Evidence map›Paper›PMID 40399733›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Mapping the importance of each individual element accounted by HOOS and VR-12 on 1-year patient satisfaction after primary total hip arthroplasty: a prospective institutional analysis.

Brian Benyamini, Ahmed K Emara, Ignacio Pasqualini, Alvaro Ibaseta, Alison K Klika, Shujaa T Khan, Matthew R Zielinski, Cleveland Clinic Adult Reconstruction Research, Nicolas S Piuzzi

Abstract read
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Brian BenyaminiCleveland Clinic Lerner College of Medicine, Cleveland, United States. benyamb@ccf.org.
Ahmed K EmaraCleveland Clinic, Cleveland, United States.
Ignacio PasqualiniCleveland Clinic, Cleveland, United States. pasquai@ccf.org.
Alvaro IbasetaCleveland Clinic, Cleveland, United States.
Alison K KlikaCleveland Clinic, Cleveland, United States.
Shujaa T KhanCleveland Clinic, Cleveland, United States.
Matthew R ZielinskiCleveland Clinic, Cleveland, United States.
Cleveland Clinic Adult Reconstruction ResearchCleveland Clinic, Cleveland, United States.
Nicolas S PiuzziCleveland Clinic, Cleveland, United States. piuzzin@ccf.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to determine the significance of individual questions from the hip osteoarthritis outcome score (HOOS), HOOS Physical Function Shortform (PS), HOOS Joint Replacement (JR), and Veterans-Rand (VR)-12 mental composite score (MCS) in achieving a patient acceptable symptom state (PASS).

methodsA retrospective study of a prospectively collected cohort of 8236 unilateral elective primary THAs was analyzed. Responses were collected for 18 HOOS questions (pain, PS, and JR) and 6 VR-12 questions used to calculate MCS preoperatively and 1-year postoperatively. PASS was assessed through a positive response to a binary satisfaction-related question. The association between responses to questions and outcomes was examined via multivariable logistic regression models stratified by sex.

resultsSex-specific differences in PASS attainment were observed. In males, a poorer preoperative response in HOOS-PS assessing a patient's difficulty to sit or run comfortably due to their hip was independently associated with reduced odds of achieving PASS at 1-year post-THA (odds ratio [OR] = 0.66 [95% confidence interval [CI] 0.52-0.83], P = 0.001, and OR = 0.83 [0.73-0.95], P = 0.01, respectively). Additionally, a more favorable preoperative response in the MCS metric of feeling down and blue (OR = 1.15 [95% CI 1.03-1.28], P = 0.01) was associated with increased PASS attainment, whereas a poorer preoperative response to having energy (OR = 0.86 [95% CI 0.76-0.97], P = 0.02) was associated with reduced PASS attainment. In females, only a poorer preoperative response in feeling calm and peaceful (OR = 0.87 [95% CI 0.78-0.96], P = 0.01) was associated with reduced odds of PASS attainment.

conclusionIndividual questions of the HOOS and VR-12 MCS were identified as being independently associated with achieving patient satisfaction at one-year following THA. Notably, predictors of satisfaction differed by sex, with both physical function and mental health factors playing a larger role in males, while mental health alone was predictive in females. Understanding specific aspects that matter most to patients, such as mental health, allows healthcare providers to tailor their care to better meet patients' needs. This approach could involve counseling, stress management techniques, and interventions aimed at reducing feelings of depression and anxiety. LEVEL OF EVIDENCE: III.

Indexed as

Arthroplasty, Replacement, HipOsteoarthritis, HipPatient SatisfactionAgedFemaleHumansMaleMiddle AgedProspective StudiesRetrospective StudiesSex FactorsSurveys and QuestionnairesHOOSMCIDPASSTHA

Identifiers

PMID40399733
PMCPMC12095405

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.