Priority 7 from the Hip and Knee Replacement for Osteoarthritis PSP

UNCERTAINTY: What are the long-term outcomes of non surgical treatments compared to operative treatment for patients with advanced knee/hip OA? (JLA PSP Priority 7)
Overall ranking	7
JLA question ID	0020/7
Explanatory note	Not available for this PSP
Evidence	Protocol for a systematic review: Singh JA, Kundukulam JA, Kalore NV. Total hip replacement surgery versus conservative care for hip osteoarthritis and other non-traumatic diseases (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 9. Art. No.: CD010731. DOI: 10.1002/14651858.CD010731; Singh JA, Dohm M, Borkhoff C. Total joint replacement surgery versus conservative care for knee osteoarthritis and other non-traumatic diseases (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 9. Art. No.: CD010732. DOI: 10.1002/14651858.CD010732.
Health Research Classification System category	Musculoskeletal

Extra information provided by this PSP
Original uncertainty examples	What are the strategies of chronic pain management for those awaiting/ not eligible forjoint replacement? ~ Best management of pts with hip or knee OA in whom replacement is contraindicated? ~ Long term outcomes (including quality of life) after knee and hip surgery compared to conservative options ~ long term results of non operative management ~ long term outcomes (including quality of life) after knee and hip surgery compared to conservative options ~ Is there a cut-off point for conservative treatment? ~ What alternatives are there to a full replacement for the active over 65s?
Submitted by	Uncertainty identified by 1 patient/carers, and 6 clinicians
Outcomes to be measured	Long-term non-surgical outcomes

PSP information
PSP unique ID	0020
PSP name	Hip and Knee Replacement for Osteoarthritis
Total number of uncertainties identified by this PSP.	123 (To see more about the Top 10, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	27 March 2014