SynthesisArchives of orthopaedic and trauma surgery2024
Patient reported outcome measures (PROMs) as primary and secondary outcomes in total hip and knee arthroplasty randomized controlled trials: a systematic review.
Synthesis in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Race, ethnicity, and language are underreported in hip fracture CPGs.Archives of orthopaedic and trauma surgery · 2026Review
- Noise Generation After Total Knee Arthroplasty: Comparison Between Mobile-Bearing and Cruciate-Retaining Designs with Minimum Two-Year Follow-Up.Journal of clinical medicine · 2026Article
- Quantitative refinement and multicentre psychometric validation of the Chinese total knee arthroplasty patient-reported outcome measure: a prospective cohort study with repeated measures.The Lancet regional health. Western Pacific · 2026Article
- 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
- Patellofemoral outcomes after kinematic versus mechanical alignment in primary total knee arthroplasty : a focused scoping review of head-to-head comparative studies.Bone & joint open · 2026Article
- Article
- Defining clinically meaningful values in the oxford hip score and factors associated with their achievement following aseptic revision total hip arthroplasty.International orthopaedics · 2026Article
- Prognostic value of early proms for one-year recovery trajectories after total hip arthroplasty.Scientific reports · 2026Article
- Readability Analysis of Commonly Cited Patient-Reported Outcome Measures in the Orthopaedic Joint Literature.Arthroplasty today · 2026Article
- Robotic total knee arthroplasty with functional positioning safely addresses major coronal deformities: Comparable complications and survivorship.Journal of experimental orthopaedics · 2026Article
- Use of total knee arthroplasty by type of public insurance scheme: a cross-sectional study based on claims data in Thailand.BMJ open · 2025Article
- Balance and Mobility in Comparison to Patient-Reported Outcomes-A Longitudinal Evaluation After Total Hip and Knee Arthroplasty.Journal of clinical medicine · 2025Article
- Treatment decisions and surgery variables are predictors of better physical function after total hip and knee arthroplasty: a retrospective cohort study.Arthroplasty (London, England) · 2025Article
- Medial Pivot prostheses generate less noise than mobile bearing and cruciate retaining total knee arthroplasties.Archives of orthopaedic and trauma surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSignificant heterogeneity exists regarding patient reported outcome measures (PROMs) used in total hip (THA) and knee (TKA) arthroplasty randomized controlled trials (RCTs). This study investigates the PROMs used as primary and secondary outcomes in contemporary arthroplasty RCTs.
methodsA literature search identified THA and TKA RCTs that were published in top ten impact factor orthopaedic journals from 2017 to 2021. Screening identified 241 trials: 76 THA, 157 TKA, and eight combined. Data were extracted to identify PROMs utilized as either primary or secondary outcomes and the time period of measurement.
resultsVisual Analog Scale (VAS) Pain was the most reported primary PROM in THA (9.2%) and TKA (22.9%) trials. This was followed by Numeric Rating Scale (NRS) Pain (7.9%) and the Harris Hip score (6.6%) in THA trials and NRS Pain (4.5%) and the Knee Society score (4.5%) in TKA trials. Many THA (37.0%) and TKA (52.1%) trials did not clearly specify primary outcome time points. Only pain scales were reported at time points less than one week, while various joint-specific functional outcomes were reported at later time points. As secondary outcomes, the Harris Hip score (28.9%) was most common in THA trials and the Knee Society score (26.1%) was most common in TKA trials. Indeterminate primary or secondary outcomes were reported in 18.2% of studies.
conclusionsContemporary THA and TKA trials exhibit heterogeneity of PROMs as study outcomes after the first postoperative week. Our findings highlight the need for consensus in PROM reporting and better methodological reporting to improve the interpretability of RCT outcomes. PROSPERO REGISTRATION NUMBER: CRD42022337255.
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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.