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Patient-reported outcomes at 1 and 2 years after total hip and knee arthroplasty: what is the minimum required follow-up?

Purpose The purpose of this study was to test for differences between patient-reported outcome measures (PROMs) at 1 and 2 years following total hip (THA) or knee (TKA) arthroplasty. Methods Between 2015 and 2016, n  = 469 and n  = 414 patients underwent THA and TKA, respectively. Demographic and PR...

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Published in:Archives of orthopaedic and trauma surgery 2022-09, Vol.142 (9), p.2121-2129
Main Author: Piuzzi, Nicolas S.
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description Purpose The purpose of this study was to test for differences between patient-reported outcome measures (PROMs) at 1 and 2 years following total hip (THA) or knee (TKA) arthroplasty. Methods Between 2015 and 2016, n  = 469 and n  = 414 patients underwent THA and TKA, respectively. Demographic and PROMs data were collected at 1 and 2 years post-operatively. PROMs included Veterans Rand 12-item (VR-12), Hip Injury and Osteoarthritis Outcomes Score (HOOS) Pain subscore, HOOS-Physical Function Short-form (HOOS-PS), Knee Injury and Osteoarthritis Outcomes Score (KOOS) Pain subscore, and KOOS-Physical Function Short-form (KOOS-PS). Paired t tests assessed differences between groups. N  = 298 (65.8%) and n  = 240 (64%) patients followed-up at 1 year, and 205 (72% of 1-year responders) and 174 (76%) at 2 years in the THA and TKA cohorts, respectively. Results No statistically significant differences were observed between 1 and 2 years for HOOS pain ( p  = 0.445), HOOS-PS ( p  = 0.265), VR-12 PCS ( p  = 0.239), VR-12 MCS scores ( p  = 0.342) in THA and TKA cohorts [KOOS pain ( p  = 0.242), KOOS-PS ( p  = 0.088), VR-12 PCS ( p  
doi_str_mv 10.1007/s00402-021-03819-x
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M. E. Arthroplasty Group ; Cleveland Clinic O. M. E. Arthroplasty Group</creatorcontrib><description>Purpose The purpose of this study was to test for differences between patient-reported outcome measures (PROMs) at 1 and 2 years following total hip (THA) or knee (TKA) arthroplasty. Methods Between 2015 and 2016, n  = 469 and n  = 414 patients underwent THA and TKA, respectively. Demographic and PROMs data were collected at 1 and 2 years post-operatively. PROMs included Veterans Rand 12-item (VR-12), Hip Injury and Osteoarthritis Outcomes Score (HOOS) Pain subscore, HOOS-Physical Function Short-form (HOOS-PS), Knee Injury and Osteoarthritis Outcomes Score (KOOS) Pain subscore, and KOOS-Physical Function Short-form (KOOS-PS). Paired t tests assessed differences between groups. N  = 298 (65.8%) and n  = 240 (64%) patients followed-up at 1 year, and 205 (72% of 1-year responders) and 174 (76%) at 2 years in the THA and TKA cohorts, respectively. Results No statistically significant differences were observed between 1 and 2 years for HOOS pain ( p  = 0.445), HOOS-PS ( p  = 0.265), VR-12 PCS ( p  = 0.239), VR-12 MCS scores ( p  = 0.342) in THA and TKA cohorts [KOOS pain ( p  = 0.242), KOOS-PS ( p  = 0.088), VR-12 PCS ( p  &lt; 0.2757), VR-12 MCS scores ( p  &lt; 0.075)]. There were statistically significant baseline differences between responders and non-responders (patients lost to follow-up), but differences were small and not clinically relevant. PROMs were not significantly different between 1- and 2-year time points for THA and TKA. Minimal demographic or baseline differences between responders and non-responders suggest a representative sample. Conclusion These data support a minimum follow-up of 1 year for studies with PROMs as the primary outcome variable following THA and TKA.