Table 2.
Physician Recommendations for Joint Replacement Surgery
| Age groups | |||||
|---|---|---|---|---|---|
| Overall | 65-69 (n=48) |
70-79 (n=77) |
80+ (n=49) |
p value† | |
| Baseline Interview (n=163):* | % | % | % | ||
| Discussed hip/knee arthritis with primary care physician (PCP) † | 87.1% (142/163) | 88.4 | 88.7 | 85.4 | 0.66 |
| PCP discussed joint replacement surgery as a treatment option | 25.8% (42/163) | 18.6 | 26.4 | 31.3 | 0.17 |
| PCP recommended joint replacement surgery | 20.9% (34/163) | 20.9 | 16.7 | 27.1 | 0.45 |
| By 12 months follow-up (n=174): | |||||
| Saw an orthopedist about hip/knee arthritis | 73.6% (128/174) | 85.4 | 74.0 | 61.2 | 0.01 |
| Orthopedist discussed joint replacement surgery as a treatment option | 73.4% (94/128) | 70.7 | 73.7 | 76.7 | 0.58 |
| Orthopedist recommended joint replacement surgery | 64.8% (83/128) | 65.9 | 61.4 | 70.0 | 0.78 |
| Received joint replacement surgery | 29.3% (51/174) | 33.4 | 35.1 | 16.3 | 0.06 |
|
Discussions during 12-month follow-up among patients who did not have surgery (n=123): |
|||||
| Discussed hip/knee arthritis with primary care physician (PCP) | 96.8% (119/123) | 93.8 | 98.0 | 97.6 | 0.39 |
| PCP discussed joint replacement surgery as a treatment option | 35.8% (44/123) | 25.0 | 44.0 | 34.2 | 0.50 |
| PCP recommended joint replacement surgery | 15.3% (25/163) | 21.9 | 18.0 | 21.9 | 0.96 |
*
10 patients who did not have baseline interviews and 1 patient who did not have a PCP are not included.
†
The p values represent results from the Mantel-Haenszel Test of Trend.