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WithdrawnNCT01857505Updated Dec 18, 2014

Hip Replacement in a High Volume Community Hospital: Effect on Length of Stay and Hospital Cost

An observational study in Hip Osteoarthritis, sponsored by Anne Arundel Health System Research Institute. Withdrawn at 1 site in United States. Open to participants aged 40 Years to 90 Years. Per ClinicalTrials.gov, last updated 2014-12-18.

Sponsored by Anne Arundel Health System Research Institute · Observational

Why this study was withdrawn
Funding
Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
0
Ages
40 Years to 90 Years
Sex
All
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Study summary

The investigators propose to evaluate and compare the percentage of patients who are able to be discharged in less than 3 days after undergoing total hip arthroscopy through either a direct anterior or posterior approach, utilizing the identical post operative protocol. The investigators also propose to evaluate the costs associated with the two different approaches to hip replacement in the same group of patients. Post operative resource utilization, discharge disposition, and pain medicine requirement will also be evaluated.

Read the detailed description

The investigators hypothesize that a higher proportion of patients treated with the direct anterior approach for hip replacement will be able to leave the hospital in less than 3 days when compared with a less invasive posterior approach. Secondly, decreased length of stay associated with the procedure may reduce hospital costs.

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Conditions studied

  • Hip Osteoarthritis

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Keywords

  • Total Hip replacement
  • Fracture table
  • DePuySynthes
  • Direct anterior approach hip replacement
  • Posterior approach hip replacement
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In context

Osteoarthritis, Hip

628 studies on the registry are indexed under Osteoarthritis, Hip; 121 are open to participants now.

Browse Osteoarthritis, Hip studies →

Lead sponsor

Anne Arundel Health System Research Institute is the lead sponsor of 6 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
40 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients who have undergone primary uncemented hip replacement at our institution (Anne Arundel Medical Center) through either a posterior approach or direct anterior approach on a fracture table utilizing the identical post operative protocol.

Inclusion criteria

  1. Consecutive single surgeon series of patients who have undergone primary uncemented hip replacement at our institution through either a posterior approach or direct anterior approach on a fracture table. Posterior approach patient - most recent patient prior to March, 2010, compared with consecutive recent anterior approach patients with minimum of 6 month follow-up.
  2. Diagnosis of osteoarthritis, inflammatory arthritis, or avascular necrosis.
  3. No previous surgery on affected hip.
  4. Age 40-90 at time of surgery

Exclusion criteria

Exclusion Criteria:

  1. Patient not permitted to bear full weight after the procedure, per post operative instructions
  2. Hip replacement performed for acute fracture.
  3. Previous hip surgery.
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Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
0 participants (actual)
Patient registry
No

Groups and cohorts

  • Direct Anterior Approach hip replacement

    Single surgeon series of 105 consecutive patients who underwent hip replacement via the direct anterior approach on a fracture table

  • Posterior Approach Hip Replacement

    105 consecutive patients previously operated on by a less invasive posterior approach at the same institution. These surgeries occurred prior to March, 2010.

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What researchers measure

Primary outcomes

  1. Length of Hospital Stay

    The length of stay and proportion of patients who went home in less than 3 days will be determined for each group. To evaluate and compare the percentage of patients who are able to be discharged in less than 3 days after undergoing total hip arthroscopy through either a direct anterior or posterior approach, utilizing the identical post operative protocol.

    Time frame: Retrospective review of hospital discharge records

  2. Hospital cost

    Hospital cost analysis will be undertaken for each group.

    Time frame: Retrospective review of utilization records

Secondary outcomes

  1. Post Operative Pain Medication Utilization

    Analysis of post operative pain medicine requirement will be compared for the two groups.

    Time frame: After retrospective chart review is complete -- approximately 6 months

  2. Utilization of inpatient physical therapy resources

    Utilization of inpatient physical therapy resources and post hospital discharge disposition will be compared for the two groups.

    Time frame: Retrospective review -- of hospital discharge

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Study locations

1 site
  • Anne Arundel Medical Center
    Annapolis, Maryland 21401, United States
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References and documents

Publications

  • Hayes JH, Cleary R, Gillespie WJ, Pinder IM, Sher JL. Are clinical and patient assessed outcomes affected by reducing length of hospital stay for total hip arthroplasty? J Arthroplasty. 2000 Jun;15(4):448-52. doi: 10.1054/arth.2000.4346. PubMed 10884204 ↗
  • Vorhies JS, Wang Y, Herndon J, Maloney WJ, Huddleston JI. Readmission and length of stay after total hip arthroplasty in a national Medicare sample. J Arthroplasty. 2011 Sep;26(6 Suppl):119-23. doi: 10.1016/j.arth.2011.04.036. Epub 2011 Jul 1. PubMed 21723700 ↗
  • Duwelius PJ, Moller HS, Burkhart RL, Waller F, Wu Y, Grunkemeier GL. The economic impact of minimally invasive total hip arthroplasty. J Arthroplasty. 2011 Sep;26(6):883-5. doi: 10.1016/j.arth.2010.09.011. Epub 2010 Nov 3. PubMed 21051190 ↗
  • Matta JM, Ferguson TA. The anterior approach for hip replacement. Orthopedics. 2005 Sep;28(9):927-8. doi: 10.3928/0147-7447-20050901-11. No abstract available. PubMed 16190055 ↗
  • Matta JM, Shahrdar C, Ferguson T. Single-incision anterior approach for total hip arthroplasty on an orthopaedic table. Clin Orthop Relat Res. 2005 Dec;441:115-24. doi: 10.1097/01.blo.0000194309.70518.cb. PubMed 16330993 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 18, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01857505
Lead sponsor
Anne Arundel Health System Research Institute
Collaborators
DePuy Orthopaedics
Responsible party
Sponsor
First posted
May 20, 2013
Primary completion
Jan 2014
Last update
Dec 18, 2014

Study contacts

Paul King, M.D.
principal investigator · Anne Arundel Medical Center / Anne Arundel Orthopedic Surgeons

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Dec 2014. You cannot join it, but the record below documents what was studied.

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