دورية أكاديمية
What Are the Diagnosis-Specific Thresholds of Minimal Clinically Important Difference and Patient Acceptable Symptom State in Hip Disability and Osteoarthritis Outcome Score After Primary Total Hip Arthroplasty?
| العنوان: | What Are the Diagnosis-Specific Thresholds of Minimal Clinically Important Difference and Patient Acceptable Symptom State in Hip Disability and Osteoarthritis Outcome Score After Primary Total Hip Arthroplasty? |
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| المؤلفون: | Emara AK; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio., Pasqualini I; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio., Jin Y; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio., Klika AK; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio., Orr MN; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio., Rullán PJ; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio., Piuzzi NS; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio. |
| مؤلفون مشاركون: | Cleveland Clinic Arthroplasty Group; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio. |
| المصدر: | The Journal of arthroplasty [J Arthroplasty] 2024 Jul; Vol. 39 (7), pp. 1783-1788.e2. Date of Electronic Publication: 2024 Feb 07. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor and Francis Country of Publication: United States NLM ID: 8703515 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8406 (Electronic) Linking ISSN: 08835403 NLM ISO Abbreviation: J Arthroplasty Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New Brunswick, NJ : Taylor and Francis Original Publication: [New York, NY : Churchill Livingstone, c1986- |
| مواضيع طبية MeSH: | Arthroplasty, Replacement, Hip* , Minimal Clinically Important Difference* , Osteoarthritis, Hip*/surgery, Humans ; Female ; Male ; Middle Aged ; Aged ; Prospective Studies ; Disability Evaluation ; Treatment Outcome ; Patient Satisfaction ; Pain Measurement ; Patient Reported Outcome Measures |
| مستخلص: | Background: This study aimed to determine the minimal clinically important difference (MCID) and Patient Acceptable Symptom State (PASS) thresholds for Hip Disability and Osteoarthritis Outcome Score (HOOS) pain, physical short form (PS), and joint replacement (JR) 1 year after primary total hip arthroplasty stratified by preoperative diagnosis of osteoarthritis (OA) versus non-OA. Methods: A prospective institutional cohort of 5,887 patients who underwent primary total hip arthroplasty (January 2016 to December 2018) was included. There were 4,184 patients (77.0%) who completed a one-year follow-up. Demographics, comorbidities, and baseline and one-year HOOS pain, PS, and JR scores were recorded. Patients were stratified by preoperative diagnosis: OA or non-OA. Minimal detectable change (MDC) and MCIDs were estimated using a distribution-based approach. The PASS values were estimated using an anchor-based approach, which corresponded to a response to a satisfaction question at one year post surgery. Results: The MCID thresholds were slightly higher in the non-OA cohort versus OA patients. (HOOS-Pain: OA: 8.35 versus non-OA: 8.85 points; HOOS-PS: OA: 9.47 versus non-OA: 9.90 points; and HOOS-JR: OA: 7.76 versus non-OA: 8.46 points). Similarly, all MDC thresholds were consistently higher in the non-OA cohort compared to OA patients. The OA cohort exhibited similar or higher PASS thresholds compared to the non-OA cohort for HOOS-Pain (OA: ≥80.6 versus non-OA: ≥77.5 points), HOOS-PS (OA: ≥83.6 versus non-OA: ≥83.6 points), and HOOS-JR (OA: ≥76.8 versus non-OA: ≥73.5 points). A similar percentage of patients achieved MCID and PASS thresholds regardless of preoperative diagnosis. Conclusions: While MCID and MDC thresholds for all HOOS subdomains were slightly higher among non-OA than OA patients, PASS thresholds for HOOS pain and JR were slightly higher in the OA group. The absolute magnitude of the difference in these thresholds may not be sufficient to cause major clinical differences. However, these subtle differences may have a significant impact when used as indicators of operative success in a population setting. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Investigator: ST Khan; TG Murray; RM Molloy; KL Stearns; VE Krebs; MR Bloomfield; CA Higuera; JP McLaughlin; ME Deren; P Surace; WK Barsoum Keywords: HOOS; MCID; Patient Acceptable Symptom State; THA; minimal clinically important difference; osteoarthritis |
| تواريخ الأحداث: | Date Created: 20240208 Date Completed: 20240613 Latest Revision: 20240613 |
| رمز التحديث: | 20240614 |
| DOI: | 10.1016/j.arth.2024.01.051 |
| PMID: | 38331359 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-8406 |
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| DOI: | 10.1016/j.arth.2024.01.051 |