The purpose of this Question Verification Form is to enable Priority Setting Partnerships (PSPs) to describe clearly how they checked that their questions were unanswered, before starting the interim prioritisation stage of the process.
The JLA requires PSPs to be transparent and accountable in defining their own scope and evidence checking process. This will enable researchers and other stakeholders to understand how individual PSPs decided that their questions were unanswered, and any limitations of their evidence checking.
Name of the PSP
Problematic Hip Replacement
Please describe the scope of the PSP
- Revision Hip Replacement
- Painful and poorly functioning hip replacement
- Patient priorities
- Diagnostic uncertainties
- Investigation pathways
- Treatment algorithms
- Determinants of outcome
- Health economics
Please provide a brief overview of your approach to checking whether the questions were unanswered
Specific search terms were written for each question, approved by the evidence checking team and searched against. Abstracts of relevant results were then assessed by the team. 3948 abstracts were reviewed.
Please list the type(s) of evidence you used to verify your questions as unanswered
As well as assessment of abstracts produced from above search strategy we searched through all:
- The Cochrane Database of Systematic Reviews
- NICE guidelines
- SIGN clinical guidelines
- Relevant Royal Colleges’ guidance
- British Hip Society Surgical Standards
Please list the sources that you searched in order to identify that evidence
Search terms were used in Medline, Scopus and Embase
What search terms did you use?
Assessment
A1 What are the early signs of a problematic hip replacement which indicate patients need to be assessed?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Hip)
AND (Post-op* OR post op* OR after surgery)
AND (early AND (signs OR symptoms OR features OR risk factors OR predictors))
AND
( pain OR
((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))
)
and (consensus or meta analysis or review or guideline or standards or summary)
WOS:
(ALL=((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Hip)
AND ALL=(Post-ope* OR post op OR after surgery)
AND ALL = (early AND (signs OR symptoms OR features OR risk factors OR predictors))
AND ALL = (pain OR ((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))))
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary)AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
A2 Are there ways to identify which people with a problematic hip replacement will benefit from revision surgery?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND
( pain OR
((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))
)
AND (risk factors OR predictors OR patient selection)
AND (benefit OR success OR ((Good OR excellent) AND (outcome OR result OR function)) OR success OR satisfaction OR function OR well being OR well-being)
and (consensus or meta analysis or review or guideline or standards or summary)
WOS:
(ALL=((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Hip AND revision)
AND ALL = (pain OR ((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))))
AND ALL = (risk factors OR predictors OR patient selection)
AND ALL = (benefit OR success OR ((Good OR excellent) AND (outcome OR result OR function)) OR success OR satisfaction OR function OR well being OR well-being)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary)AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
A3 How can the cause of a problematic hip replacement be diagnosed more quickly and accurately?
`Speed and accuracy of diagnosis: Clinical pathways, diagnostic tests (access reliability and speed of results)`
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Hip)
AND ( pain OR
((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))
)
AND (Identif* OR diagnos*)
AND (Reliability OR accuracy OR efficacy OR speed OR availability OR sensitivity OR specificity)
and (consensus or meta analysis or review or guideline or standards or summary)
(ALL=((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Hip AND revision)
AND ALL = (pain OR ((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))))
AND ALL = (Identif* OR diagnos*)
AND ALL = (Reliability OR accuracy OR efficacy OR speed OR availability OR sensitivity OR specificity)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary)AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
A4 How long after the initial surgery should assessment and treatment of a problematic hip replacement begin?
*Acute events – not relevant
How long to wait until pain is `not normal`
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Hip)
AND (Post-op* OR post op* OR after surgery)
AND (Onset OR start OR commencement OR timing)
AND ( pain OR
((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))
)
and (consensus or meta analysis or review or guideline or standards or summary)
WOS:
(ALL=((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Hip AND revision)
AND ALL = (pain OR ((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))))
AND ALL = (Post-op OR post op OR after surgery)
AND ALL = (Onset OR start OR commencement OR timing)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary)AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
A5 How often should hip replacements be reviewed to check for problems?
