Observational studyHealth and quality of life outcomes2014
The impact of preoperative patient characteristics on health states after total hip replacement and related satisfaction thresholds: a cohort study.
Observational study in Health and quality of life outcomes, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Predictors of physical functioning after total hip arthroplasty: a systematic review.BMJ open · 2016Pooled it
- Defining clinically meaningful values in the oxford hip score and factors associated with their achievement following aseptic revision total hip arthroplasty.International orthopaedics · 2026Article
- Mapping the importance of each individual element accounted by HOOS and VR-12 on 1-year patient satisfaction after primary total hip arthroplasty: a prospective institutional analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Defining Clinically Meaningful Thresholds for 12-Month Patient-Reported Outcomes in Total Hip Arthroplasty; Toward Improving Threshold Accuracy.Arthroplasty today · 2025Article
- Preoperative patients' health decrease moderately, while hospital costs increase for hip and knee replacement due to the first COVID-19 lockdown in Germany.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Feasibility of a preoperative strengthening exercise program on postoperative function in patients undergoing hip or knee arthroplasty: a pilot randomized controlled trial.Pilot and feasibility studies · 2022Article
- Patient characteristics and valuation changes impact quality of life and satisfaction in total knee arthroplasty - results from a German prospective cohort study.Health and quality of life outcomes · 2019Article
- Is social support associated with patient-reported outcomes after joint replacement? A systematic review and meta-analysis.The Lancet. Rheumatology · 2019Article
- Predicting patient-reported outcomes following hip and knee replacement surgery using supervised machine learning.BMC medical informatics and decision making · 2019Article
- Is gain in health-related quality of life after a total hip arthroplasty depended on the comorbidity burden?Acta orthopaedica · 2018Article
- The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty.Clinical interventions in aging · 2017Article
- Article
- Clinical improvement and satisfaction after total joint replacement: a prospective 12-month evaluation on the patients' perspective.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2015Article
- Thresholds for meaningful improvement in WOMAC scores need to be adjusted to patient characteristics after hip and knee replacement.Journal of orthopaedicsArticle
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of the study was to analyze the effect of preoperative patient characteristics on health outcomes 6 months after total hip replacement (THR), to support patient's decision making in daily practice with predicted health states and satisfaction thresholds. By giving incremental effects for different patient subgroups, we support comparative effectiveness research (CER) on osteoarthritis interventions.
methodsIn 2012, 321 patients participated in health state evaluation before and 6 months after THR. Health-related quality of life (HRQoL) was measured with the EQ-5D questionnaire. Hip-specific pain, function, and mobility were measured with the WOMAC in a prospective observation of a cohort. The predictive capability of preoperative patient characteristics - classified according to socio-demographic factors, medical factors, and health state variables - for changes in health outcomes is tested by correlation analysis and multivariate linear regressions. Related satisfaction thresholds were calculated with the patient acceptable symptom state (PASS) concept.
resultsThe mean WOMAC and EQ-5D scores before operation were 52 and 60 respectively (0 worst, 100 best). At the 6-month follow-up, scores improved by 35 and 19 units. On average, patients reported satisfaction with the operation if postoperative (change) WOMAC scores were higher than 85 (32) and postoperative (change) EQ-5D scores were higher than 79 (14).
conclusionsChanges in WOMAC and EQ-5D scores can mainly be explained by preoperative scores. The lower the preoperative WOMAC or EQ-5D scores, the higher the change in the scores. Very good or very poor preoperative scores lower the probability of patient satisfaction with THR. Shared decision making using a personalized risk assessment approach provides predicted health states and satisfaction thresholds.
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