</description><identifier>ISSN: 1434-3916</identifier><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-021-03819-x</identifier><identifier>PMID: 33606086</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Arthritis ; Hip joint ; Joint replacement surgery ; Knee ; Medicine ; Medicine &amp; Public Health ; Orthopaedic Surgery ; Orthopedics ; Osteoarthritis ; Patients ; Surgical outcomes</subject><ispartof>Archives of orthopaedic and trauma surgery, 2022-09, Vol.142 (9), p.2121-2129</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-78a0ba8524290ac533095e926e554df2d0b44c258cf2e5762e99abe604b224433</citedby><cites>FETCH-LOGICAL-c375t-78a0ba8524290ac533095e926e554df2d0b44c258cf2e5762e99abe604b224433</cites><orcidid>0000-0003-3007-7538</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33606086$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Piuzzi, Nicolas S.</creatorcontrib><creatorcontrib>Cleveland Clinic O. M. E. Arthroplasty Group</creatorcontrib><creatorcontrib>Cleveland Clinic O. M. E. Arthroplasty Group</creatorcontrib><title>Patient-reported outcomes at 1 and 2 years after total hip and knee arthroplasty: what is the minimum required follow-up?</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Purpose The purpose of this study was to test for differences between patient-reported outcome measures (PROMs) at 1 and 2 years following total hip (THA) or knee (TKA) arthroplasty. Methods Between 2015 and 2016, n  = 469 and n  = 414 patients underwent THA and TKA, respectively. Demographic and PROMs data were collected at 1 and 2 years post-operatively. PROMs included Veterans Rand 12-item (VR-12), Hip Injury and Osteoarthritis Outcomes Score (HOOS) Pain subscore, HOOS-Physical Function Short-form (HOOS-PS), Knee Injury and Osteoarthritis Outcomes Score (KOOS) Pain subscore, and KOOS-Physical Function Short-form (KOOS-PS). Paired t tests assessed differences between groups. N  = 298 (65.8%) and n  = 240 (64%) patients followed-up at 1 year, and 205 (72% of 1-year responders) and 174 (76%) at 2 years in the THA and TKA cohorts, respectively. Results No statistically significant differences were observed between 1 and 2 years for HOOS pain ( p  = 0.445), HOOS-PS ( p  = 0.265), VR-12 PCS ( p  = 0.239), VR-12 MCS scores ( p  = 0.342) in THA and TKA cohorts [KOOS pain ( p  = 0.242), KOOS-PS ( p  = 0.088), VR-12 PCS ( p  &lt; 0.2757), VR-12 MCS scores ( p  &lt; 0.075)]. There were statistically significant baseline differences between responders and non-responders (patients lost to follow-up), but differences were small and not clinically relevant. PROMs were not significantly different between 1- and 2-year time points for THA and TKA. Minimal demographic or baseline differences between responders and non-responders suggest a representative sample. Conclusion These data support a minimum follow-up of 1 year for studies with PROMs as the primary outcome variable following THA and TKA.</description><subject>Arthritis</subject><subject>Hip joint</subject><subject>Joint replacement surgery</subject><subject>Knee</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Orthopaedic Surgery</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Patients</subject><subject>Surgical outcomes</subject><issn>1434-3916</issn><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kctu1TAURS0Eog_4AQbIEpNOXI6fiZmgquoDqRIM2rHlJCfclCRObUft_Xvc3vIQA0a2fNbex9Ii5B2HYw5QfUwACgQDwRnImlv28ILscyUVk5abl3_d98hBSrcAXNQWXpM9KQ0YqM0-2X7zecA5s4hLiBk7GtbchgkT9Zly6ueOCrpFH8tDnzHSHLIf6WZYnmY_ZkTqY97EsIw-5e0ner8pySHRvEE6DfMwrRONeLcOsbT3YRzDPVuXz2_Iq96PCd8-n4fk5vzs-vSSXX29-HJ6csVaWenMqtpD42stlLDgWy0lWI1WGNRadb3ooFGqFbpue4G6MgKt9Q0aUI0QSkl5SI52vUsMdyum7KYhtTiOfsawJieU5VYZo3lBP_yD3oY1zuV3TlQgjFHS6kKJHdXGkFLE3i1xmHzcOg7uUYzbiXFFjHsS4x5K6P1z9dpM2P2O_DJRALkDUhnN3zH-2f2f2p9f45iw</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Piuzzi, Nicolas S.