PMID- 36115533
OWN - NLM
STAT- MEDLINE
DCOM- 20230110
LR  - 20230201
IS  - 1532-8406 (Electronic)
IS  - 0883-5403 (Linking)
VI  - 38
IP  - 2
DP  - 2023 Feb
TI  - Metrics of Clinically Important Changes in Total Hip Arthroplasty: A Systematic 
      Review.
PG  - 383-388
LID - S0883-5403(22)00831-2 [pii]
LID - 10.1016/j.arth.2022.09.007 [doi]
AB  - BACKGROUND: Although patient-reported outcome measures (PROMs) have become a 
      regularly used metric, there is little consensus on the methodology used to 
      determine clinically relevant postoperative outcomes. We systematically reviewed 
      the literature for studies that have identified metrics of clinical efficacy 
      after total hip arthroplasty (THA) including minimal clinically important 
      difference (MCID), patient acceptable symptom state (PASS), minimal detectable 
      change (MDC), and substantial clinical benefit (SCB). METHODS: A systematic 
      review examining quantitative metrics for assessing clinical improvement with 
      PROMs following THA was conducted according to Preferred Reporting Items for 
      Systematic Reviews and Meta-Analyses guidelines using the MEDLINE database from 
      2008 to 2020. Inclusion criteria included full texts, English language, primary 
      THA with minimum 1-year follow-up, use of metrics for assessing clinical outcomes 
      with PROMs, and primary derivations of those metrics. Sixteen studies (24,487 THA 
      patients) met inclusion criteria and 11 different PROMs were reported. RESULTS: 
      MCIDs were calculated using distribution methods in 7 studies (44%), anchor 
      methods in 2 studies (13%), and both methods in 2 studies (13%). MDC was 
      calculated in 2 studies, PASS was reported in 1 study using anchor-based method, 
      and SCB was calculated in 1 study using anchor-based method. CONCLUSION: There is 
      a lack of consistency in the literature regarding the use and interpretation of 
      PROMs to assess patient satisfaction. MCID was the most frequently reported 
      measure, while MDC, SCB, and PASS were used relatively infrequently. Method of 
      derivation varied based on the PROM used; distribution method was more frequently 
      used for MCID.
CI  - Copyright (c) 2022 Elsevier Inc. All rights reserved.
FAU - Tanghe, Kira K
AU  - Tanghe KK
AD  - Albert Einstein College of Medicine, Bronx, New York.
FAU - Beiene, Zodina A
AU  - Beiene ZA
AD  - Department of Anesthesiology and Critical Care, Johns Hopkins, Baltimore, 
      Maryland.
FAU - McLawhorn, Alexander S
AU  - McLawhorn AS
AD  - Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New 
      York.
FAU - MacLean, Catherine H
AU  - MacLean CH
AD  - Center for the Advancement of Value in Musculoskeletal Care, Hospital for Special 
      Surgery, New York, New York; Department of Medicine, Weill Cornell Medical 
      College, New York, New York.
FAU - Gausden, Elizabeth B
AU  - Gausden EB
AD  - Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New 
      York.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
DEP - 20220914
PL  - United States
TA  - J Arthroplasty
JT  - The Journal of arthroplasty
JID - 8703515
SB  - IM
MH  - Humans
MH  - *Arthroplasty, Replacement, Hip
MH  - Benchmarking
MH  - Treatment Outcome
MH  - Patient Satisfaction
MH  - Minimal Clinically Important Difference
MH  - Patient Reported Outcome Measures
OTO - NOTNLM
OT  - minimal clinically important difference
OT  - patient acceptable symptom state
OT  - patient-reported outcome measure
OT  - total hip arthroplasty
EDAT- 2022/09/18 06:00
MHDA- 2023/01/11 06:00
CRDT- 2022/09/17 19:25
PHST- 2022/06/11 00:00 [received]
PHST- 2022/09/05 00:00 [revised]
PHST- 2022/09/06 00:00 [accepted]
PHST- 2022/09/18 06:00 [pubmed]
PHST- 2023/01/11 06:00 [medline]
PHST- 2022/09/17 19:25 [entrez]
AID - S0883-5403(22)00831-2 [pii]
AID - 10.1016/j.arth.2022.09.007 [doi]
PST - ppublish
SO  - J Arthroplasty. 2023 Feb;38(2):383-388. doi: 10.1016/j.arth.2022.09.007. Epub 
      2022 Sep 14.