Evidence map›Paper›PMID 34735662›Full record

ArticleJournal of patient-reported outcomes2021

Personalized outcomes for hip and knee replacement: the patients point of view.

Robin R Whitebird, Leif I Solberg, Jeanette Y Ziegenfuss, Stephen E Asche, Christine K Norton, Marc F Swiontkowski, Steven P Dehmer, Elizabeth S Grossman

Abstract read
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In one paragraph

Article in Journal of patient-reported outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

8 authors.

Robin R WhitebirdMorrison Family College of Health, School of Social Work, University of St. Thomas, 2115 Summit Ave, Office: SCB #106, St. Paul, MN, 55105, USA. rrwhitebird@stthomas.edu.ORCID http://orcid.org/0000-0002-8700-5415
Leif I SolbergHealthPartners Institute, Minneapolis, MN, USA.
Jeanette Y ZiegenfussHealthPartners Institute, Minneapolis, MN, USA.
Stephen E AscheHealthPartners Institute, Minneapolis, MN, USA.
Christine K NortonPatient Advocate and Independent Research Consultant, Cottage Grove, MN, USA.
Marc F SwiontkowskiDepartment of Orthopeadic Surgery, University of Minnesota Medical School, Minneapolis, MN, USA.
Steven P DehmerHealthPartners Institute, Minneapolis, MN, USA.
Elizabeth S GrossmanHealthPartners Institute, Minneapolis, MN, USA.

Funding

Optimizing the Value of PROMs in Improving Care Delivery through Health Information TechnologyR18HS025618 · AHRQ · HEALTHPARTNERS INSTITUTE · PI SOLBERG, LEIF I · 2017 to 2021
$1.9M
Agency for Healthcare Research and Quality R18HS025618AHRQ HHS R18 HS025618
6 · The paper itself

Abstract

backgroundPatient reported outcome measures (PROMs) are increasingly being incorporated into clinical and surgical care for assessing outcomes. This study examined outcomes important to patients in their decision to have hip or knee replacement surgery, their perspectives on PROMs and shared decision-making, and factors they considered important for postoperative care.

methodsA cross-sectional study employing survey methods with a stratified random sample of adult orthopedic patients who were scheduled for or recently had hip or knee replacement surgery.

resultsIn a representative sample of 226 respondents, patients identified personalized outcomes important to them that they wanted from their surgery including the ability to walk without pain/discomfort, pain relief, and returning to an active lifestyle. They preferred a personalized outcome (54%) that they identified, compared to a PROM score, for tracking progress in their care and thought it important that their surgeon know their personal outcomes (63%). Patients also wanted to engage in shared decision-making (79%) about their post-surgical care and identified personal factors important to their aftercare, such as living alone and caring for pets.

conclusionsPatients identified unique personalized outcomes they desired from their care and that they wanted their orthopedic surgeons to know about. Asking patients to identify their personalized outcomes could add value for both patients and surgeons in clinical care, facilitating more robust patient involvement in shared decision-making.

Indexed as

Clinical careOrthopedic surgeryPatient-centered carePatient engagementPatient perspectivePatient reported outcomes (PRO)Performance measurementShared decision-making

Identifiers

PMID34735662
PMCPMC8569118

What OpenQuestion holds

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Registered trials

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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.