ArticleThe bone & joint journal2020
The use of patient-reported outcome measures to guide referral for hip and knee arthroplasty.
Article in The bone & joint journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 54 citations in OpenAlex.
- Waiting Time Prioritisation for Public and Private Providers: Evidence From Hip Replacement Surgery.Health economics · 2026Article
- Predicting persistent pain after total knee arthroplasty using different machine learning algorithms.Acta orthopaedica · 2026Article
- Short-Term Outcomes of Robotic-Arm-Assisted Patellofemoral Arthroplasty in Four Patients with Isolated Patellofemoral Arthritis: A Retrospective Surgical Case Series.Indian journal of orthopaedics · 2025Article
- Trabecular metal technology (TMT) cups in primary total hip arthroplasty: outcomes and survivorship of a large cohort.Archives of orthopaedic and trauma surgery · 2025Article
- Revision Surgery Is the Most Common Definition of Failure in Studies Evaluating Knee Cartilage Restoration Outcomes: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2025Review
- Analgesia and anesthesia for closed reduction of dislocated total hip arthroplasty: Protocol for a scoping review.Acta anaesthesiologica Scandinavica · 2025Article
- Early insights from the routine use of patient reported outcome measures in elective hip and knee arthroplasty at a public teaching hospital in South Australia.Journal of patient-reported outcomes · 2024Article
- Patient appropriateness for total knee arthroplasty and predicted probability of a good outcome.RMD open · 2023Article
- Outcomes Vary Significantly Using a Tiered Approach To Define Success After Total Hip Arthroplasty.The Iowa orthopaedic journal · 2023Article
- The Oxford Knee Score is a reliable predictor of patients in a health state worse than death and awaiting total knee arthroplasty.Arthroplasty (London, England) · 2022Article
- Using Artificial Intelligence to Revolutionise the Patient Care Pathway in Hip and Knee Arthroplasty (ARCHERY): Protocol for the Development of a Clinical Prediction Model.JMIR research protocols · 2022Article
- The metabolic equivalent of task score : a useful metric for comparing high-functioning hip arthroplasty patients.Bone & joint research · 2022Article
- Loss to patient-reported outcome measure follow-up after hip arthroplasty and knee arthroplasty : patient satisfaction, associations with non-response, and maximizing returns.Bone & joint open · 2022Article
- Is rationing of total hip arthroplasty justified? Working to optimize patient accessibility to surgery using long-term patient-reported outcome data.Bone & joint open · 2022Article
- Oxford knee score 1 year after TKR for osteoarthritis with reference to a normative population: What can patients expect?Osteoarthritis and cartilage open · 2021Article
- Insights into patient preferences for elective surgery during the COVID-19 pandemic.Bone & joint open · 2021Article
- Patient-reported outcome measures used in patients undergoing total knee arthroplasty.Bone & joint research · 2021Article
- Microfragmented Adipose Tissue Injection (MFAT) May Be a Solution to the Rationing of Total Knee Replacement: A Prospective, Gender-Bias Mitigated, Reproducible Analysis at Two Years.Stem cells international · 2021Article
- The use of patient-reported outcome measures to guide referral for hip and knee arthroplasty.The bone & joint journal · 2020Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
aimsTo calculate how the likelihood of obtaining measurable benefit from hip or knee arthroplasty varies with preoperative patient-reported scores.
methodsExisting UK data from 222,933 knee and 209,760 hip arthroplasty patients were used to model an individual's probability of gaining meaningful improvement after surgery based on their preoperative Oxford Knee or Hip Score (OKS/OHS). A clinically meaningful improvement after arthroplasty was defined as ≥ 8 point improvement in OHS, and ≥ 7 in OKS.
resultsThe upper preoperative score threshold, above which patients are unlikely to achieve any meaningful improvement from surgery, is 41 for knees and 40 for hips. At lower scores, the probability of improvement increased towards a maximum of 88% (knee) and 95% for (hips).
conclusionBy our definition of meaningful improvement, patients with preoperative scores above 41 (OKS) and 40 (OHS) should not be routinely referred to secondary care for possible arthroplasty. Using lower thresholds would incrementally increase the probability of meaningful benefit for those referred but will exclude some patients with potential to benefit. The findings are useful to support the complex shared decision-making process in primary care for referral to secondary care; and in secondary care for experienced clinicians counselling patients considering knee or hip arthroplasty, but should not be used in isolation. Cite this article:
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