TY - JOUR
T1 - Hip Arthroplasty or Medical Management
T2 - A Challenging Treatment Decision for Younger Patients
AU - Stake, Christine E.
AU - Talbert, Patricia Y.
AU - Hopkinson, William J.
AU - Daley, Robert J.
AU - Alden, Kris J.
AU - Domb, Benjamin G.
N1 - Publisher Copyright:
© 2015 Elsevier Inc.
PY - 2015/6/1
Y1 - 2015/6/1
N2 - The two main treatment options for total hip arthroplasty (THA), medical management and surgical intervention, have advantages and disadvantages, creating a challenging decision. Treatment decisions are further complicated in a younger population (≤50) as the potential need for revision surgery is probable. We examined the relationship of selected variables to the decision-making process for younger patients with symptomatic OA. Thirty-five participants chose surgical intervention and 36 selected medical management for their current treatment. Pain, activity restrictions, and total WOMAC scores were statistically significant (P < .05) for patients selecting surgical intervention. No difference in quality of life was shown between groups. Pain was the only predictor variable identified, however, activity restrictions were also influential variables as these were highly correlated with pain.
AB - The two main treatment options for total hip arthroplasty (THA), medical management and surgical intervention, have advantages and disadvantages, creating a challenging decision. Treatment decisions are further complicated in a younger population (≤50) as the potential need for revision surgery is probable. We examined the relationship of selected variables to the decision-making process for younger patients with symptomatic OA. Thirty-five participants chose surgical intervention and 36 selected medical management for their current treatment. Pain, activity restrictions, and total WOMAC scores were statistically significant (P < .05) for patients selecting surgical intervention. No difference in quality of life was shown between groups. Pain was the only predictor variable identified, however, activity restrictions were also influential variables as these were highly correlated with pain.
KW - Decision-making
KW - Medical management
KW - Surgical intervention
KW - Total hip arthroplasty
KW - Younger population
UR - http://www.scopus.com/inward/record.url?scp=84931573995&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84931573995&partnerID=8YFLogxK
U2 - 10.1016/j.arth.2015.01.032
DO - 10.1016/j.arth.2015.01.032
M3 - Article
C2 - 25682208
AN - SCOPUS:84931573995
SN - 0883-5403
VL - 30
SP - 950
EP - 954
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 6
ER -