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Revision by patient characteristics
Hip » Survival » Revision by patient characteristics » THA by patient province
FIGURE Cumulative major revision percentages of total hip arthroplasties for osteoarthritis by patient province in the Netherlands in 2014-2022 (n=236,338)
TABLE Cumulative major revision percentages
Cumulative major revision percentages – Kaplan Meier (95% CI) | ||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 9yr | |
Patient province | ||||||
Drenthe | 8,567 | 1.0 (0.8-1.2) | 1.5 (1.2-1.8) | 1.8 (1.5-2.1) | 2.2 (1.8-2.6) | 2.8 (2.0-3.5) |
Flevoland | 4,830 | 1.2 (0.9-1.5) | 1.9 (1.5-2.4) | 2.6 (2.1-3.1) | 3.1 (2.4-3.7) | 3.1 (2.4-3.7) |
Friesland | 9,666 | 1.1 (0.9-1.3) | 1.5 (1.3-1.8) | 1.8 (1.5-2.1) | 2.1 (1.7-2.5) | 2.2 (1.8-2.6) |
Gelderland | 31,454 | 0.9 (0.8-1.0) | 1.7 (1.6-1.9) | 2.3 (2.1-2.5) | 2.7 (2.4-2.9) | 3.0 (2.7-3.3) |
Groningen | 8,173 | 0.9 (0.7-1.1) | 1.7 (1.4-2.0) | 2.1 (1.7-2.4) | 2.4 (2.0-2.8) | 2.9 (2.3-3.4) |
Limburg | 16,728 | 1.1 (0.9-1.3) | 1.7 (1.5-2.0) | 2.1 (1.8-2.3) | 2.5 (2.2-2.9) | 3.1 (2.6-3.5) |
Noord-Brabant | 36,923 | 1.2 (1.1-1.3) | 2.0 (1.9-2.2) | 2.7 (2.5-2.9) | 3.2 (2.9-3.4) | 3.4 (3.1-3.6) |
Noord-Holland | 36,387 | 1.0 (0.9-1.1) | 1.5 (1.4-1.7) | 1.9 (1.7-2.1) | 2.2 (2.0-2.4) | 2.7 (2.4-3.0) |
Overijssel | 15,533 | 1.1 (1.0-1.3) | 1.9 (1.7-2.2) | 2.3 (2.1-2.6) | 2.9 (2.5-3.2) | 3.5 (3.0-4.1) |
Utrecht | 17,059 | 0.9 (0.7-1.0) | 1.6 (1.4-1.8) | 1.9 (1.7-2.1) | 2.2 (2.0-2.5) | 2.6 (2.2-3.0) |
Zeeland | 5,668 | 0.7 (0.4-0.9) | 1.0 (0.8-1.3) | 1.3 (1.0-1.7) | 1.5 (1.1-1.9) | 1.7 (1.2-2.1) |
Zuid-Holland | 45,350 | 0.9 (0.8-1.0) | 1.7 (1.6-1.8) | 2.3 (2.1-2.4) | 2.6 (2.4-2.8) | 3.0 (2.7-3.3) |
Major revision precentage: first revision of the acetabulum or femur component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
CI: confidence interval
© LROI 2023
Hip » Survival » Revision by patient characteristics » THA by pre-PROM
FIGURE Cumulative revision percentage of total hip arthroplasties by valid pre-operative PROM of patients who underwent a THA for osteoarthritis in the Netherlands in 2014-2022 (n=238,517)
TABLE Cumulative revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | ||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 9yr | |
Pre-PROM | ||||||
Valid | 126,953 | 1.6 (1.5-1.6) | 2.3 (2.2-2.4) | 2.8 (2.7-2.9) | 3.2 (3.1-3.3) | 3.5 (3.3-3.7) |
Invalid | 111,564 | 1.8 (1.7-1.8) | 2.6 (2.5-2.7) | 3.1 (3.0-3.2) | 3.5 (3.4-3.6) | 3.9 (3.8-4.1) |
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
Valid: pre-operative PROM reported; Invalid: non-responders to pre-operative PROM; PROM: patient reported outcome measure.
THA: total hip arthroplasty; CI: confidence interval.
© LROI 2023
Hip » Survival » Revision by patient characteristics » THA by complete PROM (pre, 3mnd, 12 mnd)
FIGURE Cumulative revision percentage of total hip arthroplasties by complete PROM (complete = pre-, 3mnd and 12mnd reported) of patients who underwent a THA for osteoarthritis in the Netherlands in 2014-2022 (n=238,517)
TABLE Cumulative revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | ||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 9yr | |
Reported pre-, 3mnd and 12mnd PROM | ||||||
Complete | 58,077 | 0.9 (0.8-1.0) | 1.6 (1.5-1.7) | 2.1 (1.9-2.2) | 2.5 (2.3-2.7) | n.a. |
Incomplete | 180,440 | 1.9 (1.8-2.0) | 2.7 (2.7-2.8) | 3.3 (3.2-3.4) | 3.7 (3.6-3.8) | 4.1 (3.9-4.2) |
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
Please note: A PROM trajectory is considered complete when preoperative, 3-months postoperative and 12-months postoperative PROMs are reported.
