Patients' Experiences of Hip Revision

• Research type

  Research Study

• Full title

  The experience of patients undergoing hip revision surgery for aseptic loosening and recurrent dislocation.

• IRAS ID

  239414

• Contact name

  Karen Barker

• Contact email

  karen.barker@ouh.nhs.uk

• Sponsor organisation

  University of Oxford / Clinical Trials and Research Governance

• Duration of Study in the UK

  0 years, 6 months, 1 days

• Research summary

  Summary of Research
  The increasing demand for total hip replacement (THR) surgery has resulted in a corresponding rise in revision THR surgery, with 8,367 hip revision operations reported in 2015. Overall the chances of requiring revision of a primary hip replacement remain low, but once revised the risk of requiring further revision surgery is three times greater than the risk for the primary procedure.
  Revision THR is a more complex procedure with variable outcomes and can be 20 times more costly than primary THR. It is associated with longer hospital length of stay and significantly more rehabilitation. Meaningful improvements in pain and function are reported but more complications tend to occur, and health gains are not as great as following primary THR. Outcomes are likely influenced by multiple factors, including the reason for revision, type of surgery and associated care but the link between rehabilitation and outcomes is poorly understood. Revision THR patients
  typically receive more rehabilitation than primary THR patients but what this consists of and its’ effectiveness is uncertain. There are no clear guidelines about the best way to rehabilitate patients who have undergone hip revision surgery.The poorer functional outcomes of patients with hip revision would suggest current rehabilitation may not be optimal.
  We will interview patients who are waiting to receive revision hip replacement and those who have undergone revision hip surgery in the last 12 months to explore the experience and impact of hip revision surgery on patients and seek to understand their experience of surgery, rehabilitation and their satisfaction with the final outcome after revision surgery.
  We will interview patients using semi structured interviews from 1 UK site. Interviews will be audio-recorded, transcribed, anonymised and analysed using a thematic approach.

  Summary of Results
  : 23 participants were interviewed about their experience.
  Furthjer interviews were not conducted as we reached data saturation.
  The analytic approach was inductive using the constant comparative method to generate themes from the data Key findings were:
  Participants expressed emotional resilience during recovery from revi sion, but identi fied the need for better information and psychological and physical support. Experience of recovery differs depending on the underlying reason for revision surgery . Mobility, function, independence and pain are important aspects of recovery which affect all aspects of day-to-day life. Increased information and more opportunities to talk and share experiences may provide psychological support during recovery

• REC name

  London - Brent Research Ethics Committee

• REC reference

  18/LO/1271

• Date of REC Opinion

  3 Aug 2018

• REC opinion

  Further Information Favourable Opinion