Patient-acceptable symptom state for the Oxford Hip Score and Forgotten Joint Score at 3 months, 1 year, and 2 years following total hip arthroplasty: a registry-based study of 597 cases

Galea, Vincent P; Ingelsrud, Lina Holm; Florissi, Isabella; Shin, David; Bragdon, Charles R.; Malchau, Henrik; Gromov, Kirill; Troelsen, Anders

doi:10.1080/17453674.2020.1750877

Cited by 31 publications

(22 citation statements)

References 22 publications

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“…1 A recent study from Denmark analyzed the PASS threshold for the FJS following hip arthroplasty and found it to be 59 at three months and 68 at one year postoperatively. 19 These values were substantially higher than reported in the present study and this may be due to the variation in anchor question used. 38 It is also recognized that there are significant differences (23 points) in the FJS between Nordic and UK populations following knee arthroplasty, 14 which may explain the observed 20-point difference in the PASS thresholds between the current study and that from Denmark.…”

Section: Discussioncontrasting

confidence: 71%

“…38 It is also recognized that there are significant differences (23 points) in the FJS between Nordic and UK populations following knee arthroplasty, 14 which may explain the observed 20-point difference in the PASS thresholds between the current study and that from Denmark. 19…”

Section: Discussionmentioning

confidence: 99%

“…The PASS for the FJS after THA has recently been defined in a Nordic population, and the MCID has also been reported in an Italian population. 19,20 However, it is recognized that there are significant differences in the postoperative FJS between the European and UK populations following arthroplasty and therefore estimations may not be universally valid. 21…”

Section: Introductionmentioning

confidence: 99%

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Changes and thresholds in the Forgotten Joint Score after total hip arthroplasty

Robinson

MacDonald

Macpherson

et al. 2021

The Bone & Joint Journal

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Aims The aim of this study was to identify the minimal clinically important difference (MCID), minimal important change (MIC), minimal detectable change (MDC), and patient-acceptable symptom state (PASS) in the Forgotten Joint Score (FJS) according to patient satisfaction six months following total hip arthroplasty (THA) in a UK population. Methods During a one-year period, 461 patients underwent a primary THA and completed preoperative and six-month FJS, with a mean age of 67.2 years (22 to 93). At six months, patient satisfaction was recorded as very satisfied, satisfied, neutral, dissatisfied, or very dissatisfied. The difference between patients recording neutral (n = 31) and satisfied (n = 101) was used to define the MCID. MIC for a cohort was defined as the change in the FJS for those patients declaring their outcome as satisfied, whereas receiver operating characteristic curve analysis was used to determine the MIC for an individual and the PASS. Distribution-based methodology was used to calculate the MDC. Results Using satisfaction as the anchor, the MCID for the FJS was 8.1 (95% confidence interval (CI) 3.7 to 15.9; p = 0.040), which was affirmed when adjusting for confounding. The MIC for the FJS for a cohort of patients was 17.7 (95% CI 13.7 to 21.7) and for an individual patient was 18. The MDC90 for the FJS was eight, meaning that 90% of patients scoring more than this will have experienced a real change that is beyond measurement error. The PASS threshold for the FJS was defined as 29. Conclusion The MCID and MIC can be used respectively to assess whether there is a clinical difference between two groups, or whether a cohort or patient has had a meaningful change in their FJS. Both values were greater than measurement error (MDC90), suggesting a real change. The PASS threshold for the postoperative FJS can be used as a marker of achieving patient satisfaction following THA. Cite this article: Bone Joint J 2021;103-B(12):1759–1765.

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Section: Discussioncontrasting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Changes and thresholds in the Forgotten Joint Score after total hip arthroplasty

Robinson

MacDonald

Macpherson

et al. 2021

The Bone & Joint Journal

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“…Patients who responded "Yes" were considered in an acceptable state of symptoms. PASS thresholds of PSQI were measured using the 75th percentile of the cumulative percentage curve of patients who consider themselves in an acceptable state of symptoms and the point on the receiver operating characteristic (ROC) curve, in which the cut-off was measured using the Youden index [27][28][29].…”

Section: Calculation Of Passmentioning

confidence: 99%

Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Pittsburgh Sleep Quality Index in Patients Who Underwent Rotator Cuff Tear Repair

Longo

Berton

Salvatore

et al. 2021

IJERPH

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The Pittsburgh Sleep Quality Index (PSQI) is a valid patient-reported outcome measure developed to assess sleep quality and disturbances in clinical populations. This study aimed to calculate the minimum clinically important difference (MCID) and the patient acceptable symptom state (PASS) for the PSQI in patients who underwent rotator cuff repair (RCR). Preoperative and six-month postoperative follow-up questionnaires were completed by 50 patients (25 males and 25 females, mean age 58.7 ± 11.1 years). The MCID of the PSQI was calculated using distribution-based and anchor methods. To calculate the PSQI’s PASS, the 75th percentile approach and the receiver operating characteristic (ROC) curve were used. The MCID from preoperative to 6 months postoperative follow-up is 4.4. Patients who improved their PSQI score of 4.4 from baseline to 6 months follow-up had a clinically significant increase in their health status. The PASS is 5.5 for PSQI; therefore, a value of PSQI at least 5.5 at six months follow-up indicates that the symptom state can be considered acceptable by most patients.

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“…Patient-related outcome measures are a very important parameter when claiming successful treatment. Six out of 16 patients completing the OHS questionnaire had satisfactory scores ≥ 39 (Galea et al, 2020). Three had intermediate results and seven unsatisfactory results.…”

Section: Discussionmentioning

confidence: 93%

Early periprosthetic hip joint infection managed by cementless one-stage revision – a case series

Riemer

Lange

2022

J. Bone Joint Infect.

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Abstract. Background: Early periprosthetic hip joint infection (PJI) is traditionally treated with debridement, antibiotics, and implant retention (DAIR). However, infection control rates after DAIR-treated periprosthetic hip joint infection do not exceed 77 %. Cementless one-stage revision of chronic PJI by the Cementless One-stage Revision of Infected Hip Arthroplasty (CORIHA) protocol has been evaluated positively with a 91 % success rate. We wanted to evaluate the effectiveness of cementless one-stage revision following the CORIHA protocol for early PJI in elective primary total hip arthroplasty, regarding risk of re-operation with exchange of implants. Methods: We identified 18 patients in our center with early (≤6-week postoperative) PJI after primary total hip arthroplasty (THA) treated with one-stage cementless revision in the period January 2012–March 2018. Treatment followed the CORIHA protocol. Primary outcome was retention of implants at the most recent follow-up. Patients were followed for a minimum of 3 years. Results: Mean follow-up time was 60 months (39–105). All patients retained their implants, but two required superficial soft tissue debridement due to persistent wound seepage. Conclusion: Cementless one-stage revision appears to be an effective treatment of early PJI after primary THA and at least an equal choice of treatment compared with DAIR. Whether the potential benefit of a lower re-revision rate for postoperative PJI outweighs the increased surgical complexity of the CORIHA procedure needs further evaluation.

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Patient-acceptable symptom state for the Oxford Hip Score and Forgotten Joint Score at 3 months, 1 year, and 2 years following total hip arthroplasty: a registry-based study of 597 cases

Cited by 31 publications

References 22 publications

Changes and thresholds in the Forgotten Joint Score after total hip arthroplasty

Changes and thresholds in the Forgotten Joint Score after total hip arthroplasty

Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Pittsburgh Sleep Quality Index in Patients Who Underwent Rotator Cuff Tear Repair

Early periprosthetic hip joint infection managed by cementless one-stage revision – a case series

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