Hip Preservation Appropriateness Guidelines May Be Limited
THURSDAY, Feb. 14, 2019 -- The American Academy of Orthopaedic Surgeons (AAOS) hip preservation surgery appropriateness classification system is driven almost entirely by age and radiographic hip osteoarthritis (OA) evaluation, according to a study published online Jan. 24 in Arthritis Care & Research.
Daniel L. Riddle, P.T., Ph.D., and Robert A. Perera, Ph.D., both from Virginia Commonwealth University in Richmond, evaluated the contribution of each of the variables used to predict the appropriateness of hip preservation surgery in the recently published AAOS hip preservation surgery appropriateness classification system.
The researchers found that patient age and radiographic hip OA evaluation were the main indications of appropriateness classification (e.g., odds ratio for age <40 years was >999.99, with age >65 years as the referent group, for "Appropriate/May be Appropriate" versus "Rarely Appropriate" vignettes). There was no meaningful contribution to final classification for hip range of motion, risk for negative outcome, and function-limiting pain.
"Patient age and radiographic osteoarthritis severity variables dominated prediction of hip preservation appropriateness and given the rudimentary nature of these variables for such a complex clinical syndrome, there appears to be substantial limitations associated with the AAOS hip preservation appropriateness system," the authors write.
© 2020 HealthDay. All rights reserved.
Posted: February 2019
More News Resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
- Monthly Update Archive
Subscribe to our Newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.