly, lengthy revision of THR (this is speculative and assumes long-term potential benefit).
- Patient issues - Hip disease is painful and causes a long-term reduction in quality of life including capacity to work. There is likely to be increased demand for hip resurfacing if surgeons and manufacturers continue to produce positive results in clinical trials.
- Financial and overall NHS impact - Hip resurfacing implants are equivalent in price to the more expensive THR implants. However it is not easy to predict their overall impact without further long-term outcome data and modelling of benefits and costs.
Authors' methods:
Overview
Details
Project Status:
Completed
Year Published:
2000
URL for published report:
http://www.hsric.nihr.ac.uk/search
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
England, United Kingdom
MeSH Terms
- Aged
- Arthroplasty, Replacement, Hip
- Costs and Cost Analysis
Contact
Organisation Name:
NIHR Horizon Scanning Centre
Contact Address:
The NIHR Horizon Scanning Centre, Department of Public Health, Epidemiology, and Biostatistics, School of Health and Population Sciences, University of Birmingham, 90 Vincent Drive, Edgbaston, Birmingham, B15 2SP. United Kingdom. Tel: +44 121 414 7831, Fax: +44 121 2269
Contact Name:
c.packer@bham.ac.uk
Contact Email:
c.packer@bham.ac.uk
Copyright:
National Horizon Scanning Centre
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.