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We want to know what questions you think we should be working on in the area of Revision Hip Replacement surgery.
The Priority Setting work is now complete. Please view the outcomes of this and the Top 10 Priority areas for further research into unanswered questions to examine HERE
Hip replacements are successful procedures that improves a patient’s joint pain, quality of life and functional activity. Over time such replacements may become problematic for a variety of reasons causing patients to experience further pain, swelling, stiffness or instability. This can, in turn, limit patients by reducing their ability to perform desired activities. In many cases it can lead to the need for revision hip surgery requiring a change of part or all of the original hip replacement implant.
The James Lind Alliance (JLA) brings together patients, carers and health and social care professionals in Priority Setting Partnerships (PSPs) to agree what research matters most in given disease areas.
This PSP focusses on patients with problematic hip replacements. Patients experiencing problems after hip replacement may present to primary or secondary care for assessment. Further management may involve non-operative treatments such as pain relief medications, physiotherapy and rehabilitation or operative treatments such as debridement, removal of part of or all of the original implants and replacement with new ones. These re-replacement procedures are termed revision hip replacements and approximately 35,000 such surgeries have been performed in the UK between 2013 and 2019 (17th NJR Annual Report). There is a paucity of high level evidence (such as well-designed trials) regarding the assessment, management and rehabilitation of this group of patients. This lack of information leaves patients, carers and clinicians faced with uncertainties regarding the best way to move forward. We will identify key research questions to help address these uncertainties.
View the Top 10 Priorities HERE
All the questions we receive will be gathered, grouped by topic and checked against published research to see if they have already been answered. If we find answers to any questions we will use this website to ensure the answers are made known to those to whom they will be useful.
The questions which have not already been answered will be ranked to find out which are the most important. This process will involve those directly affected by problematic hip replacement, carers and health and social care professionals. If you are interested in taking part in this, tell us either when you fill in the survey, or contact us directly.
The result will be a ‘Top 10’ list of research questions. These will be published and shared publicly. We will then work together with researchers and research funders and where appropriate, the orthopaedic implant industry, so that research is conducted to find the answers to these questions.
The James Lind Alliance (JLA) will facilitate this process and ensure transparency, accountability and fairness.
The scope of this PSP will cover patients who have problems after hip replacement from the point they experience problems with that joint, through the assessment and management stages (encompassing investigation, decision making and both operative and non-operative treatments) and the rehabilitation stage. We will exclude uncertainties relating to prevention of problems with primary hip replacements.
Exclusion criteria
After extensive discussion within the Steering Group in a formal meeting, it was decided that we would exclude uncertainties related to revision hip surgery outside the UK, although evidence from around the world will be reviewed and considered where it adequately addresses unanswered questions. Uncertainties regarding prevention of problems with primary hip replacements would also be excluded.
Some organisations may be judged by the JLA or the Steering Group to have conflicts of interest. These may be perceived to adversely affect those organisations’ views, causing unacceptable bias. As this is likely to affect the ultimate findings of the PSP, those organisations will not be invited to participate. It is possible, however, that interested parties may participate in a purely observational capacity when the Steering Group considers it may be helpful.
AFPP (The Association for Perioperative Practice)
ACPA (Arthroplasty Care Practitioner’s Association)
MACP (Musculoskeletal Association of Chartered Physiotherapists)
ATOCP (Association of Trauma and Orthopaedic Chartered Physiotherapists)
BHS (British Hip Society)
BOA (British Orthopaedic Association)
BOTA (British Orthopaedic Trainee Association)
Royal College of Anaesthetists
Royal College of General Practitioners
Royal College of Nursing Society of T&O
Royal College of Occupational Therapists
Royal College of Surgeons, Patient and Public Involvement groups
INVOLVE (UK’s leading public participation charity)
National Voices
Pain Concern
ARMA (Arthritis and Musculoskeletal Alliance)
Association of Medical Research Charities
BAPO (British Association of Prosthetists and Orthotists)
Versus Arthritis
ORUK (Orthopaedic Research UK).
The British Hip Society in partnership with the James Lind Alliance (JLA), has set up this Priority Setting Partnership (PSP) to identify uncertainties regarding patients who are experiencing problems following hip replacement surgery.
This process brings patients, carers and clinicians together on an equal footing to prioritise areas of uncertainty regarding patients with problematic hip replacements. This will in turn ensure that future research funding is allocated to answer the most important questions in this field.
How can you have your say?
Please visit our PSP website HERE at where you can read more about the partnership, the steering group and how we need your help to understand your perspective and questions about problems with hip replacement surgery.
If you are a patient who has experienced problems following hip replacement, or either a carer or healthcare professional who has been involved with such patients, then you should have your say. Please help us achieve this aim by completing this survey HERE
BLOG – will need to link to subdomain
How does a priority setting partnership work?
The following flow diagram shows how a JLA PSP works
FORM & CONTACT DETAILS
Please help promote our survey by distributing this poster which contains a link to complete the problematic hip replacement survey.
Professor Tim Board – Consultant Orthopaedic Surgeon, Wrightington Hospital
Asim Khan – Locum Consultant Orthopaedic Surgeon, Wrightington Hospital
Liz Newton, Wrightington
Dr Cat Ball, Head of Policy, Association of Medical Research Charities, ORUK Trustee
Professor Jerri Daboo, Patient
Frankie O’Brien, Patient
Allan Harle, Patient
SURGEONS:
Hiren Divecha, Surgeon, Wrightington
Mike Reed, Surgeon, Northumbria
Vikas Khanduja, Surgeon, Cambridge
Jason Webb, Surgeon, Bristol
Mike Whitehouse, Surgeon, Bristol
Henry Wynn Jones, Surgeon Wrightington
ALLIED HEALTH PROFESSIONALS:
Sarah Briggs, Physiotherapist, Wrightington
Jo Clarke, Arthroplasty Practitioner, Wrightington
Professor Becky Kearney, Associate Director of Warwick Clinical Trials Unit, Warwick
Justine Theaker, Research Physiotherapist, Manchester
Jonathan Lamb, Research Fellow, Leeds
Tony Sorial, Research Fellow, Newcastle
Justine Theaker, Research Physiotherapist, Manchester
Tricia Ellis, Adviser, The James Lind Alliance (JLA)
Kristina Staley, Independent Information Specialist, TwoCan Associates
