ArticleThe Journal of arthroplasty2020
Validation of the Hip Disability and Osteoarthritis Outcome Score and Knee Injury and Osteoarthritis Outcome Score Pain and Function Subscales for Use in Total Hip Replacement and Total Knee Replacement Clinical Trials.
Article in The Journal of arthroplasty, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04910048 (Impact of a Preoperative Patient Optimization Program on Preoperative Health, Eligibility, and Clinical & Patient-Reported Outcomes in Total Joint Arthroplasty), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Impact of a Preoperative Patient Optimization Program on Preoperative Health, Eligibility, and Clinical & Patient-Reported Outcomes in Total Joint Arthroplasty
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Are the Hip Disability and Osteoarthritis Outcome Score and Knee Injury and Osteoarthritis Outcome Score Measures Validated for Common Non-English Languages and Associated Cultures in the United States? A Systematic Review.The Journal of arthroplasty · 2026Pooled it
- A randomized replication trial of physical rehabilitation versus no physical rehabilitation (DRAW2).Scientific reports · 2026Trial
- Preoperative NarxCare overdose risk scores greater than 100 are associated with worse PROMs improvements and dissatisfaction after primary THA.Archives of orthopaedic and trauma surgery · 2026Article
- Cross-cultural adaptation and validation of the 12-item short forms of the knee injury and osteoarthritis outcome score (KOOS-12) to Persian language.Journal of orthopaedic surgery and research · 2025Article
- Primary Care Patient Engagement With Patient-Reported Outcomes to Assess Osteoarthritis Symptoms.Arthroplasty today · 2025Article
- Prior hip arthroscopy impacts long-term outcomes of total hip arthroplasty : a propensity-matched study with a minimum ten-year follow-up.Bone & joint open · 2025Article
- Psychometric Analysis of the Hip Disability and Osteoarthritis Outcome Score (HOOS).Healthcare (Basel, Switzerland) · 2024Article
- Preoperative Function Affects Ability to Achieve One-Year Minimum Clinically Important Difference for Patients Undergoing Total Knee Arthroplasty.Arthroplasty today · 2024Article
- The Effectiveness of Preoperative Outpatient and Home Rehabilitation and the Impact on the Results of Hip Arthroplasty: Introductory Report.Healthcare (Basel, Switzerland) · 2024Article
- Defining a successful total knee arthroplasty: a systematic review of metrics of clinically important changes.Arthroplasty (London, England) · 2023Review
- Can a Purposeful Walk Intervention with a Distance Goal Using an Activity Monitor Improve Individuals' Daily Activity and Function Post Total Hip Replacement Surgery. A Randomized Pilot Trial.Cyborg and bionic systems (Washington, D.C.) · 2023Article
- Patient and Surgeon Risk-Taking Regarding Total Joint Arthroplasty.The Journal of arthroplasty · 2022Article
- Study on the Influencing Factors of Osteoarthritis in Southern China.Emergency medicine international · 2022Article
- Effect of Oral Tranexamic Acid on the Blood Transfusion Rate and the Incidence of Deep Vein Thromboembolism in Patients after TKA.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Validation of the Impact Index: can we measure disease effects on quality of life in patients with hip and knee osteoarthritis?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Do obese patients benefit from a kinematic, appropriately designed total knee prosthesis?Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
16 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundTotal hip replacement (THR)/total knee replacement (TKR) studies do not uniformly measure patient centered domains, pain, and function. We aim to validate existing measures of pain and function within subscales of standard instruments to facilitate measurement.
methodsWe evaluated baseline and 2-year pain and function for THR and TKR using Hip disability and Osteoarthritis Outcome Score (HOOS)/Knee Injury and Osteoarthritis Outcome Score (KOOS), with primary unilateral TKR (4796) and THR (4801). Construct validity was assessed by correlating HOOS/KOOS pain and activities of daily living (ADL), function quality of life (QOL), and satisfaction using Spearman correlation coefficients. Patient relevant thresholds for change in pain and function were anchored to improvement in QOL; minimally clinically important difference (MCID) corresponded to "a little improvement" and a really important difference (RID) to a "moderate improvement." Pain and ADL function scores were compared by quartiles using Kruskal-Wallis.
resultsTwo-year HOOS/KOOS pain and ADL function correlated with health-related QOL (KOOS pain and Short Form 12 Physical Component Scale ρ = 0.54; function ρ = 0.63). Comparing QOL by pain and function quartiles, the highest levels of pain relief and function were associated with the most improved QOL. MCID for pain was estimated at ≥20, and the RID ≥29; MCID for function ≥14, and the RID ≥23. The measures were responsive to change with large effect sizes (≥1.8).
conclusionWe confirm that HOOS/KOOS pain and ADL function subscales are valid measures of critical patient centered domains after THR/TKR, and achievable thresholds anchored to improved QOL. Cost-free availability and brevity makes them feasible, to be used in a core measurement set in total joint replacement trials.
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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.