*Check “UK poSt Arthroplasty Follow-up rEcommendations (UK SAFE)”
(hip replacement or hip reconstruction or hip prosthe* or hip arthroplast* or THA or THR or TJA or THJR)
AND (Post-op* OR post op* OR after surgery)and (effectiveness or efficacy or utility or value or usefulness)
AND (follow up OR follow-up OR review OR clinic)
AND (frequency OR often)
and (consensus or meta analysis or review or guideline or standards or summary)
WOS:
(ALL=((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Hip AND revision)
AND ALL = (pain OR ((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))))
AND ALL = (Post-op OR post op OR after surgery)
AND ALL = (Onset OR start OR commencement OR timing)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary)AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
Health services
H1 Is revision hip surgery best carried out by a specialist or non-specialist surgeon?
Which is more successful and cost-effective?
(High volume surgeon OR low volume surgeon OR specialist OR non-specialist OR consultant OR attending OR senior surgeon OR sub-specialist OR surgeon grade)
AND (compar* OR contrast OR versus OR difference)
AND (success OR benefit OR cost OR cost-effective OR value OR usefulness OR outcome OR risk)
AND ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
and (consensus or meta analysis or review or guideline or standards or summary)
WOS:
ALL = (High volume surgeon OR low volume surgeon OR specialist OR non-specialist OR consultant OR attending OR senior surgeon OR sub-specialist OR surgeon grade)
AND ALL = (compar* OR contrast OR versus OR difference)
AND ALL = (success OR benefit OR cost OR cost-effective OR value OR usefulness OR outcome OR risk)
AND ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary)AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
H2 Does access to a clinical nurse specialist benefit people undergoing revision hip surgery?
~ clinical nurse specialist (clinic role, pathway care, post op follow up, PROMS)
(Clinical nurse specialist OR CNS OR nurse specialist OR arthroplasty nurse OR revision nurse)
AND (access OR availability OR provision OR employment)
AND ((Good OR excellent) AND outcome) OR success OR satisfaction OR function OR wellbeing OR well-being
AND ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
and (consensus or meta analysis or review or guideline or standards or summary)
WOS:
ALL = (Clinical nurse specialist OR CNS OR nurse specialist OR arthroplasty nurse OR revision nurse)
AND ALL = (access OR availability OR provision OR employment)
AND ALL = (((Good OR excellent) AND outcome) OR success OR satisfaction OR function OR wellbeing OR well-being)
AND ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
**NO RESULT**
Implants
K2 What is the best choice of implant to use for revision hip surgery?
Stem OR cup OR screw OR cement OR device OR implant OR augment OR cage
AND ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (outcome* OR PROM* OR satisfaction OR success OR satisfaction OR function OR well being OR well-being OR wellbeing OR quality of life OR revision OR reoperation OR readmission OR complication OR cost OR function OR pain)
AND (Compar* OR consensus OR recommendation OR best OR optimum)
WOS:
ALL = (Stem OR cup OR screw OR cement OR device OR implant OR augment OR cage)
AND ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (outcome* OR PROM* OR satisfaction OR success OR satisfaction OR function OR well being OR well-being OR wellbeing OR quality of life OR revision OR reoperation OR readmission OR complication OR cost OR function OR pain)
AND ALL = (Compar* OR consensus OR recommendation OR best OR optimum)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
K3 Do allergic reactions to the materials in an implant cause problematic hip replacements?
(Stem OR cup OR screw OR cement OR device OR implant OR augment OR cage)
AND ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (allergy OR Allergic reactions)
AND ( pain OR
((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))
)
WOS:
ALL = (Stem OR cup OR screw OR cement OR device OR implant OR augment OR cage)
AND ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (allergy OR Allergic reactions)
AND ALL = (pain OR ((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference)))
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
K4 Does the position of implants affect the outcome in revision hip surgery?
