Evidence map›Paper›PMID 26220999›Full record

ReviewBone & joint research2015

Patient-reported outcome measures after total knee arthroplasty: a systematic review.

P N Ramkumar, J D Harris, P C Noble

Registry-linked trialAbstract readReview
In one paragraph

Review in Bone & joint research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03406455 (Telemedicine in Total Knee Arthroplasty Using Wearable Technology), which is not on this map. Cited by 65 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 4 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.

NCT03406455 completednot on this mapstarted 2018, after this paper: background citation

Telemedicine in Total Knee Arthroplasty Using Wearable Technology

TypeobservationalSponsorThe Cleveland ClinicRan2018 to 2019Enrolled25ConditionsKnee Arthritis
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  11. WOMAC-based recovery after total knee arthroplasty in a multiethnic Asian cohort: a 5-year registry-based study of interval-specific predictors of improvement.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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5 more citing papers are in PubMed but not listed here.

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

3 authors.

P N RamkumarHospital for Special Surgery, 535 E 70th St, Bellaire Building, Suite 9-11, New York 10021, USA.
J D HarrisHouston Methodist Orthopedics and Sports Medicine, 6550 Fannin Street, Smith Tower, Suite 2511 Houston, Texas 77030, USA.
P C NobleHouston Methodist Orthopedics and Sports Medicine, 6550 Fannin Street, Smith Tower, Suite 2511 Houston, Texas 77030, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesA lack of connection between surgeons and patients in evaluating the outcome of total knee arthroplasty (TKA) has led to the search for the ideal patient-reported outcome measure (PROM) to evaluate these procedures. We hypothesised that the desired psychometric properties of the ideal outcome tool have not been uniformly addressed in studies describing TKA PROMS.

methodsA systematic review was conducted investigating one or more facets of patient-reported scores for measuring primary TKA outcome. Studies were analysed by study design, subject demographics, surgical technique, and follow-up adequacy, with the 'gold standard' of psychometric properties being systematic development, validity, reliability, and responsiveness.

resultsA total of 38 articles reported outcomes from 47 different PROMS to 85 541 subjects at 26.3 months (standard deviation 30.8) post-operatively. Of the 38, eight developed new scores, 20 evaluated existing scores, and ten were cross-cultural adaptation of existing scores. Only six of 38 surveyed studies acknowledged all 'gold standard' psychometric properties. The most commonly studied PROMS were the Oxford Knee Score, New Knee Society Score, Osteoarthritis Outcome Score, and Western Ontario and McMaster Universities Osteoarthritis Index.

conclusionsA single, validated, reliable, and responsive PROM addressing TKA patients' priorities has not yet been identified. Moreover, a clear definition of a successful procedure remains elusive. Cite this article: Bone Joint Res 2015;4:120-127.

Indexed as

MeasureOutcomesTKA

Identifiers

PMID26220999
PMCPMC4602194

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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.