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3007-7538</orcidid></search><sort><creationdate>20220901</creationdate><title>Patient-reported outcomes at 1 and 2 years after total hip and knee arthroplasty: what is the minimum required follow-up?</title><author>Piuzzi, Nicolas S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-78a0ba8524290ac533095e926e554df2d0b44c258cf2e5762e99abe604b224433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Arthritis</topic><topic>Hip joint</topic><topic>Joint replacement surgery</topic><topic>Knee</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Orthopaedic Surgery</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Patients</topic><topic>Surgical outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Piuzzi, Nicolas S.</creatorcontrib><creatorcontrib>Cleveland Clinic O. M. E. Arthroplasty Group</creatorcontrib><creatorcontrib>Cleveland Clinic O. M. E. Arthroplasty Group</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Piuzzi, Nicolas S.</au><aucorp>Cleveland Clinic O. M. E. Arthroplasty Group</aucorp><aucorp>Cleveland Clinic O. M. E. Arthroplasty Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient-reported outcomes at 1 and 2 years after total hip and knee arthroplasty: what is the minimum required follow-up?</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2022-09-01</date><risdate>2022</risdate><volume>142</volume><issue>9</issue><spage>2121</spage><epage>2129</epage><pages>2121-2129</pages><issn>1434-3916</issn><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Purpose The purpose of this study was to test for differences between patient-reported outcome measures (PROMs) at 1 and 2 years following total hip (THA) or knee (TKA) arthroplasty. Methods Between 2015 and 2016, n  = 469 and n  = 414 patients underwent THA and TKA, respectively. Demographic and PROMs data were collected at 1 and 2 years post-operatively. PROMs included Veterans Rand 12-item (VR-12), Hip Injury and Osteoarthritis Outcomes Score (HOOS) Pain subscore, HOOS-Physical Function Short-form (HOOS-PS), Knee Injury and Osteoarthritis Outcomes Score (KOOS) Pain subscore, and KOOS-Physical Function Short-form (KOOS-PS). Paired t tests assessed differences between groups. N  = 298 (65.8%) and n  = 240 (64%) patients followed-up at 1 year, and 205 (72% of 1-year responders) and 174 (76%) at 2 years in the THA and TKA cohorts, respectively. Results No statistically significant differences were observed between 1 and 2 years for HOOS pain ( p  = 0.445), HOOS-PS ( p  = 0.265), VR-12 PCS ( p  = 0.239), VR-12 MCS scores ( p  = 0.342) in THA and TKA cohorts [KOOS pain ( p  = 0.242), KOOS-PS ( p  = 0.088), VR-12 PCS ( p  &lt; 0.2757), VR-12 MCS scores ( p  &lt; 0.075)]. There were statistically significant baseline differences between responders and non-responders (patients lost to follow-up), but differences were small and not clinically relevant. PROMs were not significantly different between 1- and 2-year time points for THA and TKA. Minimal demographic or baseline differences between responders and non-responders suggest a representative sample. Conclusion These data support a minimum follow-up of 1 year for studies with PROMs as the primary outcome variable following THA and TKA.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33606086</pmid><doi>10.1007/s00402-021-03819-x</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3007-7538</orcidid></addata></record>
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subjects Arthritis
Hip joint
Joint replacement surgery
Knee
Medicine
Medicine & Public Health
Orthopaedic Surgery
Orthopedics
Osteoarthritis
Patients
Surgical outcomes
title Patient-reported outcomes at 1 and 2 years after total hip and knee arthroplasty: what is the minimum required follow-up?
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