Study finds, Patient Functional Status as an Indication for
A Study was conducted to determine the role of patient functional status as an indication for surgery and determine if patients are undergoing surgery at a better functional status than in the past.

A systematic review and meta-analysis of the Medline, Embase, and Cochrane databases was performed in accordance with the PRISMA guidelines. Only primary procedures were included; revisions were excluded. Meta-regression analysis was performed to determine the effect of time, patient age, and gender. Subgroup analysis was performed to compare geographic regions.

-- Data from 172 groups representing 18,644 patients recruited and identified from 107 articles was included.

--The mean pre-operative PCS score was 31.2 (95% Confidence Interval: 30.5-31.9) with a 95% prediction interval of 22.6-39.8.

--The variance across studies was statistically significant with 97.25% true variance.

--Neither year of enrolment, age, nor the percentage of females were found to have any significant effect.

Conclusively, patients are having THA at a similar pre-operative physical functional condition as they were previously. The functional status at which patients are indicated for surgery is unaffected by patient age, gender, or location.