Evidence map›Paper›PMID 24262431›Full record

ArticleOsteoarthritis and cartilage2014

Comparative responsiveness of outcome measures for total knee arthroplasty.

K Giesinger, D F Hamilton, B Jost, B Holzner, J M Giesinger

3 registry-linked trialsAbstract readComparative StudyEvaluation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Osteoarthritis and cartilage, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 78 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT03132064 suspendednot on this mapstarted 2020, after this paper: background citation

The Association Between Pre-operative Pain Psychology and Hypersensitivity With Poor Functional Outcome After Knee Replacement

TypeobservationalSponsorUniversity of SalfordRan2020 to 2022Enrolled50ConditionsOutcome After Total Knee ArthroplastyArmstotal knee arthroplasty
NCT03339557 naunknown statusnot on this mapstarted 2015, after this paper: background citation

Functional Outcome of Total Knee Replacement. Randomized Clinical Controlled Trial of Novel and Conventional Implants

TypeinterventionalSponsorCoxa, Hospital for Joint ReplacementRan2015 to 2021Enrolled240ConditionsOsteoarthritis, Knee, Arthroplasty, Total Knee ReplacementArmsNexGen, Persona, PFC
NCT06267482 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Challenging The TKA Standard Of Care: Patient Specific Surgical Targets As Enabled By The Rosa

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2024 to 2025Enrolled90ConditionsKnee OsteoarthritisArmsROSA PSA Parapatellar Approach, ROSA PSA Subvastus Approach
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

K GiesingerDepartment of Orthopaedic Surgery, Kantonsspital St. Gallen, Rorschacherstrasse 95, CH-9000 St. Gallen, Switzerland. Electronic address: karlmeinrad.giesinger@kssg.ch.
D F HamiltonDepartment of Orthopaedic Surgery, University of Edinburgh, 49 Little France Crescent, Edinburgh EH16 4SA, UK. Electronic address: d.f.hamilton@ed.ac.uk.
B JostDepartment of Orthopaedic Surgery, Kantonsspital St. Gallen, Rorschacherstrasse 95, CH-9000 St. Gallen, Switzerland. Electronic address: bernhard.jost@kssg.ch.
B HolznerDepartment of Psychiatry and Psychotherapy, Innsbruck Medical University, Anichstr. 35, A-6020 Innsbruck, Austria. Electronic address: bernhard.holzner@uki.at.
J M GiesingerDepartment of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands. Electronic address: johannes.giesinger@i-med.ac.at.

Funding

Austrian Science Fund FWF J 3353
6 · The paper itself

Abstract

objectiveThe aim of this study was to compare the responsiveness of various patient-reported outcome measures (PROMs) and clinician-reported outcomes following total knee arthroplasty (TKA) over a 2-year period.

methodsData were collected in a prospective cohort study of primary TKA. Patients who had completed Forgotten Joint Score-12 (FJS-12), Western Ontario and McMaster Universities (WOMAC) osteoarthritis (OA) index, EQ-5D, Knee Society Score and range of movement (ROM) assessment were included. Five time points were assessed: pre-operative, 2 months, 6 months, 1 year and 2 years post-operative.

resultsData from 98 TKAs were available for analysis. Largest effect sizes (ES) for change from pre-operative to 2-month follow-up were observed for the Knee Society Score (KSS) Knee score (1.70) and WOMAC Total (-1.50). For the period from 6 months to 1 year the largest ES for change were shown by the FJS-12 (0.99) and the KSS Function Score (0.88). The EQ-5D showed the strongest ceiling effect at 1-year follow-up with 84.4% of patients scoring the maximum score. ES for the time from 1- to 2-year follow-up were largest for the FJS-12 (0.50). All other outcome measures showed ES equal or below 0.30.

conclusionOutcome measures differ considerably in responsiveness, especially beyond one year post-operatively. Joint-specific outcome measures are more responsive than clinician-reported or generic health outcome tools. The FJS-12 was the most responsive of the tools assessed; suggesting that joint awareness may be a more discerning measure of patient outcome than traditional PROMs.

Indexed as

Arthroplasty, Replacement, KneeAgedAged, 80 and overFemaleFollow-Up StudiesHumansKnee JointMaleMiddle AgedOutcome Assessment, Health CarePatient SatisfactionProspective StudiesRange of Motion, ArticularRecovery of FunctionSeverity of Illness IndexTreatment OutcomeForgotten joint scoreKnee arthroplastyPatient-reported outcomeResponsivenessWOMAC score

Identifiers

PMID24262431
PMCPMC3988962

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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.