(Stem OR cup OR screw OR cement OR device OR implant OR augment OR cage)
AND ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (position OR version OR depth OR offset OR leg length)
AND ( pain OR
((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))
)
WOS:
ALL = (Stem OR cup OR screw OR cement OR device OR implant OR augment OR cage)
AND ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (position OR version OR depth OR offset OR leg length)
AND ALL = (pain OR ((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference)))
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
Prognosis
P1 How long do hip replacements last after revision hip surgery?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (survival OR life time risk of revision OR revision free)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (survival OR life time risk of revision OR revision free)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
P2 What are the long-term risks of further problems following revision hip surgery?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (Post-op* OR post op* OR after surgery)
AND (risk OR odds OR chance OR likelihood OR prevalence OR incidence )
AND ( pain OR
((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))
)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (Post-op OR post op OR after surgery)
AND ALL = (risk OR odds OR chance OR likelihood OR prevalence OR incidence )
AND ALL = (pain OR ((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference)))
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
P3 Do people get back to normal levels of activity after revision hip surgery? How long does recovery typically take?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (Post-op* OR post op* OR after surgery)
AND Return to work OR normal OR functional outcome OR functional recovery OR speed of recovery OR mobility
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (Post-op OR post op OR after surgery)
AND ALL = (“Return to work” OR normal OR “functional outcome” OR “functional recovery” OR “speed of recovery” OR mobility )
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (Post-op* OR post op* OR after surgery)
AND (Time to OR speed of)
AND (Return to work OR normal OR functional outcome OR functional recovery OR speed of recovery OR mobility)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (Post-op OR post op OR after surgery)
AND ALL = (“Return to work” OR normal OR “functional outcome” OR “functional recovery” OR “recovery” OR mobility )
AND ALL = (Time to OR speed of)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
Rehab / prehab / self-managment
R1 What can be done after revision hip surgery (including physiotherapy and exercise) to optimise the result?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (Post-op* OR post op* OR after surgery)
AND (improve OR enhance OR better OR increase OR benefit)
AND (outcome OR success OR cost OR health econ terms OR satisfaction OR function OR well being)
AND (physio OR diet OR exercise OR therapy OR allied health OR occupational therapy OR workplace adjustments OR smoking OR alcohol OR weight OR diet OR supplement)
WOS
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (Post-op OR post op OR after surgery)
AND ALL = (improve OR enhance OR better OR increase OR benefit)
AND ALL = (outcome OR success OR cost OR health econ terms OR satisfaction OR function OR wellbeing)
AND ALL = (physio OR diet OR exercise OR therapy OR allied health OR occupational therapy OR workplace adjustments OR smoking OR alcohol OR weight OR diet OR supplement)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
R2 What can be done before revision hip surgery (including physiotherapy, lifestyle change and exercise) to optimise the result?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (pre-op* OR pre op* OR before surgery)
AND (improve OR enhance OR better OR increase OR benefit)
AND (outcome OR success OR cost OR health econ terms OR satisfaction OR function OR well being)
AND (physio OR diet OR exercise OR therapy OR allied health OR occupational therapy OR workplace adjustments OR smoking OR alcohol OR weight OR diet OR supplement)
WOS
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (pre-op OR pre op OR before surgery)
AND ALL = (improve OR enhance OR better OR increase OR benefit)
AND ALL = (outcome OR success OR cost OR health econ terms OR satisfaction OR function OR wellbeing)
AND ALL = (physio OR diet OR exercise OR therapy OR allied health OR occupational therapy OR workplace adjustments OR smoking OR alcohol OR weight OR diet OR supplement)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
R3 How can people with problematic hip replacements be encouraged to stick with exercise/ physio programmes and lifestyle changes in the long term?
