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A randomized clinical trial comparing cemented to cementless total hip replacement in 250 osteoarthritic patients [article] : the impact on health related quality of life and cost effectiveness

by Bourne, R.B; Rorabeck, C.H; Laupacis, A; Feeny, D; Wong, C; Tugwell, P; Leslie, K; Bullas, R.
Material type: materialTypeLabelArticleMeSH subject(s): Hip Prosthesis | Hip Joint | Osteoarthritis, Hip | Quality-Adjusted Life Years | Quality of Life | Bone Cements | Cost-Benefit Analysis | Comparative Study | Hip Joint -- physiology | Hip Prosthesis -- psychology | Hip Prosthesis -- economics | Osteoarthritis, Hip -- surgerySummary: [..]250 osteoarthritic patients with mainly unilateral osteoarthritis of the hip were randomized as to whether they received a cemented or cementless total hip replacement. [..] All operations were done in the same operating room , utilizing the same direct lateral approach and surgical technique. Post-operative care was the same. [..] Accurate patient cost was documented for each patient's in-hospital stay, as well as out-patient costs during the first year. Cost to quality adjusted life year data was then generated, such that comparisons could be made [..].Authors believe this study as the first randomized clinical trial comparing two orthopaedic implants. (DÜ/CDSP)
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[..]250 osteoarthritic patients with mainly unilateral osteoarthritis of the hip were randomized as to whether they received a cemented or cementless total hip replacement. [..] All operations were done in the same operating room , utilizing the same direct lateral approach and surgical technique. Post-operative care was the same. [..] Accurate patient cost was documented for each patient's in-hospital stay, as well as out-patient costs during the first year. Cost to quality adjusted life year data was then generated, such that comparisons could be made [..].Authors believe this study as the first randomized clinical trial comparing two orthopaedic implants. (DÜ/CDSP)