ArticleBone & joint research2022
Meaningful values in the Short Form Health Survey-36 after total knee arthroplasty - an alternative to the EuroQol five-dimension index as a measure for health-related quality of life : minimal clinically important difference, minimal important change, patient-acceptable symptom state thresholds, and responsiveness.
Article in Bone & joint research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- SAGES systematic review and meta-analysis for the management of symptomatic walled-off pancreatic necrosis.Surgical endoscopy · 2026Pooled it
- Peer-supported interventions for people with spinal cord injury.The Cochrane database of systematic reviews · 2024Pooled it
- The effect of breathing exercises and mindset with or without cold exposure on mental and physical health in persons with a spinal cord injury-Results of a randomized controlled trial.Clinical rehabilitation · 2026Trial
- Web-based education enhances self-care agency, self-efficacy, and quality of life in patients undergoing total knee arthroplasty: a randomized controlled trial.Journal of orthopaedic surgery and research · 2026Trial
- Impact of Neuman model-guided stepped care on elderly gastric cancer patients' postop recovery.World journal of gastrointestinal surgery · 2025Trial
- Preoperative education on realistic expectations improves the satisfaction of patients with central sensitization after total knee arthroplasty: a randomized-controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- Translation, cross-cultural adaptation and preliminary validation of the Dutch version of the TOGETHER questionnaire - a tool designed to assess how family members of patients perceive their involvement in the care provided by nurses.International journal of nursing studies advances · 2026Article
- Preoperative health-related quality of life across four degenerative lumbar conditions in a multi-ethnic Southeast Asian surgical cohort: a cross-sectional SF-36 analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Effects of Adding Ultrasound-Guided Percutaneous Neuromodulation to a Percutaneous Needle Electrolysis and Eccentric Exercise Intervention in Patellar Tendinopathy: A Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2026Article
- The impact of preoperative depressive symptoms on acute and chronic postoperative pain trajectories after orthopedic surgery for adolescent idiopathic scoliosis: a prospective cohort study.Journal of orthopaedic surgery and research · 2026Article
- Multicentre validation of a patient-reported outcome measure for functional movement disorders.Journal of neurology, neurosurgery, and psychiatry · 2026Article
- Establishing Threshold Values for the Patient Acceptable Symptom State After Anterior Cruciate Ligament Reconstruction for the Self Knee Value and the Anterior Cruciate Ligament-Return to Sport after Injury Scale.Orthopaedic journal of sports medicine · 2025Article
- Complex primary total knee arthroplasty with constrained condylar knee in post-traumatic arthritis: a retrospective comparison between 3D-printed patient-specific instrumentation and conventional instrumentation.Journal of orthopaedic surgery and research · 2025Article
- Improvement in Central Sensitization Following Total Knee Arthroplasty Is Associated With Severe Preoperative Pain and Affects Postoperative Quality of Life: A Retrospective Study.Orthopaedic surgery · 2025Article
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- The Effects of Adding Probiotic, Alone and in Combination With Zinc, to Routine Treatment on Recurrence of Hepatic Encephalopathy, Quality of Life, and Sleep Quality in Patients With Cirrhosis: An Open-Label Randomized Controlled Trial.Food science & nutrition · 2025Article
- Factors influencing the decision to receive total knee replacement among patients with severe knee osteoarthritis under universal health insurance coverage.Scientific reports · 2024Article
- Preoperative veterans RAND-12 mental composite score of < 35 is associated with increased length of stay and high rates of discharge to rehab after primary total joint arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient-acceptable symptom state (PASS) in patients who have undergone total knee arthroplasty: a systematic review.Knee surgery & related research · 2024Review
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo identify the responsiveness, minimal clinically important difference (MCID), minimal clinical important change (MIC), and patient-acceptable symptom state (PASS) thresholds in the 36-item Short Form Health Survey questionnaire (SF-36) (v2) for each of the eight dimensions and the total score following total knee arthroplasty (TKA).
methodsThere were 3,321 patients undergoing primary TKA with preoperative and one-year postoperative SF-36 scores. At one-year patients were asked how satisfied they were and "How much did the knee arthroplasty surgery improve the quality of your life?", which was graded as: great, moderate, little (n = 277), none (n = 98), or worse.
resultsPhysical function, role limitations due to physical problems ('role physical'), bodily pain, and the total score SF-36 scores demonstrated the greatest effect sizes (> 0.9). The MCID for each of SF-36 dimensions ranged from 1.7 for role emotional to 6.4 for bodily pain. The MICs for a cohort of patients ranged from -1.0 for general health to 11.1 for bodily pain. The MICs for an individual patient were marginally greater (one to two points) compared to those for a cohort, and ranging from 0.0 for general and mental health to 13.5 for physical function. The lowest PASS score threshold was associated with physical function (> 34 points) whereas the greatest threshold (> 69 points) was associated with mental health.
conclusionThe SF-36 is a responsive tool, and the estimates for MCID, MIC, and PASS thresholds that can be used to power studies, assess whether there has been a meaningful change in patients' health-related quality of life, and can be used as a marker of achieving patient satisfaction following TKA. Cite this article:
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