Document Detail

What is a good patient reported outcome after total hip replacement?
MedLine Citation:
PMID:  20951814     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: There is an increasing movement to collect and report patient reported outcome measures (PROM's) following total hip replacement (THR). In the UK, the procedure specific PROM of choice is the Oxford Hip Score (OHS). It is currently unclear how to use this information to determine outcome following surgery. The aim of this study was to define a threshold for the OHS that is correlated with patient satisfaction.
DESIGN: Prospective cohort study.
SETTING: A district general hospital (St. Helier Hospital, Carshalton, UK).
PARTICIPANTS: 799 patients receiving THR from 1995 to 2004.
MAIN OUTCOME MEASURES: At 12 and 24 months after surgery patients were asked if they were satisfied with surgery and completed the OHS. Receiver operating characteristic (ROC) analyses were used to identify thresholds of follow-up OHS, which best discriminated patient satisfaction. Analyses were stratified by age, sex, body mass index (BMI), baseline OHS and patient expectations.
RESULTS: 91.9% of patients were satisfied with THR at 12 months (92.8% at 24 months). Using the ROC technique, the OHS at 12 months associated with patient satisfaction was 38 and at 24 months 33. The OHS at 24 months associated with satisfaction was higher in those with highest tertile of baseline OHS (30, 33, 43 respectively), and lowest tertile of BMI.
CONCLUSIONS: We have identified a value of the OHS that predicts patient satisfaction 12-24 months following THR within a standard clinical setting. However, this threshold is markedly influenced by pre-operative OHS and should be stratified accordingly.
N K Arden; A Kiran; A Judge; L C Biant; M K Javaid; D W Murray; A J Carr; C Cooper; R E Field
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-10-15
Journal Detail:
Title:  Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society     Volume:  19     ISSN:  1522-9653     ISO Abbreviation:  Osteoarthr. Cartil.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-31     Completed Date:  2011-03-28     Revised Date:  2014-02-20    
Medline Journal Info:
Nlm Unique ID:  9305697     Medline TA:  Osteoarthritis Cartilage     Country:  England    
Other Details:
Languages:  eng     Pagination:  155-62     Citation Subset:  IM    
Copyright Information:
Copyright © 2010. Published by Elsevier Ltd.
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MeSH Terms
Aged, 80 and over
Arthroplasty, Replacement, Hip*
Cohort Studies
Middle Aged
Outcome Assessment (Health Care)*
Patient Satisfaction*
Prospective Studies
Questionnaires / standards
Sensitivity and Specificity
Grant Support
MC_UP_A620_1014//Medical Research Council; //Medical Research Council

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