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Journal article

An assessment of the impact of developmental dysplasia of the hip on patients’ wellbeing

Abstract:
AimsWithin healthcare, several measures are used to quantify and compare the severity of health conditions. Two common measures are disability weight (DW), a context-independent value representing severity of a health state, and utility weight (UW), a context-dependent measure of health-related quality of life. Neither of these measures have previously been determined for developmental dysplasia of the hip (DDH). The aim of this study is to determine the DW and country-specific UWs for DDH.MethodsA survey was created using three different methods to estimate the DW: a preference ranking exercise, time trade-off exercise, and visual analogue scale (VAS). Participants were fully licensed orthopaedic surgeons who were contacted through national and international orthopaedic organizations. A global DW was calculated using a random effects model through an inverse-variance approach. A UW was calculated for each country as one minus the country-specific DW composed of the time trade-off exercise and VAS.ResultsOver a four-month period, 181 surgeons participated in the survey, with 116 surgeons included in the final analysis. The global DW calculated to be 0.18 (0.11 to 0.24), and the country-specific UWs ranged from 0.26 to 0.89.ConclusionThis is the first time that a global disability weight and country-specific utility weights have been estimated for DDH, which should assist in economic evaluations and the development of health policy. The methodology may be applied to other orthopaedic conditions.Cite this article: Bone Jt Open 2023;4(3):120–128.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1302/2633-1462.43.bjo-2022-0154.r1

Authors

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Role:
Author
ORCID:
0000-0002-9902-0815
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Institution:
University of Oxford
Role:
Author
ORCID:
0000-0001-8420-8252
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Role:
Author
ORCID:
0000-0003-0683-9520


Publisher:
British Editorial Society of Bone and Joint Surgery
Journal:
Bone & Joint Open More from this journal
Volume:
4
Issue:
3
Pages:
120-128
Publication date:
2023-03-01
DOI:
EISSN:
2633-1462
ISSN:
2633-1462


Language:
English
Keywords:
Pubs id:
1341112
Local pid:
pubs:1341112
Source identifiers:
W4322621980
Deposit date:
2026-05-07
ARK identifier:
This ORA record was generated from metadata provided by an external service. It has not been edited by the ORA Team.

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