PMID- 28253923 OWN - NLM STAT- MEDLINE DCOM- 20170926 LR - 20220316 IS - 1471-2474 (Electronic) IS - 1471-2474 (Linking) VI - 18 IP - 1 DP - 2017 Mar 3 TI - Patient-reported health outcomes after total hip and knee surgery in a Dutch University Hospital Setting: results of twenty years clinical registry. PG - 97 LID - 10.1186/s12891-017-1455-y [doi] LID - 97 AB - BACKGROUND: Patient-Reported Outcome (PRO) measurement is a method for measuring perceptions of patients on their health and quality of life. The aim of this paper is to present the results of PRO measurements in total hip and knee replacement as routinely collected during 20 years of surgery in a university hospital setting. METHODS: Data of consecutive patients between 1993 and 2014 were collected. Health outcomes were measured pre-surgery and at 3, 6, and 12 months post-surgery. Outcomes for hip replacement were measured with the Harris Hip Score (HHS) and Oxford Hip Score (OHS). Outcomes for knee replacement were measured with the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and the Knee Society Score (KSS). A Visual Analog Scale (VAS) for pain was used. Absolute and relative Minimal Clinically Important Differences (MCID) were estimated. Generalized estimating equation analysis was used for estimating mean outcomes. Trends over time were analyzed. RESULTS: The database contained 2,089 patients with hip replacement, and 704 patients with knee replacement. Mean HHS and OHS scores in primary hip replacement at 12 months post-surgery were 86.7 (SD: 14.5) and 41.1 (SD: 7.5) respectively. Improvements on the HHS based on absolute MCID was lower for revisions compared to primary hip replacements, with 72.4% and 87.0% respectively. Mean WOMAC and KSS scores in knee replacement at 12 months post-surgery were 21.5 (SD: 18.2) and 67.0 (SD: 26.4) respectively. Improvements based on absolute MCID were lowest for the KSS (62.6%) and highest for VAS pain (85.6%). Trend analysis showed a difference in 1 out of 24 comparisons in hip replacement and in 2 out of 9 comparisons in knee replacement. CONCLUSIONS: The functional status of a large cohort of patients significantly improved after hip and knee replacement based on routine data collection. Our study shows the feasibility of the routine collection of PRO data in patients with total hip and knee replacement. The use of PRO data provides opportunities for continuous quality improvement. FAU - van der Wees, Philip J AU - van der Wees PJ AD - Radboud University Medical Center, Radboud Institute for Health Sciences; Scientific Institute for Quality of Healthcare, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. FAU - Wammes, Joost J G AU - Wammes JJ AD - Radboud University Medical Center, Radboud Institute for Health Sciences; Scientific Institute for Quality of Healthcare, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. joost.wammes@radboudumc.nl. FAU - Akkermans, Reinier P AU - Akkermans RP AD - Radboud University Medical Center, Radboud Institute for Health Sciences; Scientific Institute for Quality of Healthcare, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. AD - Radboud University Medical Center, Radboud Institute for Health Sciences; Primary and Community Care, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. FAU - Koetsenruijter, Jan AU - Koetsenruijter J AD - Radboud University Medical Center, Radboud Institute for Health Sciences; Scientific Institute for Quality of Healthcare, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. FAU - Westert, Gert P AU - Westert GP AD - Radboud University Medical Center, Radboud Institute for Health Sciences; Scientific Institute for Quality of Healthcare, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. FAU - van Kampen, Albert AU - van Kampen A AD - Department of Orthopedics, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. FAU - Hannink, Gerjon AU - Hannink G AD - Department of Orthopedics, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. FAU - de Waal-Malefijt, Maarten AU - de Waal-Malefijt M AD - Department of Orthopedics, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. FAU - Schreurs, B Willem AU - Schreurs BW AD - Department of Orthopedics, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. LA - eng PT - Comparative Study PT - Journal Article DEP - 20170303 PL - England TA - BMC Musculoskelet Disord JT - BMC musculoskeletal disorders JID - 100968565 SB - IM MH - Aged MH - Arthroplasty, Replacement, Hip/*statistics & numerical data MH - Arthroplasty, Replacement, Knee/*statistics & numerical data MH - Feasibility Studies MH - Female MH - Hospitals, University/*statistics & numerical data MH - Humans MH - Male MH - Middle Aged MH - Ontario MH - Pain Measurement MH - *Patient Reported Outcome Measures MH - *Quality Improvement MH - Quality of Life MH - Recovery of Function MH - Registries MH - Retrospective Studies MH - Treatment Outcome PMC - PMC5335788 OTO - NOTNLM OT - Outcomes measurement OT - Patient-reported outcomes OT - Total hip replacement OT - Total knee replacement EDAT- 2017/03/04 06:00 MHDA- 2017/09/28 06:00 PMCR- 2017/03/03 CRDT- 2017/03/04 06:00 PHST- 2016/10/28 00:00 [received] PHST- 2017/02/21 00:00 [accepted] PHST- 2017/03/04 06:00 [entrez] PHST- 2017/03/04 06:00 [pubmed] PHST- 2017/09/28 06:00 [medline] PHST- 2017/03/03 00:00 [pmc-release] AID - 10.1186/s12891-017-1455-y [pii] AID - 1455 [pii] AID - 10.1186/s12891-017-1455-y [doi] PST - epublish SO - BMC Musculoskelet Disord. 2017 Mar 3;18(1):97. doi: 10.1186/s12891-017-1455-y.