Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Jul 25:7:101-8.
doi: 10.2147/PROM.S97774. eCollection 2016.

Systematic review of measurement properties of patient-reported outcome measures used in patients undergoing hip and knee arthroplasty

Kristina Harris  1 , Jill Dawson  2 , Elizabeth Gibbons  2 , Chris R Lim  1 , David J Beard  1 , Raymond Fitzpatrick  2 , Andrew J Price  1
Affiliations
Review

Systematic review of measurement properties of patient-reported outcome measures used in patients undergoing hip and knee arthroplasty

Kristina Harris et al. Patient Relat Outcome Meas. .

Abstract

Objectives: To identify patient-reported outcome measures (PROMs) that have been developed and/or used with patients undergoing hip or knee replacement surgery and to provide a shortlist of the most promising generic and condition-specific instruments.

Methods: A systematic review of the literature was performed to identify measures used in patients undergoing hip and knee replacement and extract and evaluate information on their methodological quality.

Results: Thirty-two shortlisted measures were reviewed for the quality of their measurement properties. On the basis of the review criteria, the measures with most complete evidence to date are the Oxford Hip Score (OHS) (for patients undergoing hip replacement surgery) and the Oxford Knee Score (OKS), with OKS-Activity and Participation Questionnaire (for patients undergoing knee replacement surgery).

Conclusion: A large number of these instruments lack essential evidence of their measurement properties (eg, validity, reliability, and responsiveness) in specific populations of patients. Further research is required on almost all of the identified measures. The best-performing condition-specific PROMs were the OKS, OHS, and Western Ontario and McMaster Universities Osteoarthritis Index. The best-performing generic measure was the Short Form 12. Researchers can use the information presented in this review to inform further psychometric studies of the reviewed measures.

Keywords: hip; knee; measurement properties; patient-reported outcome measures; reliability; systematic review; validity.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Instrument flow diagram. Abbreviations: PROMs, patient-reported outcome measures; OU, Oxford University; AMED, Allied and Complementary Medicine Database; PROMs, patient-reported outcome measures.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Fitzpatrick R, Davey C, Buxton MJ, Jones DR. Evaluating patient-based outcome measures for use in clinical trials. Health Technol Assess. 1998;2(14):1–74. - PubMed
    1. Mokkink LB, Terwee CB, Patrick DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol. 2010;63(7):737–745. - PubMed
    1. US Department of Health and Human Services, Food and Drug Administration Guidance for industry: patient-reported outcome measures: use in medical product development to support labeling claims. Health Qual Life Outcomes. 2009;4:79. - PMC - PubMed
    1. Patrick DL, Burke LB, Gwaltney CJ, et al. Content validity – establishing and reporting the evidence in newly developed patient-reported outcomes (PRO) instruments for medical product evaluation: ISPOR PRO good research practices Task Force report: part 2 – assessing respondent understanding. Value Health. 2011;14(8):978–988. - PubMed
    1. Patrick DL, Burke LB, Gwaltney CJ, et al. Content validity – establishing and reporting the evidence in newly developed patient-reported outcomes (PRO) instruments for medical product evaluation: ISPOR PRO good research practices task force report: part 1 – eliciting concepts for a new PRO instrument. Value Health. 2011;14(8):967–977. - PubMed

LinkOut - more resources