THA: total hip arthroplasty; CI: confidence interval; PROM: patient reported outcome measure.
© LROI 2023
Hip » Survival » Revision by patient characteristics » THA by pre-OHS
FIGURE Cumulative revision percentage of total hip arthroplasties by pre-operative Oxford Hip score of patients who underwent a THA for osteoarthritis in the Netherlands in 2014-2022 (n=114,308)
TABLE Cumulative revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | |||||
Number (n) | 1yr | 3yr | 5yr | 7yr | |
Pre-operative Oxford Hip score | |||||
0 to 19 | 40,639 | 1.9 (1.7-2.0) | 2.7 (2.5-2.9) | 3.3 (3.0-3.5) | 3.9 (3.6-4.1) |
20 to 29 | 46,940 | 1.6 (1.4-1.7) | 2.3 (2.2-2.5) | 2.8 (2.6-3.0) | 3.1 (2.9-3.3) |
30 to 39 | 24,615 | 1.2 (1.1-1.4) | 1.9 (1.7-2.1) | 2.3 (2.1-2.5) | 2.8 (2.5-3.0) |
40 to 48 | 2,114 | 0.9 (0.5-1.4) | 1.3 (0.8-1.9) | 1.5 (0.9-2.1) | 1.9 (0.9-2.9) |
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
PROM: patient reported outcome measure; THA: total hip arthroplasty; CI: confidence interval.
© LROI 2023
The Oxford Hip score measures the physical functioning and pain of patients with osteoarthritis to the hip. The score has a range of 0.0 to 48.0, with 0.0 representing no functional ability and 48.0 the most functional ability.
Hip » Survival » Revision by patient characteristics » THA by gender
FIGURE Cumulative revision percentage of total hip arthroplasties by gender in the Netherlands in 2007-2022 (n=421,488)
TABLE Cumulative revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | |||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 10yr | 14yr | |
Gender | |||||||
Men | 144,135 | 1.9 (1.8-2.0) | 3.0 (2.9-3.1) | 3.6 (3.5-3.7) | 4.2 (4.1-4.3) | 5.2 (5.0-5.3) | 6.6 (6.3-6.8) |
Women | 277,353 | 1.5 (1.4-1.5) | 2.4 (2.3-2.4) | 3.0 (2.9-3.0) | 3.5 (3.5-3.6) | 4.4 (4.3-4.5) | 5.7 (5.6-5.9) |
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
THA: total hip arthroplasty; CI: confidence interval.
© LROI 2023
Hip » Survival » Revision by patient characteristics » THA by age category
FIGURE Cumulative revision percentage of total hip arthroplasties by age category in the Netherlands in 2007-2022 (n=421,825)
TABLE Cumulative revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | |||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 10yr | 14yr | |
Age (years) | |||||||
<50 | 18,157 | 1.6 (1.5-1.8) | 3.3 (3.0-3.6) | 4.6 (4.3-4.9) | 5.5 (5.1-5.9) | 6.9 (6.5-7.4) | 9.0 (8.2-9.7) |
50-59 | 52,315 | 1.6 (1.5-1.7) | 3.0 (2.8-3.1) | 3.9 (3.7-4.1) | 4.7 (4.5-4.9) | 5.8 (5.5-6.0) | 7.8 (7.4-8.3) |
60-69 | 131,393 | 1.6 (1.5-1.6) | 2.5 (2.4-2.6) | 3.2 (3.1-3.3) | 3.8 (3.7-3.9) | 4.7 (4.6-4.8) | 6.2 (6.0-6.5) |
70-79 | 157,168 | 1.6 (1.5-1.7) | 2.5 (2.4-2.5) | 3.0 (2.9-3.1) | 3.5 (3.4-3.6) | 4.3 (4.2-4.5) | 5.4 (5.2-5.6) |
≥80 | 62,792 | 1.7 (1.6-1.8) | 2.3 (2.2-2.5) | 2.7 (2.6-2.8) | 3.0 (2.8-3.1) | 3.3 (3.1-3.5) | 3.6 (3.4-3.9) |
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
THA: total hip arthroplasty; CI: confidence interval.
© LROI 2023
Hip » Survival » Revision by patient characteristics » THA by diagnosis
FIGURE Cumulative revision percentage of total hip arthroplasties by diagnosis in the Netherlands in 2007-2022 (n=417,494)
TABLE Cumulative revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | |||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 10yr | 14yr | |
Diagnosis | |||||||
Osteoarthritis | 362,602 | 1.5 (1.5-1.5) | 2.4 (2.3-2.5) | 3.0 (2.9-3.1) | 3.6 (3.5-3.6) | 4.4 (4.3-4.5) | 5.7 (5.6-5.8) |
Other | 54,892 | 2.4 (2.2-2.5) | 3.6 (3.5-3.8) | 4.5 (4.3-4.7) | 5.2 (4.9-5.4) | 6.2 (5.9-6.4) | 8.1 (7.6-8.6) |
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
THA: total hip arthroplasty; CI: confidence interval.
