Patient-reported outcome measures in arthroplasty registries

<p style="text-align:justify;">The International Society of Arthroplasty Registries (ISAR) Patient-Reported Outcome Measures (PROMs) Working Group have evaluated and recommended best practices in the selection, administration, and interpretation of PROMs for hip and knee arthroplast...

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Main Authors: Rolfson, O, Bohm, E, Franklin, P, Lyman, S, Denissen, G, Dawson, J, Dunn, J, Chenok, K, Dunbar, M, Overgaard, S, Garellick, G, Lubbeke, A
Format: Journal article
Language:English
Published: Taylor and Francis 2016
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author Rolfson, O
Bohm, E
Franklin, P
Lyman, S
Denissen, G
Dawson, J
Dunn, J
Chenok, K
Dunbar, M
Overgaard, S
Garellick, G
Lubbeke, A
author_facet Rolfson, O
Bohm, E
Franklin, P
Lyman, S
Denissen, G
Dawson, J
Dunn, J
Chenok, K
Dunbar, M
Overgaard, S
Garellick, G
Lubbeke, A
author_sort Rolfson, O
collection OXFORD
description <p style="text-align:justify;">The International Society of Arthroplasty Registries (ISAR) Patient-Reported Outcome Measures (PROMs) Working Group have evaluated and recommended best practices in the selection, administration, and interpretation of PROMs for hip and knee arthroplasty registries. The 2 generic PROMs in common use are the Short Form health surveys (SF-36 or SF-12) and EuroQol 5-dimension (EQ-5D). The Working Group recommends that registries should choose specific PROMs that have been appropriately developed with good measurement properties for arthroplasty patients. The Working Group recommend the use of a 1-item pain question (“During the past 4 weeks, how would you describe the pain you usually have in your [right/left] [hip/knee]?”; response: none, very mild, mild, moderate, or severe) and a single-item satisfaction outcome (“How satisfied are you with your [right/left] [hip/knee] replacement?”; response: very unsatisfied, dissatisfied, neutral, satisfied, or very satisfied). Survey logistics include patient instructions, paper- and electronic-based data collection, reminders for follow-up, centralized as opposed to hospital-based follow-up, sample size, patient- or joint-specific evaluation, collection intervals, frequency of response, missing values, and factors in establishing a PROMs registry program. The Working Group recommends including age, sex, diagnosis at joint, general health status preoperatively, and joint pain and function score in case-mix adjustment models. Interpretation and statistical analysis should consider the absolute level of pain, function, and general health status as well as improvement, missing data, approaches to analysis and case-mix adjustment, minimal clinically important difference, and minimal detectable change. The Working Group recommends data collection immediately before and 1 year after surgery, a threshold of 60% for acceptable frequency of response, documentation of non-responders, and documentation of incomplete or missing data. </p>
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spelling oxford-uuid:f616d0b0-56e8-472a-ba4a-d5a263833ecb2022-03-27T12:32:23ZPatient-reported outcome measures in arthroplasty registriesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f616d0b0-56e8-472a-ba4a-d5a263833ecbEnglishSymplectic Elements at OxfordTaylor and Francis2016Rolfson, OBohm, EFranklin, PLyman, SDenissen, GDawson, JDunn, JChenok, KDunbar, MOvergaard, SGarellick, GLubbeke, A <p style="text-align:justify;">The International Society of Arthroplasty Registries (ISAR) Patient-Reported Outcome Measures (PROMs) Working Group have evaluated and recommended best practices in the selection, administration, and interpretation of PROMs for hip and knee arthroplasty registries. The 2 generic PROMs in common use are the Short Form health surveys (SF-36 or SF-12) and EuroQol 5-dimension (EQ-5D). The Working Group recommends that registries should choose specific PROMs that have been appropriately developed with good measurement properties for arthroplasty patients. The Working Group recommend the use of a 1-item pain question (“During the past 4 weeks, how would you describe the pain you usually have in your [right/left] [hip/knee]?”; response: none, very mild, mild, moderate, or severe) and a single-item satisfaction outcome (“How satisfied are you with your [right/left] [hip/knee] replacement?”; response: very unsatisfied, dissatisfied, neutral, satisfied, or very satisfied). Survey logistics include patient instructions, paper- and electronic-based data collection, reminders for follow-up, centralized as opposed to hospital-based follow-up, sample size, patient- or joint-specific evaluation, collection intervals, frequency of response, missing values, and factors in establishing a PROMs registry program. The Working Group recommends including age, sex, diagnosis at joint, general health status preoperatively, and joint pain and function score in case-mix adjustment models. Interpretation and statistical analysis should consider the absolute level of pain, function, and general health status as well as improvement, missing data, approaches to analysis and case-mix adjustment, minimal clinically important difference, and minimal detectable change. The Working Group recommends data collection immediately before and 1 year after surgery, a threshold of 60% for acceptable frequency of response, documentation of non-responders, and documentation of incomplete or missing data. </p>
spellingShingle Rolfson, O
Bohm, E
Franklin, P
Lyman, S
Denissen, G
Dawson, J
Dunn, J
Chenok, K
Dunbar, M
Overgaard, S
Garellick, G
Lubbeke, A
Patient-reported outcome measures in arthroplasty registries
title Patient-reported outcome measures in arthroplasty registries
title_full Patient-reported outcome measures in arthroplasty registries
title_fullStr Patient-reported outcome measures in arthroplasty registries
title_full_unstemmed Patient-reported outcome measures in arthroplasty registries
title_short Patient-reported outcome measures in arthroplasty registries
title_sort patient reported outcome measures in arthroplasty registries
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