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Comment
. 2016 Jul;87 Suppl 1(Suppl 1):9-23.
doi: 10.1080/17453674.2016.1181816. Epub 2016 May 26.

Patient-reported outcome measures in arthroplasty registries Report of the Patient-Reported Outcome Measures Working Group of the International Society of Arthroplasty Registries Part II. Recommendations for selection, administration, and analysis

Ola Rolfson  1 , Eric Bohm  2 , Patricia Franklin  3 , Stephen Lyman  4 , Geke Denissen  5 , Jill Dawson  6 , Jennifer Dunn  7 , Kate Eresian Chenok  8 , Michael Dunbar  9 , Søren Overgaard  10 , Göran Garellick  1 , Anne Lübbeke  11 ; Patient-Reported Outcome Measures Working Group of the International Society of Arthroplasty Registries
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Comment

Patient-reported outcome measures in arthroplasty registries Report of the Patient-Reported Outcome Measures Working Group of the International Society of Arthroplasty Registries Part II. Recommendations for selection, administration, and analysis

Ola Rolfson et al. Acta Orthop. 2016 Jul.

Abstract

- The International Society of Arthroplasty Registries (ISAR) Patient-Reported Outcome Measures (PROMs) Working Group have evaluated and recommended best practices in the selection, administration, and interpretation of PROMs for hip and knee arthroplasty registries. The 2 generic PROMs in common use are the Short Form health surveys (SF-36 or SF-12) and EuroQol 5-dimension (EQ-5D). The Working Group recommends that registries should choose specific PROMs that have been appropriately developed with good measurement properties for arthroplasty patients. The Working Group recommend the use of a 1-item pain question ("During the past 4 weeks, how would you describe the pain you usually have in your [right/left] [hip/knee]?"; response: none, very mild, mild, moderate, or severe) and a single-item satisfaction outcome ("How satisfied are you with your [right/left] [hip/knee] replacement?"; response: very unsatisfied, dissatisfied, neutral, satisfied, or very satisfied). Survey logistics include patient instructions, paper- and electronic-based data collection, reminders for follow-up, centralized as opposed to hospital-based follow-up, sample size, patient- or joint-specific evaluation, collection intervals, frequency of response, missing values, and factors in establishing a PROMs registry program. The Working Group recommends including age, sex, diagnosis at joint, general health status preoperatively, and joint pain and function score in case-mix adjustment models. Interpretation and statistical analysis should consider the absolute level of pain, function, and general health status as well as improvement, missing data, approaches to analysis and case-mix adjustment, minimal clinically important difference, and minimal detectable change. The Working Group recommends data collection immediately before and 1 year after surgery, a threshold of 60% for acceptable frequency of response, documentation of non-responders, and documentation of incomplete or missing data.

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References

    1. Ayers D C, Li W, Oatis C, Rosal M C, Franklin P D.. Patient-reported outcomes after total knee replacement vary on the basis of preoperative coexisting disease in the lumbar spine and other nonoperatively treated joints: the need for a musculoskeletal comorbidity index. J Bone Joint Surg Am 2013; 95(20): 1833–7. - PMC - PubMed
    1. Baker P N, van der Meulen J H, Lewsey J, Gregg P J, National Joint Registry for England and Wales. The role of pain and function in determining patient satisfaction after total knee replacement. Data from the National Joint Registry for England and Wales. J Bone Joint Surg Br 2007; 89(7): 893–900. - PubMed
    1. Baker P N, Rushton S, Jameson S S, Reed M, Gregg P, Deehan D. J. Patient satisfaction with total knee replacement cannot be predicted from pre-operative variables alone: a cohort study from the National Joint Registry for England and Wales. Bone Joint J 2013; 95-B(10): 1359–65. - PubMed
    1. Barton G R, Sach T H, Avery A J, Doherty M, Jenkinson C, Muir K R.. Comparing the performance of the EQ-5D and SF-6D when measuring the benefits of alleviating knee pain. Cost Eff Resour Alloc 2009; 7: 12. doi: 10.1186/1478-7547-7-12. - DOI - PMC - PubMed
    1. Bellamy N, Buchanan W W, Goldsmith C H, Campbell J, Stitt L W.. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 1988; 15(12): 1833–40. - PubMed

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