ArticleThe Journal of bone and joint surgery. American volume2005
Measuring improvement following total hip and knee arthroplasty using patient-based measures of outcome.
Article in The Journal of bone and joint surgery. American volume, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
68 citing papers in PubMed, 1 synthesis or guideline pooled it.
- High variation among clinical studies in the assessment of physical function after knee replacement: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Comparison of lower limb lifting and squeeze exsanguination before tourniquet inflation during total knee arthroplasty.BMC musculoskeletal disorders · 2019Trial
- Kneeling and standing up from a chair as performance-based tests to evaluate knee function in the high-flexion range: a randomized controlled trial comparing a conventional and a high-flexion TKA design.BMC musculoskeletal disorders · 2017Trial
- Association between changes in global femoral offset after total hip arthroplasty and function, quality of life, and abductor muscle strength. A prospective cohort study of 222 patients.Acta orthopaedica · 2016Trial
- Evaluation of etoricoxib in patients undergoing total knee replacement surgery in a double-blind, randomized controlled trial.BMC musculoskeletal disorders · 2013Trial
- Knee arthroplasty with a medially conforming ball-and-socket tibiofemoral articulation provides better function.Clinical orthopaedics and related research · 2011Trial
- Multidimensional Assessment of Recovery After Total Knee Arthroplasty in Clinical Practice: Critical Narrative Review.JMIR perioperative medicine · 2026Review
- A new mode of follow-up scale assessment for total knee arthroplasty based on a rehabilitation application.Journal of orthopaedic surgery and research · 2026Article
- Impact of Wiberg patellar morphology on patient-reported outcomes following unicompartmental knee arthroplasty: A 3 ~ 5 year retrospective cohort analysis.BMC musculoskeletal disorders · 2025Article
- iHOT-12 item analysis: correlations between individual items and overall score within and across time points.Journal of hip preservation surgery · 2025Article
- Association of self-efficacy, risk attitudes, and time preferences with health-related quality of life and functioning after total hip or knee replacement - Results of the MobilE-TRA 2 cohort.Health and quality of life outcomes · 2025Observational
- Mechanical Effects of Offset and Length of the Cementless Stem for Initial Fixation to the Femur.Clinics in orthopedic surgery · 2025Article
- Comparative analysis of patient-reported outcomes in total knee arthroplasty and total hip arthroplasty: adjusting for demographic influences.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- A Comparison of Complication Rates between Early and Delayed Surgery among Filipino Patients with Fragility Fractures of the Hip.Acta medica Philippina · 2024Article
- Not all questions are created equal: the weight of the Oxford Knee Scores questions in a multicentric validation study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023Article
- Relationship Between Preoperative Psoas Major Muscle Quality and Forgotten Joint Score-12 in Patients After Total Hip Arthroplasty.Arthroplasty today · 2023Article
- Cross-cultural adaptation and validation of the Traditional Chinese version of the Core Outcome Measures Index in patients with low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- Total Hip Replacement: Psychometric Validation of the Italian Version of Forgotten Joint Score (FJS-12).Journal of clinical medicine · 2023Article
- Factors associated with persistent postsurgical pain after total knee or hip joint replacement: a systematic review and meta-analysis.Pain reports · 2023Review
- Evaluation of the Validity and Reliability of a Persian Version of the Forgotten Joint Score in Patients Undergoing Total Hip Arthroplasty.The archives of bone and joint surgery · 2023Article
8 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient-derived outcome scales have become increasingly important to physicians and clinical researchers for measuring improvement in function after surgery. The goal of the present study was to evaluate the ability of health-status instruments to measure early functional recovery after total hip and total knee arthroplasty.
methodsFour hundred and six patients undergoing total hip arthroplasty and 266 patients undergoing total knee arthroplasty completed health-status questionnaires preoperatively and six months postoperatively to determine the standardized response mean. In the second phase of the study, a group of patients undergoing knee and hip arthroplasty were evaluated with several instruments before and after surgery to test for postoperative ceiling effects.
resultsThe standardized response mean at six months was 1.7 for the MODEMS Hip Core, 1.2 for the MODEMS Knee Core, and 1.5 and 1.1 for the Physical Component Summary of the SF-36 for patients managed with hip and knee replacement, respectively. A standardized response mean of 1.0 is generally satisfactory for measuring improvement in orthopaedic surgery. In Phase 2 of the study, the vast majority of patients who had a score of 95 to 100 (that is, a maximum or near-maximum score) on the joint-specific scales generally believed that the hip or knee was normal and could not be better.
conclusionsThe MODEMS, Oxford, and WOMAC scales all demonstrated a ceiling effect following total knee and total hip arthroplasty. These scores likely reflected the patients' perception of the status of the knee or hip rather than an inability to measure their improvement beyond the highest possible score. The Physical Component Summary score of the SF-36 had similar standardized response means when compared with hip and knee-specific instruments, and, therefore, consideration should be given to using this scale without a joint-specific scale for the measurement of improvement following total knee and total hip replacement, as a way to decrease responder burden (that is, the time required to complete the questionnaires).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.