Article
Health Care Sciences & Services
Conrad J. Harrison, Constantin Yves Plessen, Gregor Liegl, Jeremy N. Rodrigues, Shiraz A. Sabah, David J. Beard, Felix Fischer
Summary: This study aims to develop item response theory (IRT) models that convert patient responses into continuous scores and provide web applications for efficient score conversion. The study tested the assumptions of IRT with data from the National Health Service patient-reported outcome measures program and found that the hip and knee datasets demonstrated unidimensionality and measurement invariance. The models provided precise measurements in preoperative settings and can be used for sensitivity analyses.
JOURNAL OF CLINICAL EPIDEMIOLOGY
(2023)
Article
Orthopedics
Alexander J. Nedopil, Nelson Greidanus, Donald S. Garbuz, Lisa C. Howard, Eric C. Sayre, Bassam A. Masri
Summary: This study aimed to examine the influence of desired knee function on postoperative perceived knee function 1 year after total knee arthroplasty (TKA). The results showed that higher preoperative desired function predicted greater postoperative patient-reported outcome measures (PROMs), while preoperative knee function was not associated with postoperative PROMs.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Health Care Sciences & Services
Barbara L. Conner-Spady, Deborah A. Marshall, Eric Bohm, Michael J. Dunbar, Lynda Loucks, Tom W. Noseworthy
Summary: The purpose of this study was to define the patient acceptable symptom state (PASS) cut-off values for EQ-5D-5L and Oxford hip (OHS) and knee (OKS) scores 6 and 12 months after total hip or knee replacement. The study compared PASS cut-off values for EQ-5D-5L scored using different value sets and found variations in cut-off values across methods, timing of assessment, and value sets. This suggests caution is needed when using EQ-5D-5L PASS cut-off values developed in different countries.
QUALITY OF LIFE RESEARCH
(2023)
Article
Orthopedics
S-E Soh, I. A. Harris, K. Cashman, S. E. Graves, I. N. Ackerman
Summary: This study developed and validated bi-directional crosswalks between the Oxford Hip Score (OHS) and HOOS-12 summary impact score, and between the Oxford Knee Score (OKS) and KOOS-12 summary impact score. The results showed high correlation and concordance between actual scores and crosswalk-derived scores, suggesting that these crosswalks can be used for PROMs score conversion and data harmonisation efforts in clinical practice, research, and joint replacement registries.
OSTEOARTHRITIS AND CARTILAGE
(2022)
Article
Orthopedics
Kimie Fujita, Kiyoko Makimoto, Yasuko Tabuchi, Yuriko Matsunaga-Myoji, Masaaki Mawatari
Summary: This study investigated the trajectory of functional measurement and patient satisfaction up to 10 years post-total hip arthroplasty (THA) in Japan. The results showed gradual improvement in patient function postoperatively and a low rate of surgical dissatisfaction.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Graham S. Goh, Hamid Rahmatullah Bin Abd Razak, Darren Keng-Jin Tay, Ngai-Nung Lo, Seng-Jin Yeo
Summary: The study found that early post-operative scores, specifically the OKS and KSS knee score, can accurately predict patient satisfaction at 2 years after TKA. The threshold values offer surgeons an additional tool to identify patients at risk of dissatisfaction at 2 years, allowing them to intervene earlier to ensure good patient satisfaction.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2021)
Article
Orthopedics
Yong Zhi Khow, Ming Han Lincoln Liow, Graham S. Goh, Jerry Yongqiang Chen, Ngai Nung Lo, Seng Jin Yeo
Summary: The study aimed to determine the minimal clinically important difference (MCID) for the Oxford Knee Score (OKS) in revision total knee arthroplasty (TKA) using data from 191 patients. MCID was evaluated using three methods: anchor-based linear regression, anchor-based ROC analysis, and distribution-based method, resulting in different MCID values for patient satisfaction and implant survivorship.
Article
Surgery
Mei Lin Tay, A. Paul Monk, Chris M. M. Frampton, Gary J. J. Hooper, Simon W. W. Young
Summary: This study aimed to investigate the association between the Oxford Knee Score (OKS) and patient outcomes. The results showed that an increase in OKS was associated with a decreased risk of knee revision, and a decrease of seven or more points in OKS was associated with a higher risk of revision compared to previous follow-ups.
