Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorde Steiger, Richard-
dc.contributor.otherHarris, Ian A.-
dc.contributor.otherCuthbert, Alana-
dc.contributor.otherLewis, Peter L.-
dc.contributor.otherGraves, Stephen-
dc.identifier.citationBone Joint J, 101(1), 92-95.en_US
dc.description.abstractAIMS: Displaced femoral neck fractures (FNF) may be treated with partial (hemiarthroplasty, HA) or total hip arthroplasty (THA), with recent recommendations advising that THA be used in community-ambulant patients. This study aims to determine the association between the proportion of FNF treated with THA and year of surgery, day of the week, surgeon practice, and private versus public hospitals, adjusting for known confounders. PATIENTS AND METHODS: Data from 67 620 patients in the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) from 1999 to 2016 inclusive were used to generate unadjusted and adjusted analyses of the associations between patient, time, surgeon and institution factors, and the proportion of FNF treated with THA. RESULTS: Overall, THA was used in 23.7% of patients. THA was more frequently used over time, in younger patients, in healthier patients, in cases performed on weekdays (adjusted odds ratio (OR) 1.27; 95% confidence interval (CI) 1.14 to 1.41), in private hospitals (adjusted OR 4.34; 95% CI 3.94 to 4.79) and by surgeons whose hip arthroplasty practice has a relatively higher proportion of elective patients (adjusted OR 1.65; 95% CI 1.49 to 1.83). CONCLUSION: Practice variation exists in the proportion of FNF patients treated with THA due to variables other than patient factors. This may reflect variation in resources available and surgeon preference, and uncertainty regarding the relative indication.en_US
dc.publisherThe British Editorial Society of Bone & Joint Surgeryen_US
dc.subjectDisplaced Femoral Neck Fractureen_US
dc.subjectFemoral Neck Fractureen_US
dc.subjectTotal Hip Arthroplastyen_US
dc.subjectCommunity-Ambulant Patientsen_US
dc.subjectHip Fracturesen_US
dc.subjectTrochanteric Fracturesen_US
dc.subjectInternal Fixationen_US
dc.subjectFemoral Head Arthroplastyen_US
dc.subjectPublic Hospitalsen_US
dc.subjectPrivate Hospitalsen_US
dc.subjectPractice Variationen_US
dc.subjectAustralian Orthopaedic Association National Joint Replacement Registryen_US
dc.subjectMusculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.titlePractice variation in total hip arthroplasty versus hemiarthroplasty for treatment of fractured neck of femur in Australia.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleThe Bone & Joint Journalen_US
dc.description.affiliatesAustralian Orthopaedic Association National Joint Replacement Registry, Adelaide, Australia.en_US
dc.type.studyortrialComparative Studyen_US
Appears in Collections:Musculoskeletal

Files in This Item:
There are no files associated with this item.

Items in EKB are protected by copyright, with all rights reserved, unless otherwise indicated.