Evidence map›Paper›PMID 26068733›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2015

Clinical improvement and satisfaction after total joint replacement: a prospective 12-month evaluation on the patients' perspective.

Florian D Naal, Franco M Impellizzeri, Ulrich Lenze, Vanessa Wellauer, Rüdiger von Eisenhart-Rothe, Michael Leunig

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
5.3field-weighted citation impact, top 4% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 84 citations in OpenAlex.

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  9. Patient acceptable symptom state and treatment failure threshold values for work productivity and activity Impairment and EQ-5D-5L in osteoarthritis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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  13. Patient acceptable symptom state (PASS): thresholds for the EQ-5D-5L and Oxford hip and knee scores for patients with total hip and knee replacement.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Florian D NaalDepartment of Orthopaedic Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany. florian.naal@gmail.com.
Franco M ImpellizzeriDepartment of Research and Development, Schulthess Clinic, Zurich, Switzerland.
Ulrich LenzeDepartment of Orthopaedic Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Vanessa WellauerDepartment of Research and Development, Schulthess Clinic, Zurich, Switzerland.
Rüdiger von Eisenhart-RotheDepartment of Orthopaedic Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Michael LeunigDepartment of Orthopaedic Surgery, Schulthess Clinic, Lengghalde 2, Zurich, Switzerland.
Schulthess-Klinik · CHKlinikum rechts der Isar · DETechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo 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).

methodsThis 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.

resultsTHA 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.

conclusionsMore 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.

Indexed as

AgedArthroplasty, Replacement, HipCohort StudiesFemaleHumansMalePatient SatisfactionProspective StudiesQuality of LifeHip and knee arthroplastyPASSPatient-reported outcomeSatisfactionTotal joint replacement

Identifiers

PMID26068733
OpenAlexW1930224867

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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.