Benson, T;
Williams, DH;
Potts, HWW;
(2016)
Performance of EQ-5D, howRu and Oxford hip & knee scores in assessing the outcome of hip and knee replacements.
BMC Health Services Research
, 16
, Article 512. 10.1186/s12913-016-1759-x.
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Abstract
BACKGROUND: We aimed to compare the performance of EQ-5D-3 L and howRu, which are short generic patient-reported outcome measures (PROMs), in assessing the outcome of hip and knee replacements, using the Oxford Hip Score (OHS) and the Oxford Knee Scores (OKS) for comparison. METHODS: Outcome was assessed as the difference between pre-surgery and 6-month post-surgery scores. We used a large sample from the NHS PROMs database, which used EQ-5D-3 L, and a small cohort of patients having the same operations collected by MyClinicalOutcomes (MCO), which used howRu. Both cohorts completed the OHS (hips) or the OKS (knees). RESULTS: The change (outcome) between pre-op and post-op scores as measured by howRu was greater than that measured by EQ-5D, relative to that measured by OHS or OKS. For hip replacements, the correlation for change measured by howRu and OHS was r = 0.77 (0.66–0.85). The corresponding correlation for change measured by EQ-5D Index and OHS was r = 0.64 (0.63–0.64). For knee replacements the correlation between change in howRu and OKS was r = 0.86 (0.75–0.92); between EQ-5D Index and OKS r = 0.59 (0.58–0.60). CONCLUSION: For hip and knee replacement, the outcome measured by howRu was more highly correlated with that measured by the condition-specific Oxford Hip and Knee Scores than were EQ-5D Index or EQ-VAS. The magnitude of change before and after surgery was also greater.
| Type: | Article |
|---|---|
| Title: | Performance of EQ-5D, howRu and Oxford hip & knee scores in assessing the outcome of hip and knee replacements |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1186/s12913-016-1759-x |
| Publisher version: | http://dx.doi.org/10.1186/s12913-016-1759-x |
| Language: | English |
| Additional information: | Copyright © 2016 The Author(s). Open Access: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Health Care Sciences & Services, Patient-reported outcome measures, Total hip arthroplasty, Total knee arthroplasty, EQ-5D, howRu, Oxford hip score, Oxford knee Score, Health-status, Patient, Euroqol, Surgery, Questionnaire, Perceptions, Proms |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics > CHIME |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1517978 |
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