Back to Journals » Patient Related Outcome Measures » Volume 7

Systematic review of measurement properties of patient-reported outcome measures used in patients undergoing hip and knee arthroplasty

Authors Harris K, Dawson J, Gibbons E, Lim C, Beard D, Fitzpatrick R, Price A

Received 7 October 2015

Accepted for publication 8 March 2016

Published 25 July 2016 Volume 2016:7 Pages 101—108

DOI https://doi.org/10.2147/PROM.S97774

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Abhishek Kavati

Peer reviewer comments 2

Editor who approved publication: Dr Robert Howland


Kristina Harris,1 Jill Dawson,2 Elizabeth Gibbons,2 Chris R Lim,1 David J Beard,1 Raymond Fitzpatrick,2 Andrew J Price1

1Nuffield Department of Orthopedics, Rheumatology and Musculoskeletal Sciences, 2Nuffield Department of Population Health (HSRU), University of Oxford, Oxford, UK

Objectives: To identify patient-reported outcome measures (PROMs) that have been developed and/or used with patients undergoing hip or knee replacement surgery and to provide a shortlist of the most promising generic and condition-specific instruments.
Methods: A systematic review of the literature was performed to identify measures used in patients undergoing hip and knee replacement and extract and evaluate information on their methodological quality.
Results:
Thirty-two shortlisted measures were reviewed for the quality of their measurement properties. On the basis of the review criteria, the measures with most complete evidence to date are the Oxford Hip Score (OHS) (for patients undergoing hip replacement surgery) and the Oxford Knee Score (OKS), with OKS-Activity and Participation Questionnaire (for patients undergoing knee replacement surgery).
Conclusion:
A large number of these instruments lack essential evidence of their measurement properties (eg, validity, reliability, and responsiveness) in specific populations of patients. Further research is required on almost all of the identified measures. The best-performing condition-specific PROMs were the OKS, OHS, and Western Ontario and McMaster Universities Osteoarthritis Index. The best-performing generic measure was the Short Form 12. Researchers can use the information presented in this review to inform further psychometric studies of the reviewed measures.

Keywords: knee, hip, patient-reported outcome measures, systematic review, measurement properties, validity, reliability.

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]