Determining who should be referred for total hip and knee replacements.

Published in Nature Reviews Rheumatology , 03/13/2013 Dr. Mandl LA from the Hospital for Special Surgery, USA. looks at which patients with end-stage arthritis, should undergo Total hip and total knee replacements (THR and TKR respectively).

Patients with moderate-to-severe chronic hip or knee pain and disability undergoing arthroplasty or total joint replacement TJR see a relief of pain and an improvement in function. Primary care physicians or General practitioners decide which patients are candidates for total joint replacement (TJR) procedures. However there is no evidence-based criteria exist to guide physicians in this decision-making process, and this situation raises the possibility that conscious or unconscious biases may influence referral patterns.

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