Trial reportBMJ open2018
Comparison of hip function and quality of life of total hip arthroplasty and resurfacing arthroplasty in the treatment of young patients with arthritis of the hip joint at 5 years.
Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- The Choice of Hip Arthroplasty: HRA or THA? Revealed by Meta-Analysis.Orthopaedic surgery · 2025Pooled it
- Hip resurfacing versus total hip arthroplasty: a systematic review and meta-analysis of randomized clinical trials.International orthopaedics · 2024Pooled it
- Complications and mid to long term outcomes for hip resurfacing versus total hip replacement: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- A meta-analysis assessing time for return to sport following hip resurfacing.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Comparative Outcomes of Resurfacing vs Total Hip Arthroplasty: A Systematic Review and Meta-Analysis.Advances in orthopedics · 2026Review
- Establishing minimal clinically important differences and patient acceptable symptom state thresholds following birmingham hip resurfacing.Archives of orthopaedic and trauma surgery · 2024Article
- The relationship between spino-pelvic-hip mobility and quality of life before and after total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Resurfacing Hip Arthroplasty Is a Safe and Effective Alternative to Total Hip Arthroplasty in Young Patients: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2023Review
- Hip Resurfacing Arthroplasty: Past, Present and Future.Orthopedic reviews · 2023Article
- Hip Resurfacing vs Total Hip Arthroplasty in Patients Younger than 35 Years: A Comparison of Revision Rates and Patient-Reported Outcomes.Arthroplasty today · 2021Article
- Comparison of two different stems for total hip arthroplasty.International journal of burns and trauma · 2021Article
- Gait after Birmingham Hip Resurfacing: an age-matched controlled prospective study.The bone & joint journal · 2019Article
- Responsiveness of the EQ-5D-3L and EQ-5D-5L in patients following total hip or knee replacement.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Article
- Patient-reported outcomes in hip resurfacing versus conventional total hip arthroplasty: a register-based matched cohort study of 726 patients.Acta orthopaedica · 2019Article
- The EQ-5D-5L Is Superior to the -3L Version in Measuring Health-related Quality of Life in Patients Awaiting THA or TKA.Clinical orthopaedics and related research · 2019Article
- Total hip arthroplasty for the management of hip fracture: A review of the literature.Journal of orthopaedicsReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the medium-term clinical effectiveness of total hip arthroplasty and resurfacing arthroplasty.
designSingle centre, two-arm, parallel group, assessor blinded, randomised controlled trial with 1:1 treatment allocation.
settingA large teaching hospital in England.
participants122 patients older than 18 years with severe arthritis of the hip joint, suitable for resurfacing arthroplasty of the hip. Patients were excluded if they were considered to be unable to adhere to trial procedures or complete questionnaires.
interventionsTotal hip arthroplasty (replacement of entire femoral head and neck); hip resurfacing arthroplasty (replacement of the articular surface of femoral head only, femoral neck remains intact). Both procedures replaced the articular surface of the acetabulum. OUTCOMES: The outcome measures were hip function assessed using the Oxford Hip Score (OHS) and health-related quality of life assessed using the EuroQol (EQ-5D). Patients were followed up annually for a minimum of 5 years. Outcome data were modelled using the generalised estimating equation methodology to explore temporal variations during follow-up.
results60 patients were randomly assigned to hip resurfacing arthroplasty and 62 to total hip arthroplasty. 95 (78%) of the 122 original study participants provided data at 5 years. There was a small decrease in both hip functions and quality of life in both groups of patients each year during the 5-year follow-up period. However, there was no evidence of a significant difference between treatments group in the OHS (P=0.333) or the EQ-5D (P=0.501).
conclusionsWe previously reported no difference in outcome in the first year after surgery. The current medium-term results also show no evidence of a difference in hip function or health-related quality of life in the 5 years following a total hip arthroplasty versus resurfacing arthroplasty. TRIAL REGISTRATION NUMBER: ISRCTN33354155. UKCRN 4093.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.