1;Preface;52;Contents;73;Contributors;94;1 Introduction: The Provision of Hip Joint Replacement ;125;Part I Health Technology Assessment of Hip Arthoplasty;145.1;2 International Variations in Hip Replacement Rates;155.1.1;2.1 Introduction;155.1.2;2.2 Methods;165.1.3;2.3 Results;185.1.4;2.4 Discussion;265.1.5;References;285.2;3 Health Technology Assessment of Hip Replacement;305.2.1;3.1 Background and Objectives;305.2.2;3.2 Methods;315.2.3;3.3 Results;325.2.4;3.4 Conclusions;335.2.5;References;345.3;4 The Economic Perspective on Joint Replacement and Equity;365.3.1;4.1 Introduction;365.3.2;4.2 How Does Economic Evaluation De. ne Whether Joint Replacement Is Worthwhile?;365.3.3;4.3 What Should Joint Replacement Be Compared to?;375.3.4;4.4 Framework of Analysis;375.3.5;4.5 Whose Costs, Outcomes and Values Are Important in Choosing Joint Replacement?;385.3.6;4.6 Who Should Receive Joint Replacement Surgery?;395.3.7;4.7 Summary;405.3.8;References;415.4;5 The Cost of the Procedure;425.4.1;5.1 Introduction;425.4.2;5.2 Costs;425.4.3;5.3 Cost of Total Hip Arthroplasty;435.4.4;5.4 Economic Evaluation;465.4.5;5.5 Economic Evaluation in THA;475.4.6;5.6 Strategies to Reduce Costs;495.4.7;5.7 Conclusion;515.4.8;References;525.5;6 Trends in Hip Replacement Rates;555.5.1;References;596;Part II Indication for Hip Replacement;616.1;7 Appropriateness: Consensus in the Criteria for Indications;626.1.1;7.1 Introduction;626.1.2;7.2 Appropriateness of Total Hip Replacement;626.1.3;7.3 Waiting Lists: Urgency and Appropriateness of Times to Surgery;646.1.4;7.4 Appropriateness and Unmet Need: In the Community and in the Queue;666.1.5;7.5 Conclusion;666.1.6;References;676.2;8 Radiographic Assessment of Indications for Total Hip Replacement;696.2.1;8.1 Is There Any Role of Radiological Assessment for Considering Total Hip Replacement?;696.2.2;8.2 Which Are the Di. erent Radiological Aspects Which Might Be of Interest when Considering Total Articular Replacement?;736.2.3;8.3 In Conclusion;746.2.4;References;746.3;9 Patients' Views on Total Joint Replacement in the UK;756.3.1;9.1 Introduction;756.3.2;9.2 Methodology;756.3.3;9.3 Results;766.3.4;9.4 Discussion;806.3.5;References;816.4;10 Population Requirement for Primary Hip-Replacement Surgery in England: A Comparison with Knee-Replacement ;826.4.1;10.1 Introduction;826.4.2;10.2 Patients and Methods;836.4.3;10.3 Results;856.4.4;10.4 Discussion;866.4.5;References;887;Part III Outcome Measurement;897.1;11 What Are the Outcomes After Hip Joint Replacement for OA?;907.1.1;References;937.2;12 Outcomes of Hip Replacement Vary;947.2.1;12.1 The Definition of a Result;947.2.2;12.2 Individual Change;947.2.3;12.3 Why Does Outcome Vary?;957.2.4;12.4 Radiographic Stage of OA;967.2.5;12.5 Waiting Time;977.2.6;12.6 Determinants of Poor Outcome;977.2.7;References;987.3;13 Evaluation of the Implant;1007.3.1;13.1 Introduction;1007.3.2;13.2 Radiographic Assessment of Loosening;1017.3.3;13.3 Stress Shielding;1017.3.4;13.4 Assessment of Bony Ingrowth;1027.3.5;13.5 Radiographic Assessment of Bone Destruction;1027.3.6;13.7 Implant Position;1037.3.7;13.8 Migration Measurement;1037.3.8;References;1047.4;14 Result Analysis of Hip Arthroplasty Registers;1057.4.1;14.1 National Hip Arthroplasty Registers and Their Objective;1057.4.2;14.2 Structure of Arthroplasty Registers;1087.4.3;14.3 Requirements on Documentation;1097.4.4;14.4 Acceptance, Compliance and Transparency;1107.4.5;14.5 Parameters, Items;1117.4.6;14.6 Evaluation of Factors In. uencing Survival of THA;1117.4.7;14.7 Result Processing;1147.4.8;14.8 Outcome Key Parameters;1157.4.9;14.9 Comparison and Linkage of Registers;1177.4.10;14.10 Bene. ts and Advantages of AR;1177.4.11;14.11 International Registers;1217.4.12;References;1217.5;15 The Patient's View: Indicators of Subjective Health and Their Use in Outcome Assessment;1267.5.1;15.1 Introduction;1267.5.2;15.2 Patient-Reported O