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Patient-reported outcome measures in arthroplasty registries: Report of the Patient-Reported Outcome Measures Working Group of the International Society of Arthroplasty Registries Part II. Recommendations for selection, administration, and analysis

Författare och institution:
Ola Rolfson (Institutionen för kliniska vetenskaper, sektionen för anestesi, biomaterial och ortopedi); E. Bohm (-); P. Franklin (-); S. Lyman (-); G. Denissen (-); J. Dawson (-); J. Dunn (-); K. E. Chenok (-); M. Dunbar (-); S. Overgaard (-); Göran Garellick (Institutionen för kliniska vetenskaper, sektionen för anestesi, biomaterial och ortopedi); A. Lubbeke (-)
Publicerad i:
Acta Orthopaedica, 87 ( Suppl 1; 362 ) s. 9-23
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
The International Society of Arthroplasty Registries (ISAR) Patient-Reported Outcome Measures (PROMs) Working Group have evaluated and recommended best practices in the selection, administration, and interpretation of PROMs for hip and knee arthroplasty registries. The 2 generic PROMs in common use are the Short Form health surveys (SF-36 or SF-12) and EuroQol 5-dimension (EQ-5D). The Working Group recommends that registries should choose specific PROMs that have been appropriately developed with good measurement properties for arthroplasty patients. The Working Group recommend the use of a 1-item pain question (During the past 4 weeks, how would you describe the pain you usually have in your [right/left] [hip/knee]?; response: none, very mild, mild, moderate, or severe) and a single-item satisfaction outcome (How satisfied are you with your [right/left] [hip/knee] replacement?; response: very unsatisfied, dissatisfied, neutral, satisfied, or very satisfied). Survey logistics include patient instructions, paper- and electronic-based data collection, reminders for follow-up, centralized as opposed to hospital-based follow-up, sample size, patient- or joint-specific evaluation, collection intervals, frequency of response, missing values, and factors in establishing a PROMs registry program. The Working Group recommends including age, sex, diagnosis at joint, general health status preoperatively, and joint pain and function score in case-mix adjustment models. Interpretation and statistical analysis should consider the absolute level of pain, function, and general health status as well as improvement, missing data, approaches to analysis and case-mix adjustment, minimal clinically important difference, and minimal detectable change. The Working Group recommends data collection immediately before and 1 year after surgery, a threshold of 60% for acceptable frequency of response, documentation of non-responders, and documentation of incomplete or missing data.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin ->
total hip-replacement, total knee replacement, quality-of-life, national-joint-registry, shared decision-making, visual analog scales, form health survey, body-mass index, oxford hip, patients expectations, Orthopedics
Postens nummer:
Posten skapad:
2016-07-26 14:05
Posten ändrad:
2016-08-16 13:22

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