{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:27:28Z","timestamp":1765826848634},"reference-count":6,"publisher":"Royal College of Surgeons of England","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2008,4]]},"abstract":"<jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p> The fast-track assessment clinic (FTAC) is a process to select patients who are very likely to require primary total hip replacement. Selected patients can then be seen in a one-off clinic reducing the number of hospital visits, cost to primary care trusts and delay between referral and treatment. <\/jats:p><\/jats:sec><jats:sec><jats:title>PATIENTS AND METHODS<\/jats:title><jats:p> Fifty patients on the waiting list for hip replacement were analysed to see if there were common parameters that led to their inclusion. From these data, fast-track selection criteria (FTSCs) were generated. These FTSCs were used to make a dual comparison of outcomes between 52 patients seen in a traditional clinic. Finally, a pilot study was conducted in which patients fulfilling FTSCs were seen in a designated clinic. <\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p> An Oxford hip score (OHS) of 34 and above combined with severe loss of joint space, severe marginal osteophytes, or both was common to most patients on the waiting list (84%). FTSCs correctly predicted the outcome of the orthopaedic clinic in 38 patients out of a total of 52. During the pilot stage, positive FTSCs were shown to have a positive predictive value of 92% for joint replacement being carried out and a negative predictive value of 46%. <\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p> An OHS of 34 or above combined with complete loss of joint space and\/or severe marginal osteophyte formation can be used to select patients who are very likely to need total hip replacement. These patients can be seen in a clinic that combines assessment of surgical indication with medical fitness for surgery. <\/jats:p><\/jats:sec>","DOI":"10.1308\/003588408x242024","type":"journal-article","created":{"date-parts":[[2008,4,18]],"date-time":"2008-04-18T01:25:58Z","timestamp":1208481958000},"page":"208-212","source":"Crossref","is-referenced-by-count":9,"title":["Fast-Track Aassessment Clinic: Selection of Patients for a One-Stop Hip Assessment Clinic"],"prefix":"10.1308","volume":"90","author":[{"given":"SA","family":"Johnson","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, St Helier Hospital, Carshalton Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y","family":"Kalairajah","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, St Helier Hospital, Carshalton Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Moonot","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, St Helier Hospital, Carshalton Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Steele","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, St Helier Hospital, Carshalton Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RE","family":"Field","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, St Helier Hospital, Carshalton Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"b3","doi-asserted-by":"publisher","DOI":"10.1136\/ard.16.4.494"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.78B2.0780185"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B8.11643"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B5.15390"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2005.04.017"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2005.047811"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/003588408X242024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T09:56:16Z","timestamp":1684144576000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/003588408X242024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,4]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2008,4]]}},"alternative-id":["10.1308\/003588408X242024"],"URL":"https:\/\/doi.org\/10.1308\/003588408x242024","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,4]]}}}