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What is a good patient reported outcome after total hip replacement?

What is a good patient reported outcome after total hip replacement?
What is a good patient reported outcome after total hip replacement?
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.
hip replacement, hip arthroplasty, oxford hip score, satisfaction, patient-reported outcomes
1063-4584
155-162
Arden, N.K.
23af958d-835c-4d79-be54-4bbe4c68077f
Kiran, A.
5c4f2210-4951-4226-a44b-e6ecfb9c5c71
Judge, A.
c6a83964-1d7c-4aa8-b2bf-9c264d1e487d
Biant, L.C.
92edacce-c8b8-47ea-aa8f-60c320760b6b
Javaid, M.K.
51d3310b-032e-4c15-83ac-b878bce090f3
Murray, D.W.
f581b8f8-3f6d-46c4-8c90-0642ae6048b9
Carr, A.J.
8989b4b9-e986-4599-8595-f17ab2f0c960
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Field, R.E.
3aa1f63f-605c-42a4-a7e2-fc506f7fdd43
Arden, N.K.
23af958d-835c-4d79-be54-4bbe4c68077f
Kiran, A.
5c4f2210-4951-4226-a44b-e6ecfb9c5c71
Judge, A.
c6a83964-1d7c-4aa8-b2bf-9c264d1e487d
Biant, L.C.
92edacce-c8b8-47ea-aa8f-60c320760b6b
Javaid, M.K.
51d3310b-032e-4c15-83ac-b878bce090f3
Murray, D.W.
f581b8f8-3f6d-46c4-8c90-0642ae6048b9
Carr, A.J.
8989b4b9-e986-4599-8595-f17ab2f0c960
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Field, R.E.
3aa1f63f-605c-42a4-a7e2-fc506f7fdd43

Arden, N.K., Kiran, A., Judge, A., Biant, L.C., Javaid, M.K., Murray, D.W., Carr, A.J., Cooper, C. and Field, R.E. (2011) What is a good patient reported outcome after total hip replacement? Osteoarthritis and Cartilage, 19 (2), 155-162. (doi:10.1016/j.joca.2010.10.004). (PMID:20951814 )

Record type: Article

Abstract

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.

Full text not available from this repository.

More information

Published date: February 2011
Keywords: hip replacement, hip arthroplasty, oxford hip score, satisfaction, patient-reported outcomes

Identifiers

Local EPrints ID: 173643
URI: https://eprints.soton.ac.uk/id/eprint/173643
ISSN: 1063-4584
PURE UUID: 8e12449d-c775-4288-9e8e-f0a3b7073ec2
ORCID for C. Cooper: ORCID iD orcid.org/0000-0003-3510-0709

Catalogue record

Date deposited: 04 Feb 2011 14:45
Last modified: 06 Jun 2018 13:00

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Contributors

Author: N.K. Arden
Author: A. Kiran
Author: A. Judge
Author: L.C. Biant
Author: M.K. Javaid
Author: D.W. Murray
Author: A.J. Carr
Author: C. Cooper ORCID iD
Author: R.E. Field

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