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To determine short-term improvements, satisfaction rates and the patient acceptable symptom state (PASS) after total joint replacement (TJR) for different patient-reported outcome measures (PROMs).
This prospective cohort study included 426 consecutive patients undergoing total hip (n = 193) or knee arthroplasty (n = 233). The following PROMs were completed before TJR, and at 3, 6 and 12 months after surgery, respectively: WOMAC, Oxford Hip or Knee Score, Lower Extremity Functional Scale, University of California at Los Angeles (UCLA) activity scale and EuroQol-5 dimension (EQ-5D). Satisfaction rates and the PASS thresholds were also assessed.
THA patients improved quicker and achieved higher outcome scores than TKA patients. Comorbidities according to the Sangha score were moderately correlated with all PROM values in an inverse direction at all time points (r = −0.27 to −0.47, p < 0.01) in both groups. Satisfaction with the result of surgery improved over time. At 12 months, more than 90 % of the patients were satisfied or very satisfied with the achieved result. The THA group showed a higher proportion of very satisfied patients than the TKA group at all time points. PASS thresholds increased over time for all PROMs except for the UCLA and the EQ-5D in TKA patients.
More than 90 % of the patients will be satisfied 1 year after TJR. THA patients recover faster than TKA patients, i.e., they achieve higher PROM values at earlier follow-up time points. Cutoff values defining a successful result in terms of the PASS could be defined for all PROMs at different time points and can serve as reference for future studies and patient-oriented follow-ups.
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Ethgen, O., Bruyere, O., Richy, F., Dardenne, C., & Reginster, J. Y. (2004). Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. Journal of Bone and Joint Surgery, 86, 963–974. PubMed
Tubach, F., Ravaud, P., Baron, G., Falissard, B., Logeart, I., Bellamy, N., et al. (2005). Evaluation of clinically relevant states in patient reported outcomes in knee and hip osteoarthritis: The patient acceptable symptom state. Annals of the Rheumatic Diseases, 64, 34–37. PubMedCentralCrossRefPubMed
Kvien, T. K., Heiberg, T., & Hagen, K. B. (2007). Minimal clinically important improvement/difference (MCII/MCID) and patient acceptable symptom state (PASS): What do these concepts mean? Annals of the Rheumatic Diseases, 66(Suppl 3), iii40–iii41.
Wells, G., Beaton, D., Shea, B., Boers, M., Simon, L., Strand, V., et al. (2001). Minimal clinically important differences: Review of methods. Journal of Rheumatology, 28, 406–412. PubMed
Stucki, G., Meier, D., Stucki, S., Michel, B. A., Tyndall, A. G., Dick, W., et al. (1996). Evaluation of a German version of WOMAC (Western Ontario and McMaster Universities) Arthrosis Index. Zeitschrift fur Rheumatologie, 1996(55), 40–49.
Naal, F. D., Impellizzeri, F. M., Sieverding, M., Loibl, M., von Knoch, F., Mannion, A. F., et al. (2009). The 12-item Oxford Knee Score: Cross-cultural adaptation into German and assessment of its psychometric properties in patients with osteoarthritis of the knee. Osteoarthritis Cartilage, 17, 49–52. CrossRefPubMed
Dawson, J., Fitzpatrick, R., Carr, A., & Murray, D. (1996). Questionnaire on the perceptions of patients about total hip replacement. Journal of Bone and Joint Surgery, 78, 185–190. PubMed
Conner-Spady, B. L., Marshall, D. A., Bohm, E., Dunbar, M. J., Loucks, L., Khudairy, A. A., et al. (2015). Reliability and validity of the EQ-5D-5L compared to the EQ-5D-3L in patients with osteoarthritis referred for hip and knee replacement. Quality of Life Research. doi: 10.1007/s11136-014-0910-6.
Hooper, G. J., Rothwell, A. G., Hooper, N. M., & Frampton, C. (2012). The relationship between the American Society Of Anesthesiologists physical rating and outcome following total hip and knee arthroplasty: An analysis of the New Zealand Joint Registry. Journal of Bone and Joint Surgery, 94, 1065–1070. CrossRefPubMed
Keurentjes, J. C., Van Tol, F. R., Fiocco, M., So-Osman, C., Onstenk, R., Koopman-Van Gemert, A. W., et al. (2014). Patient acceptable symptom states after total hip or knee replacement at mid-term follow-up: Thresholds of the Oxford hip and knee scores. Bone and Joint Research, 3, 7–13. PubMedCentralCrossRefPubMed
Jämsen, E., Peltola, M., Eskelinen, A., & Lehto, M. U. (2013). Comorbid diseases as predictors of survival of primary total hip and knee replacements: A nationwide register-based study of 96 754 operations on patients with primary osteoarthritis. Annals of the Rheumatic Diseases, 72, 1975–1982. PubMedCentralCrossRefPubMed
Quintana, J. M., Aguirre, U., Barrio, I., Orive, M., Garcia, S., & Escobar, A. (2012). Outcomes after total hip replacement based on patients’ baseline status: What results can be expected? Arthritis Care & Research, 64, 563–572. CrossRef
- Clinical improvement and satisfaction after total joint replacement: a prospective 12-month evaluation on the patients’ perspective
Florian D. Naal
Franco M. Impellizzeri
Rüdiger von Eisenhart-Rothe
- Springer International Publishing