*Assumption of usefulness of above interventions
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (physio OR diet OR exercise OR therapy OR allied health OR occupational therapy OR workplace adjustments OR smoking OR alcohol OR weight OR diet OR supplement)
AND (long term OR long-term OR compliance )
WOS
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (physio OR diet OR exercise OR therapy OR allied health OR occupational therapy OR workplace adjustments OR smoking OR alcohol OR weight OR diet OR supplement)
AND ALL = (long term OR long-term OR compliance )
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
R4 What is a safe form of exercise after revision hip surgery?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (Post-op* OR post op* OR after surgery)
AND (exercise OR activity OR movements OR sport)
AND (safe* OR risk* OR harm* OR problem*)
WOS
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (Post-op OR post op OR after surgery)
AND ALL = (exercise OR activity OR movements OR sport)
AND ALL = (safe* OR risk* OR harm* OR problem*)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
Surgery
S1 What are the best ways to manage people’s expectations when undergoing revision hip surgery?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (education* OR information OR expectation* OR anticipation OR belief* OR knowledge OR hope*)
AND (pre-op* OR pre op* OR before surgery)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (education* OR information OR expectation* OR anticipation OR belief* OR knowledge OR hope*)
AND ALL = (pre-op OR pre op OR before surgery)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
S2 How much damaged tissue should be removed during revision hip surgery for problematic metal-on-metal hip replacements?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
AND (debridement OR excision OR resection OR removal OR dissection)
AND (extent OR radical OR minimal OR en bloc)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
AND ALL = (debridement OR excision OR resection OR removal OR dissection)
AND ALL = (extent OR radical OR minimal OR en bloc)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
S3 When is the optimum time for revision hip surgery (for example when the replacement is causing pain or following dislocation)?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (ideal OR optimum OR optimum OR best)
AND (immediate OR early OR late OR delay OR timing)
AND ( pain OR
((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference))
)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (ideal OR optimum OR optimum OR best)
AND ALL = (immediate OR early OR late OR delay OR timing)
AND ALL = (pain OR ((psoas OR gluteal OR gluteus OR abduct OR iliotibial OR trochanter) AND (Myopathy OR tendinopathy OR tear OR avulsion OR rupture OR contracture OR paralysis OR bursitis))
OR loosening
OR (Infection OR sepsis)
OR (fracture* OR break* OR broke* OR crack* OR splinter* OR comminute*)
OR wear
OR (Instability OR sublux* OR dislocate* OR unstable)
OR (metal on metal OR MoM OR metalosis OR trunionosis OR metal wear OR ALVAL OR ARMD OR Pseudotumour)
OR (leg length AND (discrepancy OR difference)))
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
S4 What are the best ways (including non-surgical treatments) of managing fractures around hip replacements?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (management OR treatment* OR intervention* OR surg*)
AND (peripros* OR Peri-pros* OR Peri-implant* OR periimplant* OR PF OR PFF OR PPF OR PPFF)
AND (fracture OR break)
AND (femoral OR femur OR acetabul* OR pelvic OR trochant*)
AND (best OR compar* OR recommend* OR consensus OR versus)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (management OR treatment* OR intervention* OR surg*)
AND ALL = (peripros* OR Peri-pros* OR Peri-implant* OR periimplant* OR PF OR PFF OR PPF OR PPFF)
AND ALL = (fracture OR break)
AND ALL = (femoral OR femur OR acetabul* OR pelvic OR trochant*)
AND ALL = (best OR compar* OR recommend* OR consensus OR versus)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
S5 What are the best ways to treat and manage infected hip replacements?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (management OR treatment* OR intervention* OR surg*)
AND (peripros* OR Peri-pros* OR Peri-implant* OR periimplant*)
AND (infection OR PJI OR sepsis)
AND (best OR compar* OR recommend* OR consensus OR versus)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (management OR treatment* OR intervention* OR surg*)
AND ALL = (peripros* OR Peri-pros* OR Peri-implant* OR periimplant*)
AND ALL = (infection OR PJI OR sepsis)
