Evidence map›Paper›PMID 32631419›Full record

ArticleBMC musculoskeletal disorders2020

Predictive ability of the American Society of Anaesthesiologists physical status classification system on health-related quality of life of patients after total hip replacement: comparisons across eight EQ-5D-3L value sets.

Fitsum Sebsibe Teni, Kristina Burström, Jenny Berg, Reiner Leidl, Ola Rolfson

Abstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

5 authors.

Fitsum Sebsibe TeniHealth Outcomes and Economic Evaluation Research Group, Stockholm Centre for Healthcare Ethics, Department of Learning Informatics, Management and Ethics (LIME), Karolinska Institutet, Stockholm, Sweden. fitsum.teni@ki.se.ORCID http://orcid.org/0000-0002-6182-499X
Kristina BurströmHealth Outcomes and Economic Evaluation Research Group, Stockholm Centre for Healthcare Ethics, Department of Learning Informatics, Management and Ethics (LIME), Karolinska Institutet, Stockholm, Sweden.
Jenny BergHealth Outcomes and Economic Evaluation Research Group, Stockholm Centre for Healthcare Ethics, Department of Learning Informatics, Management and Ethics (LIME), Karolinska Institutet, Stockholm, Sweden.
Reiner LeidlInstitute for Health Economics and Health Care Management, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
Ola RolfsonHealth Outcomes and Economic Evaluation Research Group, Stockholm Centre for Healthcare Ethics, Department of Learning Informatics, Management and Ethics (LIME), Karolinska Institutet, Stockholm, Sweden.

Funding

German Federal Ministry of Education and Research Grant 01GY1603AThe Swedish Government ALFGBG-522591
6 · The paper itself

Abstract

backgroundAmerican Society of Anaesthesiologists (ASA) physical status classification system and its association with postoperative outcomes has been studied in different diseases. However, there is a paucity of studies on the relationship between ASA class and postoperative health-related quality of life (HRQoL) outcomes following total hip replacement (THR). The aim of this study was to assess the discriminative abilities of EQ-5D-3L value sets from Sweden, Germany, Denmark and the United Kingdom in relation to ASA classes and these value sets' abilities to show the predictive performance of ASA classes on HRQoL among THR patients in Sweden.

methodsA longitudinal study was conducted using data of patients in the Swedish Hip Arthroplasty Register who underwent THR between 2008 and 2016. We included 69,290 pre- and 1-year postoperative records and 21,305 6-year postoperative records. The study examined three experience-based EQ-5D-3L value sets (the Swedish VAS and TTO and the German VAS) and five hypothetical value sets (TTO from Germany and VAS and TTO value sets from Denmark and the UK each). Using linear models, the abilities of the value sets to discriminate among ASA classes and to show the predictive performance of ASA classes on HRQoL score were assessed.

resultsAll value sets differentiated among ASA classes and showed the predictive effect of ASA classes on HRQoL. ASA classes were found to predict HRQoL consistently for all value sets investigated, with small variations in prediction error among the models.

conclusionASA classes of patients undergoing THR predicted HRQoL scores significantly and consistently, indicating their importance in tailoring care for patients.

Indexed as

Health Status IndicatorsPatient Reported Outcome MeasuresQuality of LifeRecovery of FunctionAgedAged, 80 and overArthroplasty, Replacement, HipFemaleHumansLinear ModelsLongitudinal StudiesMaleMiddle AgedPostoperative PeriodSocieties, MedicalSwedenAmerican Society of Anaesthesiologists (ASA) physical status classification systemEQ-5DSwedish Hip Arthroplasty Register (SHAR)Total hip replacementValue set

Identifiers

PMID32631419
PMCPMC7339530

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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.