Cumulative risk of revision after primary total hip arthroplasty in registries internationally: systematic review and meta-analysis of selected hip stems and cups
Purpose: The objective was to investigate the consistency in cumulative revision rates (CRRs) for a selection of total hip arthroplasty cups and stems across national/regional hip arthroplasty registries worldwide. Methods: Ten cups and ten stems from total hip systems were randomly selected. Two fr...
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Bioscientifica
2025-05-01
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| Series: | EFORT Open Reviews |
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| author | Christophe Combescure James A Smith Christophe Barea Lotje A Hoogervorst Rob Nelissen Perla J Marang-van de Mheen Anne Lübbeke the Arthroplasty registry group |
| author_facet | Christophe Combescure James A Smith Christophe Barea Lotje A Hoogervorst Rob Nelissen Perla J Marang-van de Mheen Anne Lübbeke the Arthroplasty registry group |
| author_sort | Christophe Combescure |
| collection | DOAJ |
| description | Purpose: The objective was to investigate the consistency in cumulative revision rates (CRRs) for a selection of total hip arthroplasty cups and stems across national/regional hip arthroplasty registries worldwide. Methods: Ten cups and ten stems from total hip systems were randomly selected. Two frequently used implants across registries were added, totalling 11 cups and 11 stems. CRRs and 95% CIs were extracted from the latest annual registry reports using these implants. CRRs were pooled for each cup or stem, and differences between cup-stem combinations and between registries were investigated. Results: CRRs were available for ten cups and eight stems from eight registries, totalling 552,148 cups and 727,447 stems. Follow-up was 1–20 years. The 5-year CRR pooled for all cups was 2.9% (95% CI: 2.3–3.6) and for all stems, 3.0% (95% CI: 2.4–3.8). Homogeneous (consistent) CRRs with respect to both associated implant and country were observed for two cups and three stems. Significant differences in CRR were identified in one cup by associated implant only, in one cup by registry only, and in two cups and four stems for both. Sparse data prevented evaluation of four cups and one stem. Conclusion: Registries’ annual reports provide a large amount of publicly available information on CRRs of specific implants. These CRRs can be synthesised to improve the assessment of implant performance over time. Our CRR analysis represents a promising approach to detect implants with a consistent low- or high-risk pattern across registries. |
| format | Article |
| id | doaj-art-53fe59fd63ad4725bb8f41ee4562beee |
| institution | Kabale University |
| issn | 2058-5241 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Bioscientifica |
| record_format | Article |
| series | EFORT Open Reviews |
| spelling | doaj-art-53fe59fd63ad4725bb8f41ee4562beee2025-08-20T03:52:56ZengBioscientificaEFORT Open Reviews2058-52412025-05-0110527728510.1530/EOR-2024-00201Cumulative risk of revision after primary total hip arthroplasty in registries internationally: systematic review and meta-analysis of selected hip stems and cupsChristophe Combescure0James A Smith1Christophe Barea2Lotje A Hoogervorst3Rob Nelissen4Perla J Marang-van de Mheen5Anne Lübbeke6the Arthroplasty registry groupDivision of Clinical Epidemiology, Geneva University Hospitals, Geneva, SwitzerlandNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom>Division of Orthopaedic Surgery, Geneva University Hospitals, Geneva, SwitzerlandDepartment of Orthopaedics, Leiden University Medical Center, Leiden, NetherlandsDepartment of Orthopaedics, Leiden University Medical Center, Leiden, NetherlandsDepartment of Orthopaedics, Leiden University Medical Center, Leiden, NetherlandsNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom>Purpose: The objective was to investigate the consistency in cumulative revision rates (CRRs) for a selection of total hip arthroplasty cups and stems across national/regional hip arthroplasty registries worldwide. Methods: Ten cups and ten stems from total hip systems were randomly selected. Two frequently used implants across registries were added, totalling 11 cups and 11 stems. CRRs and 95% CIs were extracted from the latest annual registry reports using these implants. CRRs were pooled for each cup or stem, and differences between cup-stem combinations and between registries were investigated. Results: CRRs were available for ten cups and eight stems from eight registries, totalling 552,148 cups and 727,447 stems. Follow-up was 1–20 years. The 5-year CRR pooled for all cups was 2.9% (95% CI: 2.3–3.6) and for all stems, 3.0% (95% CI: 2.4–3.8). Homogeneous (consistent) CRRs with respect to both associated implant and country were observed for two cups and three stems. Significant differences in CRR were identified in one cup by associated implant only, in one cup by registry only, and in two cups and four stems for both. Sparse data prevented evaluation of four cups and one stem. Conclusion: Registries’ annual reports provide a large amount of publicly available information on CRRs of specific implants. These CRRs can be synthesised to improve the assessment of implant performance over time. Our CRR analysis represents a promising approach to detect implants with a consistent low- or high-risk pattern across registries.https://eor.bioscientifica.com/view/journals/eor/10/5/EOR-2024-0020.xmltotal hip arthroplastyregistryrevisionimplantsystematic reviewmeta-analysis |
| spellingShingle | Christophe Combescure James A Smith Christophe Barea Lotje A Hoogervorst Rob Nelissen Perla J Marang-van de Mheen Anne Lübbeke the Arthroplasty registry group Cumulative risk of revision after primary total hip arthroplasty in registries internationally: systematic review and meta-analysis of selected hip stems and cups EFORT Open Reviews total hip arthroplasty registry revision implant systematic review meta-analysis |
| title | Cumulative risk of revision after primary total hip arthroplasty in registries internationally: systematic review and meta-analysis of selected hip stems and cups |
| title_full | Cumulative risk of revision after primary total hip arthroplasty in registries internationally: systematic review and meta-analysis of selected hip stems and cups |
| title_fullStr | Cumulative risk of revision after primary total hip arthroplasty in registries internationally: systematic review and meta-analysis of selected hip stems and cups |
| title_full_unstemmed | Cumulative risk of revision after primary total hip arthroplasty in registries internationally: systematic review and meta-analysis of selected hip stems and cups |
| title_short | Cumulative risk of revision after primary total hip arthroplasty in registries internationally: systematic review and meta-analysis of selected hip stems and cups |
| title_sort | cumulative risk of revision after primary total hip arthroplasty in registries internationally systematic review and meta analysis of selected hip stems and cups |
| topic | total hip arthroplasty registry revision implant systematic review meta-analysis |
| url | https://eor.bioscientifica.com/view/journals/eor/10/5/EOR-2024-0020.xml |
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