ArticleArthroplasty today2020
The Relationship Between Preoperative Oxford Hip and Knee Score and Change in Health-Related Quality of Life After Total Hip and Total Knee Arthroplasty: Can It Help Inform Rationing Decisions?
Article in Arthroplasty today, 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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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.
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Who cites it
19 citing papers in PubMed, 29 citations in OpenAlex.
- Preoperative knee joint hypothermia reduces inflammation and recovery time and increases range of motion after total knee arthroplasty: A randomized controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Trial
- Patient Acceptable Symptom State (PASS) Threshold in the Oxford Hip Score 12 Months Following Primary Total Hip Arthroplasty: Factors Associated with Failure to Achieve the Threshold and the Impact on Hip-Specific Outcomes, Quality of Life, and Satisfaction.Journal of clinical medicine · 2026Article
- Variation in patient-reported outcomes after total hip replacement across ten high-volume hospitals in Germany: results from a multicenter, prospective, longitudinal Cohort Study.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Systematic literature review on biopsychosocial factors in the surgical waiting list.Clinics (Sao Paulo, Brazil) · 2026Review
- Polyethylene hip resurfacing in patients with lower leg amputations.Annals of joint · 2026Article
- The impact of total knee arthroplasty on functional outcomes and mental health: A prospective study.Journal of experimental orthopaedics · 2025Article
- Do patient-reported outcome scores better identify outlier surgical practice compared with revision rates for total knee arthroplasty?Acta orthopaedica · 2025Article
- Outcomes of salvage total hip arthroplasty after failed cannulated screw fixation of fractured neck of femur.Journal of orthopaedics · 2025Article
- 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
- When does patient function "Plateau" after total joint arthroplasty? A cohort study.International orthopaedics · 2024Article
- Predicting Functional Outcomes of Total Hip Arthroplasty Using Machine Learning: A Systematic Review.Journal of clinical medicine · 2024Review
- Short- and Long-Term Outcomes in Patients With Lower Extremity Amputations Undergoing Total Hip and Knee Arthroplasty.Arthroplasty today · 2023Article
- Prioritisation of patients awaiting hip and knee arthroplasty: Lower pre-operative EQ-5D is associated with greater improvement in quality of life and joint function.Musculoskeletal care · 2022Article
- 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
- Prioritization versus rationing of healthcare - elective surgery is not optional surgery : how should priority be assessed to ensure equity?Bone & joint research · 2022Article
- The feasibility of achieving Elective Care Framework targets for total hip arthroplasty and total knee arthroplasty in Northern Ireland.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
- Minimum 10-Year Clinical Outcome of Lateral Collagen Meniscal Implants for the Replacement of Partial Lateral Meniscal Defects: Further Results From a Prospective Multicenter Study.Orthopaedic journal of sports medicine · 2021Article
- Elective orthopaedic cancellations due to the COVID-19 pandemic: where are we now, and where are we heading?Bone & joint open · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn countries with publicly funded health care, there is an increasing need for explicit rationing for total joint arthroplasty (TJA). The Oxford Hip and Knee Scores (OHS/OKS) have been used to set access thresholds for TJA despite not being developed for that purpose. The aim of this study was to determine whether preoperative OHS/OKS can aid rationing decisions by investigating the changes in general health-related quality of life after TJA.
methodsOHS/OKS, Short Form-12, and Short Form-6D (SF-6D) scores were collected preoperatively and at 1 year postoperatively in a cohort of patients undergoing total hip arthroplasty (THA; n = 713) and total knee arthroplasty (TKA; n = 520). The association between preoperative OHS/OKS and postoperative score and the change in OHS/OKS and SF-6D was investigated, adjusting for age and gender.
resultsThe mean Oxford scores improved from 13.9 to 40.7 (OHS) and 15.6 to 37.4 (OKS). The mean SF-6D improved after THA (0.53 to 0.80) and TKA (0.56 to 0.78) (all
conclusionsPreoperative OHS/OKS can help inform rationing decisions. A lower preoperative OHS/OKS will result in greater gains but a lower final outcome score in general health-related quality of life.
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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.