Surgeons’ perceptions of the effectiveness and complications of intra-articular steroid hip injection (IASHI)
| Survey question | Group of surgeons by years of experience; no. (and %) of surgeons | |||
|---|---|---|---|---|
| < 5 yr n = 11 | 5–10 yr n = 24 | > 10 yr n = 64 | Total n = 99 | |
| 1. How many patients get therapeutic benefits from IASHI? | ||||
| 0–20 | 0 | 6 (25.0) | 17 (26.6) | 23 (23.2) |
| 20–40 | 5 (45.5) | 10 (41.7) | 11 (17.2) | 26 (26.3) |
| 40–60 | 3 (27.3) | 2 (8.3) | 17 (26.6) | 22 (22.2) |
| 60–80 | 3 (27.3) | 5 (20.8) | 8 (12.5) | 16 (16.2) |
| 80–100 | 0 | 0 | 4(6.3) | 4 (4.0) |
| *Unknown or did not specify | 0 | 1 (4.2) | 7 (10.9) | 8 (8.1) |
| 2. What is the duration of pain relief typically reported to you? | ||||
| < 1mo | 0 | 6 (25.0) | 6 (9.4) | 12 (12.1) |
| 1–3 mo | 5 (45.5) | 10 (41.7) | 33 (51.6) | 48 (48.5) |
| 3–6 mo | 3 (27.3) | 4 (16.7) | 15 (23.4) | 22 (22.2) |
| 6–12 mo | 1 (9.1) | 2 (8.3) | 3 (4.7) | 6 (6.1) |
| 1–2 yr | 0 | 0 | 0 | 0 |
| > 2 yr | 0 | 0 | 0 | 0 |
| *Unknown amount of time or did not specify | 2 (18.2) | 2 (8.3) | 7 (10.9) | 11 (11.1) |
| 3. What percentage of infection do you see/estimate from patients? (open-ended question) | ||||
| 0–1 | 3 (27.3) | 9 (37.5) | 24 (37.5) | 36 (36.4) |
| 1–2 | 2 (18.2) | 6 (25.0) | 11 (17.2) | 19 (19.2) |
| > 2 | 2 (18.2) | 0 | 1 (1.6) | 3 (3.0) |
| Unknown | 1 (9.1) | 0 | 10 (15.6) | 11 (11.1) |
| *No answer given | 3 (27.3) | 9 (37.5) | 18 (28.1) | 30 (30.3) |
| 4. What special instructions do you give to patients after IASHI? | ||||
| Use a cane | 1 (9.1) | 3 (12.5) | 8 (12.5) | 12 (12.1) |
| Use crutches for 2–3 d | 1 (9.1) | 0 | 1 (1.6) | 2 (2.0) |
| Bed rest | 0 | 0 | 6(9.4) | 6 (6.1) |
| Decreased activity for 1–3 d | 0 | 7 (29.2) | 7 (10.9) | 14 (14.1) |
| Total no. of surgeons who recommended reduced activity | 34 (34.3) | |||
| Walk around for the day | 5 (45.5) | 3 (12.5) | 6 (9.4) | 14 (14.1) |
| Normal activities | 0 | 1 (4.2) | 0 | 1 (1.0) |
| No special instructions | 0 | 8 (33.3) | 8 (12.5) | 16 (16.2) |
| Total no. of surgeons who recommended normal activity | 31 (31.3) | |||
| *Did not check off any instructions, did not comment | 4 (36.4) | 2 (8.3) | 28 (43.8) | 34 (34.3) |
| 5. Do you believe that steroid hip injection has any effects on arthritis progression? Check one | ||||
| Does NOT alter (progression maintains same pace) | 8 (72.7) | 16 (66.7) | 36 (56.3) | 60 (60.6) |
| May INCREASE arthritis progression | 2 (18.2) | 5 (20.8) | 18 (28.1) | 25 (25.3) |
| May DECREASE arthritis progression | 0 | 0 | 1 (1.6) | 1 (1.0) |
| *Did not answer | 1 (9.1) | 3 (12.5) | 9 (14.1) | 13 (13.1) |
| 6. No. of IASHIs prescribed per year by surgeons who believe it hastens arthritis progression | 0, 1 (2 surgeons) | 2, 3, 5, 10, 25 (5 surgeons) | 0–6 (17 surgeons) 12 (1 surgeon) | |
| 7. Do you believe that prior steroid injection has any effect on the ultimate outcome of THA? | ||||
| (a) Function | ||||
| Better | 0 | 0 | 0 | 0 |
| Worse | 0 | 1 (4.2) | 1 (1.6) | 2 (2.0) |
| No difference | 11(100.0) | 22 (91.7) | 57 (89.1) | 90 (90.9) |
| *Did not answer | 0 | 1 (4.2) | 6 (9.4) | 7 (7.1) |
| (b) Pain relief | ||||
| Better | 1 (9.1) | 0 | 1 (1.6) | 2 (2.0) |
| Worse | 0 | 0 | 0 | 0 |
| No difference | 10 (90.9) | 21 (87.5) | 56 (87.5) | 87 (87.9) |
| *Did not answer | 0 | 3 (12.5) | 7 (10.9) | 10 (10.1) |
| (c) Infection rate | ||||
| More | 4 (36.4) | 3 (12.5) | 12 (18.8) | 19 (19.2) |
| Less | 0 | 0 | 0 | 0 |
| No change | 7 (63.6) | 17 (70.8) | 45 (70.3) | 69 (69.7) |
| *Did not answer | 0 | 4 (16.7) | 7 (10.9) | 11 (11.1) |
Note: THA = total hip arthroplasty.
↵* For each question, if the nonresponse rate was greater than 5%, then the nonresponse rate is listed as a separate row.