The effectiveness of rehabilitation after a Total Hip Arthroplasty (THA): A comparison of Usual Care in the Netherlands versus Germany

Not Applicable

• Conditions: Other primary coxarthrosis; M16.1; M16.2; M16.3; M16.6; M16.7; Primary coxarthrosis, bilateral; M16.0; Coxarthrosis resulting from dysplasia, bilateral; Other dysplastic coxarthrosis

• Registration Number: DRKS00011345
• Lead Sponsor: niversitätsklinik für Orthopädie und Unfallchirurgie am medizinischen Campus am Pius-Hospital

Brief Summary

124 working-age patients finished the measurements. German usual care leads to a significantly larger proportion (65.6% versus 47.5%) of satisfied patients 12 weeks postoperatively and significantly better self-reported function and Five Times Sit-to-Stand Test (FTSST) results. German usual care is generally 45% more expensive than Dutch usual care, and 20% more expensive for working-age patients. A scenario analysis assumed that German patients work the same number of hours as the Dutch, and that productivity costs are the same. This analysis revealed German care is still more expensive but the difference decreased to 8%.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-11-18
• Study Completion: 2018-12-14
• Results First Posted: 2023-06-27
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 160

Inclusion Criteria

(1) Patients are aged between 18-65, (2) showing clinical evidence of hip OA according to Altman et al. (1991), (3) showing radiological evidence of hip OA according to the Hellgren & Lawrence scale grade 1-3, (4) implantation of a Total Hip Arthroplasty (THA), (5) willing to go to a inpatient rehabiliation clinic (German cohort)

Exclusion Criteria

Patients will be excluded form the study if they are (1) suffering from medical conditions that disallow safe participation in a rehab program (2) cognitive impaired, (3) not able to read and understand German or Dutch, (4) participation on another scientific research in the previous 30 days, (5) participation on another scientific research in the same time.

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
In order to determine the medical effectiveness both self-reported (HOOS, SF-36, PASS) and objective assessments (Timed up and Go Test (TUG), 5 Timed Sit to Stand Test (5-TSST)) will be applied. Measurements will be performed pre-surgical (T0), at 4 weeks (T1) and 12 weeks (T2) as well as 6 months (T3) post-surgical.

Secondary Outcome Measures

Name	Time	Method
Economic evaluation from a societal perspective. Direct and indirect costs will be evaluated. Evaluation will take place via settlement data from the hospitals (DRG/DGC)/rehab center (daily rates) and with a cost evaluation questionnaire. In that, patients are asked to provide information regarding <br>absenteeism due to hip related problems, necessity and frequency of visiting a doctor, use of pain medication, time to resumption of work, volume of employment, change of work or retraining (if any), early retirement etc.