AND ALL = (best OR compar* OR recommend* OR consensus OR versus)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
S6 Is revision hip surgery best done in one or two stages?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (management OR treatment* OR intervention* OR surg*)
AND (peripros* OR Peri-pros* OR Peri-implant* OR periimplant*)
AND (infection OR PJI OR sepsis)
AND (best OR compar* OR recommend* OR consensus OR versus)
AND (single stage OR one stage OR two stage OR double stage OR staged)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (management OR treatment* OR intervention* OR surg*)
AND ALL = (peripros* OR Peri-pros* OR Peri-implant* OR periimplant*)
AND ALL = (infection OR PJI OR sepsis)
AND ALL = (best OR compar* OR recommend* OR consensus OR versus)
AND ALL = (single stage OR one stage OR two stage OR double stage OR staged)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
S8 What is the best way to carry out revision hip surgery in people with rheumatoid arthritis?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (management OR treatment* OR intervention* OR surg*)
AND (best OR compar* OR recommend* OR consensus OR versus)
AND ((rheumatoid OR autoimmune OR inflammatory) AND (arthritis OR joint disease))
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (management OR treatment* OR intervention* OR surg*)
AND ALL = (best OR compar* OR recommend* OR consensus OR versus)
AND ALL = ((rheumatoid OR autoimmune OR inflammatory) AND (arthritis OR joint disease))
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
S9 What causes soft tissue around the hip joint to harden following hip replacements?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Hip)
AND (cause OR affect OR produce OR initiate OR induce OR lead to)
AND (heterotopic ossification OR contracture)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (cause OR affect OR produce OR initiate OR induce OR lead to)
AND ALL = (heterotopic ossification OR contracture)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
Treatment
T1 What causes pain in hip replacements? How is this best treated and managed, including using non-surgical approaches?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Hip)
AND (cause OR affect OR produce OR initiate OR induce OR lead to)
AND (pain OR CRPS OR discomfort OR ache)
AND (Post-op* OR post op* OR after surgery)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (cause OR affect OR produce OR initiate OR induce OR lead to)
AND ALL = (pain OR CRPS OR discomfort OR ache)
AND ALL = (Post-op OR post op OR after surgery)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Hip)
AND (cause OR affect OR produce OR initiate OR induce OR lead to)
AND (pain OR CRPS OR discomfort OR ache)
AND (management OR treatment* OR intervention* OR surg*)
AND (optimum OR best OR recommend*)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (cause OR affect OR produce OR initiate OR induce OR lead to)
AND ALL = (pain OR CRPS OR discomfort OR ache)
AND ALL = (Post-op OR post op OR after surgery)
AND ALL = (management OR treatment* OR intervention* OR surg*)
AND ALL = (optimum OR best OR recommend*)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
T2 Following revision hip surgery, what do people consider to be a worthwhile improvement and how can this be measured?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (meaningful OR worthwhile OR meaningful OR important)
AND (Improvement OR enhance OR increase OR change OR difference)
AND (measure* OR scale OR record*)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (meaningful OR worthwhile OR meaningful OR important)
AND ALL = (Improvement OR enhance OR increase OR change OR difference)
AND ALL = (measure* OR scale OR record*)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
T4 What treatment benefits people with a problematic hip replacement when no cause is found?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Hip)
AND (pain OR CRPS OR discomfort OR ache)
AND (Post-op* OR post op* OR after surgery)
AND (unexplained OR psychosomatic OR idiopathic OR no cause)
AND (optimum OR best OR recommend* OR benefit)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (pain OR CRPS OR discomfort OR ache)
AND ALL = (Post-op OR post op OR after surgery)
AND ALL = (unexplained OR psychosomatic OR idiopathic OR no cause)
AND ALL = (optimum OR best OR recommend* OR benefit)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
T5 What is the cause of muscle loss or damage following revision hip surgery, and how is this best treated?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (Post-op* OR post op* OR after surgery)
AND (detrain* OR (muscle AND (damage OR loss OR injury)) OR atrophy OR decondition* OR defunction* OR rupture OR avulsion OR tear)