© LROI 2023
Hip » Survival » Revision by patient characteristics » THA by ASA score
FIGURE Cumulative revision percentage of total hip arthroplasties by ASA score in the Netherlands in 2007-2022 (n=409,985)
TABLE Cumulative revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | |||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 10yr | 14yr | |
ASA score | |||||||
I | 80,230 | 1.1 (1.1-1.2) | 2.2 (2.1-2.3) | 2.9 (2.8-3) | 3.5 (3.4-3.7) | 4.5 (4.4-4.7) | 6.1 (5.8-6.3) |
II | 256,244 | 1.6 (1.5-1.6) | 2.5 (2.4-2.5) | 3.1 (3-3.2) | 3.6 (3.6-3.7) | 4.5 (4.4-4.6) | 5.8 (5.6-5.9) |
III-IV | 73,511 | 2.4 (2.3-2.5) | 3.3 (3.2-3.5) | 3.9 (3.7-4) | 4.3 (4.2-4.5) | 5.0 (4.8-5.3) | 5.7 (5.4-6.1) |
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
THA: total hip arthroplasty; CI: confidence interval.
© LROI 2023
Hip » Survival » Revision by patient characteristics » THA by BMI category
Figure Cumulative revision percentage of total hip arthroplasties by BMI category in the Netherlands in 2014-2022 (n=271,882)
TABLE Cumulative revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | ||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 9yr | |
Body Mass Index (kg/m²) | ||||||
Underweight (≤18,5) | 2,561 | 1.8 (1.3-2.4) | 3.1 (2.4-3.8) | 3.7 (2.8-4.5) | 4.3 (3.3-5.4) | n.a. |
Normal weight (>18,5-25) | 92,940 | 1.4 (1.3-1.5) | 2.2 (2.1-2.3) | 2.7 (2.6-2.8) | 3.2 (3.0-3.3) | 3.6 (3.4-3.8) |
Overweight (>25-30) | 112,723 | 1.7 (1.6-1.7) | 2.5 (2.4-2.6) | 3.0 (2.9-3.1) | 3.4 (3.3-3.6) | 3.8 (3.6-4.0) |
Obesity (>30-40) | 60,543 | 2.4 (2.3-2.5) | 3.4 (3.2-3.5) | 4.0 (3.8-4.1) | 4.4 (4.2-4.6) | 4.9 (4.6-5.2) |
Morbid obesity (>40) | 3,115 | 4.7 (3.9-5.4) | 5.8 (4.9-6.6) | 6.7 (5.7-7.6) | 7.5 (6.4-8.6) | n.a. |
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
THA: total hip arthroplasty; CI: confidence interval.
© LROI 2023
Hip » Survival » Revision by patient characteristics » THA by Charnley score
Figure Cumulative revision percentage of total hip arthroplasties by Charnley score in the Netherlands in 2014-2022 (n=259,642)
TABLE Cumulative revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | ||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 9yr | |
Charnley-score | ||||||
A One hip joint affected | 115,839 | 1.6 (1.6-1.7) | 2.5 (2.4-2.6) | 3.1 (3.0-3.2) | 3.6 (3.4-3.7) | 4.1 (3.9-4.3) |
B1 Both hip joints affected | 77,502 | 1.6 (1.5-1.7) | 2.4 (2.2-2.5) | 2.8 (2.7-2.9) | 3.2 (3.0-3.4) | 3.5 (3.3-3.7) |
B2 Contralateral hip joint with a total hip prosthesis | 58,775 | 1.9 (1.8-2.1) | 2.7 (2.5-2.8) | 3.2 (3.1-3.4) | 3.6 (3.4-3.8) | 4.0 (3.7-4.3) |
C Multiple joints affected or chronic disease that affects quality of life | 7,526 | 2.3 (1.9-2.6) | 3.7 (3.2-4.1) | 4.3 (3.7-4.8) | 4.9 (4.2-5.5) | n.a. |
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
THA: total hip arthroplasty; CI: confidence interval.
© LROI 2023
Hip » Survival » Revision by patient characteristics » THA by smoking
Figure Cumulative revision percentage of total hip arthroplasties by smoking in the Netherlands in 2014-2022 (n=267,455)
TABLE Cumulative revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | ||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 9yr | |
Smoking | ||||||
No | 239,071 | 1.8 (1.7-1.8) | 2.6 (2.5-2.6) | 3.1 (3.0-3.2) | 3.5 (3.4-3.6) | 4.0 (3.8-4.1) |
Yes | 28,384 | 2.1 (1.9-2.3) | 3.1 (2.9-3.3) | 3.7 (3.4-3.9) | 4.2 (3.9-4.4) | 4.6 (4.2-5.0) |
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
THA: total hip arthroplasty; CI: confidence interval.
© LROI 2023