PMID- 32416955
OWN - NLM
STAT- MEDLINE
DCOM- 20210323
LR  - 20210323
IS  - 1532-8406 (Electronic)
IS  - 0883-5403 (Linking)
VI  - 35
IP  - 9
DP  - 2020 Sep
TI  - Are Oxford Hip Score and Western Ontario and McMaster Universities Osteoarthritis 
      Index Useful Predictors of Clinical Meaningful Improvement and Satisfaction After 
      Total Hip Arthroplasty?
PG  - 2458-2464
LID - S0883-5403(20)30421-6 [pii]
LID - 10.1016/j.arth.2020.04.034 [doi]
AB  - BACKGROUND: Up to 15% of patients express dissatisfaction after total hip 
      arthroplasty (THA). Preoperative patient-report outcome measures (PROMs) scores 
      can potentially mitigate this by predicting postoperative satisfaction, 
      identifying patients that will benefit most from surgery. The aim of this study 
      was to (1) calculate the minimal clinically important difference (MCID) 
      thresholds for Oxford Hip Score (OHS), Western Ontario and McMaster Universities 
      Osteoarthritis Index (WOMAC), and the Short Form-36 (SF-36) mental component 
      summary (MCS) and physical component summary (PCS) scores and (2) identify the 
      threshold values of these PROMs that could be used to predict patient 
      satisfaction and expectation fulfilment. METHODS: Prospectively collected 
      registry data of 1334 primary THA patients who returned for 2-year follow-up from 
      1998 to 2016 were reviewed. All patients were assessed preoperatively and 
      postoperatively at 2 years using the OHS, WOMAC, and SF-36 PCS/MCS scores. The 
      MCID for each PROMs was calculated, and the proportion of patients that attained 
      MCID was recorded. The relationship between satisfaction, expectation fulfilment, 
      and MCID attainment was analyzed using Spearman rank correlation. Optimal 
      threshold scores for each PROM that predicted MCID attainment and 
      satisfaction/expectation fulfilment at 2 years were calculated using receiver 
      operating curve analysis. RESULTS: The calculated MCID for OHS, WOMAC, SF-36 PCS, 
      and SF-36 MCS were 5.2, 10.8, 6.7, and 6.2, respectively. A threshold value of 
      24.5 for the preoperative OHS was predictive of achieving WOMAC MCID at 2 years 
      after THA (area under the curve 0.80, P < .001). 93.1% of patients were 
      satisfied, and 95.5% had expectations fulfilled at 2 years. None of the PROMs 
      were able to predict satisfaction. CONCLUSION: OHS and WOMAC scores can be used 
      to determine clinical meaningful improvement but are limited in their ability to 
      predict patient satisfaction after THA.
CI  - Copyright (c) 2020 Elsevier Inc. All rights reserved.
FAU - Yeo, Malcolm Guan Hin
AU  - Yeo MGH
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
FAU - Goh, Graham S
AU  - Goh GS
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
FAU - Chen, Jerry Yongqiang
AU  - Chen JY
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
FAU - Lo, Ngai-Nung
AU  - Lo NN
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
FAU - Yeo, Seng-Jin
AU  - Yeo SJ
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
FAU - Liow, Ming Han Lincoln
AU  - Liow MHL
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
LA  - eng
PT  - Journal Article
DEP - 20200420
PL  - United States
TA  - J Arthroplasty
JT  - The Journal of arthroplasty
JID - 8703515
SB  - IM
MH  - *Arthroplasty, Replacement, Hip
MH  - Humans
MH  - Ontario
MH  - *Osteoarthritis
MH  - *Osteoarthritis, Hip/surgery
MH  - Patient Satisfaction
MH  - Personal Satisfaction
MH  - Treatment Outcome
MH  - Universities
OTO - NOTNLM
OT  - OHS
OT  - WOMAC
OT  - minimal clinically important difference
OT  - patient-reported outcome measures
OT  - satisfaction
OT  - total hip arthroplasty
EDAT- 2020/05/18 06:00
MHDA- 2021/03/24 06:00
CRDT- 2020/05/18 06:00
PHST- 2020/03/22 00:00 [received]
PHST- 2020/04/11 00:00 [revised]
PHST- 2020/04/14 00:00 [accepted]
PHST- 2020/05/18 06:00 [pubmed]
PHST- 2021/03/24 06:00 [medline]
PHST- 2020/05/18 06:00 [entrez]
AID - S0883-5403(20)30421-6 [pii]
AID - 10.1016/j.arth.2020.04.034 [doi]
PST - ppublish
SO  - J Arthroplasty. 2020 Sep;35(9):2458-2464. doi: 10.1016/j.arth.2020.04.034. Epub 
      2020 Apr 20.