AND (cause OR affect OR produce OR initiate OR induce OR lead to)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (Post-op OR post op OR after surgery)
AND ALL = (detrain* OR (muscle AND (damage OR loss OR injury)) OR atrophy OR decondition* OR defunction* OR rupture OR avulsion OR tear)
AND ALL = (cause OR affect OR produce OR initiate OR induce OR lead to)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (Post-op* OR post op* OR after surgery)
AND (detrain* OR (muscle AND (damage OR loss OR injury)) OR atrophy OR decondition* OR defunction* OR rupture OR avulsion OR tear)
AND (treat* OR avoid* OR alter* OR change* OR intervention* OR technique*)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (Post-op OR post op OR after surgery)
AND ALL = (detrain* OR (muscle AND (damage OR loss OR injury)) OR atrophy OR decondition* OR defunction* OR rupture OR avulsion OR tear)
AND ALL = (treat* OR avoid* OR alter* OR change* OR intervention* OR technique*)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
T6 What causes dislocation of secondary hip replacements?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (Post-op* OR post op* OR after surgery)
AND (instability OR dislocation OR subluxation OR unstable)
AND (cause OR affect OR produce OR initiate OR induce OR lead to)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (Post-op OR post op OR after surgery)
AND ALL = (instability OR dislocation OR subluxation OR unstable)
AND ALL = (cause OR affect OR produce OR initiate OR induce OR lead to)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
Psychological and social impacts
Y1 What are the psychological impacts of undergoing revision hip surgery and what psychological support and treatment would benefit people?
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (Mental health OR mental wellbeing OR depression OR anxiety OR fear OR psychological wellbeing OR psychological disturbance OR psychological trauma OR mental trauma OR stress)
AND (impact OR outcome OR result OR effect)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (Mental health OR mental wellbeing OR depression OR anxiety OR fear OR psychological wellbeing OR psychological disturbance OR psychological trauma OR mental trauma OR stress)
AND ALL = (impact OR outcome OR result OR effect)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (Mental health OR mental wellbeing OR depression OR anxiety OR fear OR psychological wellbeing OR psychological disturbance OR psychological trauma OR mental trauma OR stress)
AND (intervention OR treatment OR therapy OR support)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (Mental health OR mental wellbeing OR depression OR anxiety OR fear OR psychological wellbeing OR psychological disturbance OR psychological trauma OR mental trauma OR stress)
AND ALL = (intervention OR treatment OR therapy OR support)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
Y3 Does anxiety affect the outcome of revision hip surgery?
*Patient anxiety
((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND (outcome* OR PROM* OR satisfaction OR success OR satisfaction OR function OR well being OR well-being OR wellbeing OR quality of life OR revision OR reoperation OR readmission OR complication OR cost OR function OR pain)
AND (anxiety OR worry OR fear OR stress OR psychological trauma OR mental trauma)
WOS:
ALL = ((replacement OR reconstruction OR prosthe* OR arthroplast* OR THA OR THR OR TJA OR THJR) AND Revision AND Hip)
AND ALL = (anxiety OR worry OR fear OR stress OR psychological trauma OR mental trauma)
AND ALL = (outcome* OR PROM* OR satisfaction OR success OR satisfaction OR function OR well being OR well-being OR wellbeing OR quality of life OR revision OR reoperation OR readmission OR complication OR cost OR function OR pain)
AND ALL =(consensus OR meta analysis OR review OR guideline OR standards OR summary) AND DT==("REVIEW") AND PY==("2013" OR "2014" OR "2015" OR "2016" OR "2017" OR "2018" OR "2019" OR "2020" OR "2021" OR "2022" OR "2023") AND (DT==("REVIEW") AND LA==("ENGLISH"))
Please describe the parameters of the search (eg time limits, excluded sources, country/language) and the rationale for any limitations
High quality systematic review, high quality metanalysis, International guidelines and Local National (UK, or nations within) guidelines produced in the last ten years, written in English and freely available to review.
Names of individuals who undertook the evidence checking
Josh Lamb, Hiren Divecha, Asim Kham & Tim Board
On what date was the question verification process completed?
29th February 2023
Any other relevant information
N/A