PMID- 22183807
OWN - NLM
STAT- MEDLINE
DCOM- 20120702
LR  - 20220409
IS  - 2151-4658 (Electronic)
IS  - 2151-464X (Linking)
VI  - 64
IP  - 4
DP  - 2012 Apr
TI  - Outcomes after total hip replacement based on patients' baseline status: what 
      results can be expected?
PG  - 563-72
LID - 10.1002/acr.21570 [doi]
AB  - OBJECTIVE: We evaluated patient satisfaction with total hip replacement (THR) to 
      establish cut points of sufficient improvement based on the patient acceptable 
      symptom state (PASS) and receiver operating characteristic (ROC) curves, and 
      compared them with measures derived from the minimum clinically important 
      difference (MCID), taking into account patients' baseline status. METHODS: Two 
      cohorts of prospectively recruited patients on waiting lists for THR were 
      studied. Sociodemographic data and comorbidities were recorded. Patients 
      completed the Western Ontario and McMaster Universities Osteoarthritis Index 
      (WOMAC) and other patient-reported outcomes questionnaires before THR and 6 
      months afterward. Cut points of sufficient improvement were established by the 
      PASS, ROC, and MCID and were compared. RESULTS: Patients satisfied with THR had, 
      by preintervention WOMAC tertiles, gains of 19.4, 34.1, and 49.3 in the WOMAC 
      pain domain and 17.8, 30.8, and 41.4 in the WOMAC functional limitation domain. 
      The PASS cut points determined were 20, 25, and 25 for postintervention WOMAC 
      pain and 28, 35, and 42 for functional limitation. ROC cut points were 19, 25, 
      and 25 for postintervention pain and 26.4, 39, and 40 for functional limitation. 
      Agreement among cut points classifying patients as responders to THR was 1.0 for 
      pain with both PASS and ROC, and 0.85 for functional limitation; 0.6 for pain 
      between MCID and PASS or ROC, and 0.58 and 0.60 for functional limitation. 
      CONCLUSION: Cut points of expected gain after THR can help clinicians, 
      researchers, and managers to identify suitable candidates for THR, although such 
      measures must be used with caution.
CI  - Copyright (c) 2012 by the American College of Rheumatology.
FAU - Quintana, Jose M
AU  - Quintana JM
AD  - Unidad de Investigacion, Hospital Galdakao-Usansolo, CIBER Epidemiologia y Salud 
      Publica, Galdakao, Vizcaya, Spain. josemaria.quintanalopez@osakidetza.net
FAU - Aguirre, Urko
AU  - Aguirre U
FAU - Barrio, Irantzu
AU  - Barrio I
FAU - Orive, Miren
AU  - Orive M
FAU - Garcia, Susana
AU  - Garcia S
FAU - Escobar, Antonio
AU  - Escobar A
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Arthritis Care Res (Hoboken)
JT  - Arthritis care & research
JID - 101518086
SB  - IM
MH  - Aged
MH  - *Arthroplasty, Replacement, Hip
MH  - Cohort Studies
MH  - Female
MH  - Health Surveys
MH  - Humans
MH  - Male
MH  - Osteoarthritis, Hip/*surgery
MH  - *Patient Satisfaction
MH  - Prospective Studies
MH  - Retrospective Studies
MH  - Self Report
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
EDAT- 2011/12/21 06:00
MHDA- 2012/07/03 06:00
CRDT- 2011/12/21 06:00
PHST- 2011/12/21 06:00 [entrez]
PHST- 2011/12/21 06:00 [pubmed]
PHST- 2012/07/03 06:00 [medline]
AID - 10.1002/acr.21570 [doi]
PST - ppublish
SO  - Arthritis Care Res (Hoboken). 2012 Apr;64(4):563-72. doi: 10.1002/acr.21570.