Evidence map›Paper›PMID 28253923›Full record

ArticleBMC musculoskeletal disorders2017

Patient-reported health outcomes after total hip and knee surgery in a Dutch University Hospital Setting: results of twenty years clinical registry.

Philip J van der Wees, Joost J G Wammes, Reinier P Akkermans, Jan Koetsenruijter, Gert P Westert, Albert van Kampen, Gerjon Hannink, Maarten de Waal-Malefijt, B Willem Schreurs

Abstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 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.

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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. A validated outcome categorization of the knee society score for total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
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

9 authors.

Philip J van der WeesRadboud University Medical Center, Radboud Institute for Health Sciences; Scientific Institute for Quality of Healthcare, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Joost J G WammesRadboud University Medical Center, Radboud Institute for Health Sciences; Scientific Institute for Quality of Healthcare, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. joost.wammes@radboudumc.nl.
Reinier P AkkermansRadboud University Medical Center, Radboud Institute for Health Sciences; Scientific Institute for Quality of Healthcare, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Jan KoetsenruijterRadboud University Medical Center, Radboud Institute for Health Sciences; Scientific Institute for Quality of Healthcare, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Gert P WestertRadboud University Medical Center, Radboud Institute for Health Sciences; Scientific Institute for Quality of Healthcare, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Albert van KampenDepartment of Orthopedics, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Gerjon HanninkDepartment of Orthopedics, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Maarten de Waal-MalefijtDepartment of Orthopedics, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
B Willem SchreursDepartment of Orthopedics, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient-Reported Outcome (PRO) measurement is a method for measuring perceptions of patients on their health and quality of life. The aim of this paper is to present the results of PRO measurements in total hip and knee replacement as routinely collected during 20 years of surgery in a university hospital setting.

methodsData of consecutive patients between 1993 and 2014 were collected. Health outcomes were measured pre-surgery and at 3, 6, and 12 months post-surgery. Outcomes for hip replacement were measured with the Harris Hip Score (HHS) and Oxford Hip Score (OHS). Outcomes for knee replacement were measured with the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and the Knee Society Score (KSS). A Visual Analog Scale (VAS) for pain was used. Absolute and relative Minimal Clinically Important Differences (MCID) were estimated. Generalized estimating equation analysis was used for estimating mean outcomes. Trends over time were analyzed.

resultsThe database contained 2,089 patients with hip replacement, and 704 patients with knee replacement. Mean HHS and OHS scores in primary hip replacement at 12 months post-surgery were 86.7 (SD: 14.5) and 41.1 (SD: 7.5) respectively. Improvements on the HHS based on absolute MCID was lower for revisions compared to primary hip replacements, with 72.4% and 87.0% respectively. Mean WOMAC and KSS scores in knee replacement at 12 months post-surgery were 21.5 (SD: 18.2) and 67.0 (SD: 26.4) respectively. Improvements based on absolute MCID were lowest for the KSS (62.6%) and highest for VAS pain (85.6%). Trend analysis showed a difference in 1 out of 24 comparisons in hip replacement and in 2 out of 9 comparisons in knee replacement.

conclusionsThe functional status of a large cohort of patients significantly improved after hip and knee replacement based on routine data collection. Our study shows the feasibility of the routine collection of PRO data in patients with total hip and knee replacement. The use of PRO data provides opportunities for continuous quality improvement.

Indexed as

Patient Reported Outcome MeasuresQuality ImprovementAgedArthroplasty, Replacement, HipArthroplasty, Replacement, KneeFeasibility StudiesFemaleHospitals, UniversityHumansMaleMiddle AgedOntarioPain MeasurementQuality of LifeRecovery of FunctionRegistriesOutcomes measurementPatient-reported outcomesTotal hip replacementTotal knee replacement

Identifiers

PMID28253923
PMCPMC5335788

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.