ANZ JOURNAL OF SURGERY
(2023)
Article
Medicine, General & Internal
Luigi U. Romano, Marta Rigoni, Emanuele Torri, Marilena Nella, Monica Morandi, Piergiorgio Casetti, Giandomenico Nollo
Summary: Fast-track surgery, compared to standard care, showed significant improvements in various outcomes, including decreased hemoglobin drop, increased predischarge hemoglobin levels, reduced need for transfusion and reinfusion, lower pain levels, faster ambulation time, shorter hospital length of stay, and higher rates of discharge to home/outpatient care. Compliance with the fast-track protocol and related programs led to improved clinical and organizational outcomes, with reduced complications over a three-year follow-up period.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
Sarah Abbott, Sarkhell Radha, Irrum Afzal, Karam Sarsam, Nick D. Clement, Deiary F. Kader
Summary: The study aimed to assess the Oxford knee scores (OKS) on patients who underwent total knee arthroplasty (TKA) with patellar resurfacing compared to those who did not. The study found that there was no difference in OKS change at 1 or 2 years between the two groups, but patients who underwent patellar resurfacing had a significantly greater improvement in the ability to descend stairs at 1 year.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Orthopedics
Scott A. Muffly, Qiang An, Nicholas A. Bedard, Timothy S. Brown, Jesse E. Otero
Summary: The study analyzed ED visits within 30 days of TJA and found that 5.4% of cases resulted in ED visits, with the majority related to surgical limb pain, wound concerns, and swelling. These common complaints accounted for a minority of readmissions and reoperations.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Mei Lin Tay, A. Paul Monk, Chris M. Frampton, Gary J. Hooper, Simon W. Young
Summary: This study analyzed data from the New Zealand Joint Registry and found that overall pain, limping when walking, and knee giving way were the strongest predictors of subsequent knee arthroplasty revision. Paying attention to these issues can help identify patients at highest risk of revision.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Health Care Sciences & Services
Camilla Holmenlund, Soren Overgaard, Randi Bilberg, Claus Varnum
Summary: The Oxford Hip Score is used to evaluate outcomes after total hip arthroplasty. Through focus group interviews, it was found that while some items in the Oxford Hip Score are still relevant for patients, there are important items missing that are crucial for present-day total hip arthroplasty patients, such as certain physical activities, functional abilities, and aspects of quality of life and psychological health. This suggests a need for revision of the Oxford Hip Score.
HEALTH AND QUALITY OF LIFE OUTCOMES
(2021)
Review
Rehabilitation
Daniela Bichsel, Fabian D. Liechti, Judith M. Schlapbach, Maria M. Wertli
Summary: This study compared guideline recommendations and level of evidence for the treatment of hip and knee osteoarthritis. The findings revealed variations in recommendations and evidence levels, particularly in terms of treatment timing and surgical referrals.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Review
Medicine, General & Internal
Cesar Fernandez-de-las-Penas, Lidiane L. Florencio, Ana I. de-la-Llave-Rincon, Ricardo Ortega-Santiago, Margarita Cigaran-Mendez, Stella Fuensalida-Novo, Gustavo Plaza-Manzano, Lars Arendt-Nielsen, Juan A. Valera-Calero, Marcos J. Navarro-Santana
Summary: This study synthesized current evidence on prognostic factors for predicting postoperative pain after knee or hip replacement. The findings suggest that various preoperative factors, including race, opioid use, preoperative function, neuropathic pain symptoms, and anxiety, are associated with postoperative chronic pain. Additionally, certain comorbidities, such as heart disease and lung disease, are not associated with postoperative chronic pain.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Nick D. Clement, Reynard J. Immelman, Deborah MacDonald, Steffen J. Breusch, Colin R. Howie
Summary: The study aimed to evaluate the survival and clinical outcome of a cemented acetabular component with bulk roof autograft for acetabular dysplasia with a minimum of 12 years follow-up. The results showed that this method provided excellent survival, good to excellent functional outcome, and high patient satisfaction in the medium- to long-term.
Article
Orthopedics
N. D. Clement, M. S. Gaston, A. H. Simpson
Summary: The objective of this study was to assess the cellular age-related changes in fracture repair and relate these to the observed radiographic assessments at differing time points. The results showed that elderly mice demonstrated a delay in endochondral ossification which was associated with a decreased relative bone mineral content at the fracture site.
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
(2023)
Article
Health Care Sciences & Services
T. Schurr, F. Loth, E. Lidington, C. Piccinin, J. Arraras, M. Groenvold, B. Holzner, M. van Leeuwen, M. A. Petersen, H. Schmidt, T. Young, J. M. I. Giesinger, Juan I. Arraras, Mogens Groenvold, Marieke van Leeuwen
Summary: This study compared the content of commonly used patient-reported outcome (PRO) measures for physical function (PF) in cancer patients and found conceptual differences among them. The findings provide a better understanding for establishing common metrics.
BMC MEDICAL RESEARCH METHODOLOGY
(2023)
Article
Oncology
Maria Rothmund, Micha J. J. Pilz, Nathalie Egeter, Emma Lidington, Claire Piccinin, Juan I. I. Arraras, Mogens Gronvold, Bernhard Holzner, Marieke van Leeuwen, Morten Aa. Petersen, Heike Schmidt, Teresa Young, Johannes M. M. Giesinger, EORTC Quality Life Grp
Summary: This study compared the content of commonly used patient-reported outcome measures (PROMs) and found that they cover 132 unique items primarily focusing on emotional functioning, with the majority of items falling under the third-level category of "emotional functions, other specified".
