December 18, 1996

Informing Patients About Total Hip Replacement-Reply

Author Affiliations

University of Iowa College of Medicine Iowa City

JAMA. 1996;276(23):1876. doi:10.1001/jama.1996.03540230026022

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In Reply.  —In response to Dr Hubers, Drs Toumbis and Nasser, and Dr Pottenger, I can only give them the benefit of the doubt that by not actually being at my presentation, seeing Mrs W, and listening to the discussion that occurred, much of the message was lost. However, if they would read the Clinical Crossroads article in detail, I believe they would agree that I adequately explained the pros and cons of hip replacement surgery to Mrs W. I think I explained all of the potential risks and benefits, especially the fact that Mrs W may not be able to perform simple tasks, such as putting on her shoes, after the surgery. I emphatically stated that only Mrs W could decide whether to have the surgery. My colleagues who commented after my presentation were trying to give the patient and her family perspective on various ways to evaluate her disease (osteoarthritis)