Hip arthroplasty in patients with osteoarthritis

AETSA
Record ID 32018000404
Spanish
Original Title: Artroplastia de cadera en pacientes con artrosis
Authors' objectives: To establish recommendations for clinical practice on hip arthroplasty in patients with osteoarthritis through a systematic process directed to selected patients who can most benefit arthroplasty.
Authors' results and conclusions: Results. The recommendations was made according to the methodology GRADE and considering the evidence available to answer each questions to posed by work group. Recommendations. • In patients with clinical and radiologic criteria of hip osteoarthritis and who have exhausted all possibilities to control this disease with proper medical treatment conservative, hip surgery will be proposed (performed by consensus work Group) • In patients with advances stages of hip osteoarthritis is proposed as therapeutic option the total hip arthroplasty when the expected revision rate at 10 years is less than or equal to 5 % (NICE Recommendation) • To reduce the risk of complications after hip arthroplasty the use of given bearing surfaces must be based on clinical and functional needs of each patients, regardless age and gender (weak) • The use of ceramic-ceramic bearing surfaces against metal-polyethylene to reduce osteolisys risk after hip arthroplasty at 10 years is suggest (weak) • To reduce the ostheolisys risk in hip osteoarthritis is propose that this intervention was performed in patients with an IMC ≤ 30 kg/m2 (weak)
Authors' methods: It has followed the methodology proposed by The Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group. A group of experts who participated from the start defining and priorizing the outcome variables, until the final phase of formulation of these recommendations was constituted.
Details
Project Status: Completed
Year Published: 2017
English language abstract: An English language summary is available
Publication Type: Other
Country: Spain
MeSH Terms
  • Osteoarthritis, Hip
  • Arthroplasty, Replacement, Hip
  • Hip Prosthesis
  • Practice Guidelines as Topic
  • Treatment Outcome
Keywords
  • Osteoartritis
  • Cadera
  • Artroplastia de reemplazo de cadera
Contact
Organisation Name: Andalusian Health Technology Assessment Area
Contact Address: Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309
Contact Name: aetsa.csalud@juntadeandalucia.es
Contact Email: aetsa.csalud@juntadeandalucia.es
Copyright: Andalusian Health Technology Assessment Area
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.