Evidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement.

The Oxford hip score (OHS) is a patient-based instrument for assessment of outcome which is often used after total hip replacement, and the EuroQol 5D (EQ5D) is a patient-based generic questionnaire for health assessment. In an analysis of the outcome at one year of 609 revision hip replacements (RH...

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Main Authors: Dawson, J, Fitzpatrick, R, Frost, S, Gundle, R, McLardy-Smith, P, Murray, D
Format: Journal article
Language:English
Published: 2001
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author Dawson, J
Fitzpatrick, R
Frost, S
Gundle, R
McLardy-Smith, P
Murray, D
author_facet Dawson, J
Fitzpatrick, R
Frost, S
Gundle, R
McLardy-Smith, P
Murray, D
author_sort Dawson, J
collection OXFORD
description The Oxford hip score (OHS) is a patient-based instrument for assessment of outcome which is often used after total hip replacement, and the EuroQol 5D (EQ5D) is a patient-based generic questionnaire for health assessment. In an analysis of the outcome at one year of 609 revision hip replacements (RHRs), we compared the OHS and EQ5D scores, postoperative patient satisfaction and change in pain. About 25% of the operations were repeat RHRs. At one year, 57% of patients were very pleased with their operation. The correlation between preoperative and postoperative scores and change scores for the OHS and EQ5D was high. For both instruments the effect sizes were large, but the greater effect size of the OHS suggests that it is particularly sensitive to improvements after RHR. The effect scores of the OHS declined with the number of previous RHRs, while those for the EQ5D seemed less sensitive. Our results confirm the value of the OHS in assessing outcome after RHR.
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spelling oxford-uuid:cadc4ae5-2435-4239-b8bd-b0708c789b182022-03-27T07:10:34ZEvidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:cadc4ae5-2435-4239-b8bd-b0708c789b18EnglishSymplectic Elements at Oxford2001Dawson, JFitzpatrick, RFrost, SGundle, RMcLardy-Smith, PMurray, DThe Oxford hip score (OHS) is a patient-based instrument for assessment of outcome which is often used after total hip replacement, and the EuroQol 5D (EQ5D) is a patient-based generic questionnaire for health assessment. In an analysis of the outcome at one year of 609 revision hip replacements (RHRs), we compared the OHS and EQ5D scores, postoperative patient satisfaction and change in pain. About 25% of the operations were repeat RHRs. At one year, 57% of patients were very pleased with their operation. The correlation between preoperative and postoperative scores and change scores for the OHS and EQ5D was high. For both instruments the effect sizes were large, but the greater effect size of the OHS suggests that it is particularly sensitive to improvements after RHR. The effect scores of the OHS declined with the number of previous RHRs, while those for the EQ5D seemed less sensitive. Our results confirm the value of the OHS in assessing outcome after RHR.
spellingShingle Dawson, J
Fitzpatrick, R
Frost, S
Gundle, R
McLardy-Smith, P
Murray, D
Evidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement.
title Evidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement.
title_full Evidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement.
title_fullStr Evidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement.
title_full_unstemmed Evidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement.
title_short Evidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement.
title_sort evidence for the validity of a patient based instrument for assessment of outcome after revision hip replacement
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AT gundler evidenceforthevalidityofapatientbasedinstrumentforassessmentofoutcomeafterrevisionhipreplacement
AT mclardysmithp evidenceforthevalidityofapatientbasedinstrumentforassessmentofoutcomeafterrevisionhipreplacement
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