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Protocol for follow up of hip arthroplasty in the long term: Effect on revision (WHISTLER study)

Smith, Lindsay K.; Lenguerrand, Erik; Blom, Ashley; Powell, Jane; Palmer, Shea


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Lindsay Smith
Senior Lecturer in Physiotherapy (Academic Clinical Research)

Erik Lenguerrand

Ashley Blom

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Jane Powell
Professor in Public Health Economics

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Shea Palmer
Occasional Associate Lecturer - HAS - HSW


Copyright © 2017 John Wiley & Sons, Ltd. Total hip arthroplasty (THA) is highly successful for reducing pain and improving function, providing health-related quality of life benefit. Demand for THA is increasing with associated increase in revision hip surgery. Hip arthroplasty surveillance (long-term follow up) can identify asymptomatically failing THA to prepare for revision surgery, reducing potential for complications or complexity of surgery. However, it is unknown whether the surveillance of THA can be shown to improve the patient outcomes or reduce costs around revision surgery. With the current need to reduce unnecessary health consultations and to show the economic advantages of any service, the purpose of this study is to consider the relative effectiveness of hip arthroplasty surveillance on revision hip arthroplasty. This is a single-centre, observational study in which consecutive patients undergoing aseptic revision of THA over 12months in a large orthopaedic unit will be considered for participation. Primary outcome measures will be change in each of three valid patient-reported scores from pre-operatively to 12months post-surgery. Secondary outcomes will be the costs of treatment calculated using data obtained from the participants' hospital records and a self-report questionnaire. An exploratory approach will be used to investigate the effect of surveillance on the outcomes of interest. A linear mixed method model will be used to study the change in scores between baseline and 12months. The economic evaluation will be a cost–utility analysis, which compares the value of alternative interventions by attaching costs to the quality-adjusted life years produced by each intervention.


Smith, L. K., Lenguerrand, E., Blom, A., Powell, J., & Palmer, S. (2017). Protocol for follow up of hip arthroplasty in the long term: Effect on revision (WHISTLER study). Musculoskeletal Care, 15(4), 373-378.

Journal Article Type Article
Acceptance Date Apr 10, 2017
Online Publication Date Apr 10, 2017
Publication Date Dec 1, 2017
Deposit Date Apr 24, 2017
Publicly Available Date Apr 11, 2018
Journal Musculoskeletal Care
Print ISSN 1478-2189
Electronic ISSN 1557-0681
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 15
Issue 4
Pages 373-378
Keywords arthroplasty, follow?up, hip, surveillance
Public URL
Publisher URL
Additional Information Additional Information : This is the peer reviewed version of the following article: Smith, L., Lenguerrand, E., Blom, A., Powell, J. and Palmer, S. (2017) Protocol for follow up of hip arthroplasty in the long term: Effect on revision (WHISTLER study). Musculoskeletal Care. ISSN 1478-2189 Available from:, which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.


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