Top 10 priorities for problematic hip replacement research: a priority setting partnership led by the British Hip Society and the James Lind Alliance

Objectives:
To identify and prioritise research uncertainties regarding the assessment, management and rehabilitation of patients with problematic hip replacements through a national Priority Setting Partnership (PSP).

Design:
A national PSP using the James Lind Alliance (JLA) methodology.

Setting:
UK.

Participants:
Patients, carers and healthcare professionals (HCPs) involved in the care of patients with problematic hip replacements.

Methods:
A steering group was established. The James Lind Alliance methodology was followed throughout. A nationwide survey was conducted to collect unanswered questions. These were refined, prioritised through an interim survey and ranked at a final consensus workshop.

Results:
The initial survey yielded 201 questions, refined to 32. The interim survey had 191 respondents, leading to 19 questions at the final workshop. The top 10 research priorities were agreed on.

Conclusions:
This PSP identified key research priorities for problematic hip replacements, focusing on diagnosis, pain management, perioperative optimisation and infection. These priorities can inform researchers and funders to improve outcomes for affected patients.