Article
Critical Care Medicine
Navnit S. Makaram, Andrew J. Hall, Nicholas D. Clement, Alasdair J. MacLullich, A. Hamish R. W. Simpson
Summary: Hip fracture is a common and serious orthopaedic injury among older people. In Scotland, the number of hip fractures is expected to rise from 7,000 to 10,300 per year by 2029. This narrative review discusses the Scottish Hip Fracture Audit, its impact on improving hip fracture care and outcomes, and the current status of hip fracture registries around the world. Future directions for improving hip fracture care through data collection and standardization are also explored.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Health Care Sciences & Services
Francesco Cottone, Fabio Efficace, David Cella, Neil K. Aaronson, Johannes M. Giesinger, Jean-Baptiste Bachet, Christophe Louvet, Emilie Charton, Gary S. Collins, Amelie Anota
Summary: This study applied the estimand framework to analyze time to deterioration in patient-reported outcomes. The results showed significant differences in estimates depending on the statistical methods used, especially when considering death as a competing risk. Therefore, the Fine-Gray competing risks model should be considered to reflect the patient's experience of the disease and treatment burden.
JOURNAL OF CLINICAL EPIDEMIOLOGY
(2023)
Article
Orthopedics
B. Chen, N. D. Clement, D. MacDonald, D. F. Hamilton, P. Gaston
Summary: This study performed a cost-utility analysis for total knee arthroplasty (TKA) over a 10-year follow up period. The Triathlon group had a significantly greater QALY gain compared with the Kinemax group at 10 years. The 3.5% annual discounts for QALY gain were the most accurate.
Editorial Material
Cell & Tissue Engineering
A. H. R. W. Simpson, N. S. Makaram, E. Harrison, J. Norrie
BONE & JOINT RESEARCH
(2023)
Article
Orthopedics
C. E. H. Scott, G. T. Snowden, W. Cawley, K. R. Bell, D. J. MacDonald, G. J. Macpherson, L. Z. Yapp, N. D. Clement
Summary: This study examines the long-term patient-reported outcome measures (PROMs) following cemented single radius total knee arthroplasty (TKA). The results show significant and sustained improvements in PROMs, with the highest scores for Oxford Knee Score (OKS) observed at five years and for physical health at one year. Patient satisfaction remained high at 15 years.
Article
Orthopedics
L. Z. Yapp, C. E. H. Scott, D. J. MacDonald, C. R. Howie, A. H. R. W. Simpson, N. D. Clement
Summary: This study aimed to investigate whether primary knee arthroplasty (KA) restores health-related quality of life (HRQoL) to levels expected in the general population. Using retrospective case-control design, HRQoL data from patients undergoing KA were compared with data from the Health Survey for England. The results showed that patients awaiting KA had poorer HRQoL compared to the general population, but one year after surgery, their HRQoL improved significantly and reached levels similar to their matched peers.
BONE & JOINT JOURNAL
(2023)
Article
Orthopedics
Thomas R. Williamson, Patrick G. Robinson, Iain R. Murray, Andrew D. Murray, Julie M. McBirnie, C. Michael Robinson, Deborah J. MacDonald, Nicholas D. Clement
Summary: This study aimed to determine the level of return to golf following rotator cuff repair, the barriers to return, and factors associated with failure to return. The results showed that 76.3% of patients successfully returned to golf, mostly to their previous performance level, and had improved quality of life. Persistent shoulder dysfunction was the primary barrier to return.
CLINICS IN SHOULDER AND ELBOW
(2023)
Article
Orthopedics
D. F. Hamilton, P. Gaston, G. J. Macpherson, P. Simpson, N. D. Clement
Summary: The primary aim of this study is to assess the survival of the uncemented hydroxyapatite coated Trident II acetabular component as part of a hybrid total hip arthroplasty. The secondary aims include assessing complications, joint-specific function, health-related quality of life, and radiological signs of loosening. This prospective cohort study will recruit 125 patients and assess functional and radiological outcomes up to ten years following the surgery.
Article
Orthopedics
William M. Oliver, Jamie A. Nicholson, Katrina R. Bell, Thomas H. Carter, Timothy O. White, Nicholas D. Clement, Andrew D. Duckworth, A. Hamish R. W. Simpson
Summary: This study aimed to assess the feasibility and reliability of ultrasound in evaluating humeral shaft fracture healing, as well as the accuracy of 6-week ultrasound in predicting nonunion. The results showed that ultrasound assessment of humeral shaft fracture healing was feasible, reliable, and may predict nonunion.
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
(2023)