ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2017
Use of large-scale HRQoL datasets to generate individualised predictions and inform patients about the likely benefit of surgery.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of minimum important changes for generic multi-attribute utility instruments and recommendations for their estimation.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Pooled it
- Case-Mix Adjustment of Multidimensional Patient-Reported Outcomes to Assess Hospital Performance.Health economics · 2026Article
- Activity outcomes after hip arthroplasty: an information tool based on patients' experience captured in a hospital registry.BMC musculoskeletal disorders · 2025Article
- Association of self-efficacy, risk attitudes, and time preferences with health-related quality of life and functioning after total hip or knee replacement - Results of the MobilE-TRA 2 cohort.Health and quality of life outcomes · 2025Observational
- How to interpret patient-reported outcomes? - Stratified adjusted minimal important changes for the EQ-5D-3L in hip and knee replacement patients.Journal of patient-reported outcomes · 2024Observational
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- Implementing predictive tools in surgery: A narrative review in the context of orthopaedic surgery.ANZ journal of surgery · 2022Review
- Evaluating willingness for surgery using the SMART Choice (Knee) patient prognostic tool for total knee arthroplasty: study protocol for a pragmatic randomised controlled trial.BMC musculoskeletal disorders · 2022Article
- Economic burden and health-related quality of life in tenosynovial giant-cell tumour patients in Europe: an observational disease registry.Orphanet journal of rare diseases · 2021Article
- Concomitant back and leg pain as predictors for trajectories of poor outcome after single level lumbar micro-decompression alone and with micro-discectomy: a study of 3,308 patients.Journal of spine surgery (Hong Kong) · 2020Article
- Machine learning methods are comparable to logistic regression techniques in predicting severe walking limitation following total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Patient-Reported Outcome Measures (PROMs) to Support Adherence to Falls Prevention Clinic Recommendations: A Qualitative Study.Patient preference and adherence · 2020Article
- Predicting individual knee range of motion, knee pain, and walking limitation outcomes following total knee arthroplasty.Acta orthopaedica · 2019Article
- An individualized patient-reported outcome measure (PROM) based patient decision aid and surgeon report for patients considering total knee arthroplasty: protocol for a pragmatic randomized controlled trial.BMC musculoskeletal disorders · 2019Article
- Predicting patient-reported outcomes following hip and knee replacement surgery using supervised machine learning.BMC medical informatics and decision making · 2019Article
- PedsQL 3.2 Diabetes Module for Children, Adolescents, and Young Adults: Reliability and Validity in Type 1 Diabetes.Diabetes care · 2018Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
purposeThe English NHS has mandated the routine collection of health-related quality of life (HRQoL) data before and after surgery, giving prospective patient information about the likely benefit of surgery. Yet, the information is difficult to access and interpret because it is not presented in a lay-friendly format and does not reflect patients' individual circumstances. We set out a methodology to generate personalised information to help patients make informed decisions.
methodsWe used anonymised, pre- and postoperative EuroQol-5D-3L (EQ-5D) data for over 490,000 English NHS patients who underwent primary hip or knee replacement surgery or groin hernia repair between April 2009 and March 2016. We estimated linear regression models to relate changes in EQ-5D utility scores to patients' own assessment of the success of surgery, and calculated from that minimally important differences for health improvements/deteriorations. Classification tree analysis was used to develop algorithms that sort patients into homogeneous groups that best predict postoperative EQ-5D utility scores.
resultsPatients were classified into between 55 (hip replacement) to 60 (hernia repair) homogeneous groups. The classifications explained between 14 and 27% of variation in postoperative EQ-5D utility score.
conclusionsPatients are heterogeneous in their expected benefit from surgery, and decision aids should reflect this. Large administrative datasets on HRQoL can be used to generate the required individualised predictions to inform patients.
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