Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

The Patient Acceptable Symptom State for the Harris Hip Score Following Total Hip Arthroplasty: Validated Thresholds at 3-Month, 1-, 3-, 5-, and 7-Year Follow-Up

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Harvard

APA

CBE

MLA

Vancouver

Author

Galea, Vincent P ; Florissi, Isabella ; Rojanasopondist, Pakdee ; Connelly, James W ; Ingelsrud, Lina H ; Bragdon, Charles ; Malchau, Henrik ; Troelsen, Anders. / The Patient Acceptable Symptom State for the Harris Hip Score Following Total Hip Arthroplasty : Validated Thresholds at 3-Month, 1-, 3-, 5-, and 7-Year Follow-Up. I: The Journal of arthroplasty. 2020 ; Bind 35, Nr. 1. s. 145-152.e2.

Bibtex

@article{ec46ef6651ce4fc2b9485937e28bd82c,
title = "The Patient Acceptable Symptom State for the Harris Hip Score Following Total Hip Arthroplasty: Validated Thresholds at 3-Month, 1-, 3-, 5-, and 7-Year Follow-Up",
abstract = "BACKGROUND: The Patient Acceptable Symptom State (PASS) represents the value on a patient-reported outcome measure scale beyond which patients consider themselves well or in a satisfactory state. The aim of this study is to define and validate the PASS threshold for the HHS at 3 months, 1, 3, 5, and 7 years after THA.METHODS: A total of 976 patients from 14 centers in 7 countries were enrolled into a prospective study. Patients completed the HHS and a numerical rating scale for satisfaction at each follow-up. PASS thresholds for the HHS were calculated at each follow-up interval using the anchor-based, 80{\%} specificity method. A bootstrapping method was used to internally validate the primary PASS thresholds. A patient sample sourced from an institutional registry was used for external validation.RESULTS: The HHS was an excellent predictor of satisfaction at each time point (area under the curve > 0.8; P < .001). PASS thresholds for the HHS were 76 points at 3 months, 89 points at 1 year, 93 points at 3 years, 94 points at 5 years, and 93 points at 7 years. When applied to the internal and external validation cohorts, all PASS thresholds showed acceptable or excellent ability to predict satisfaction (area under the curve = 0.73-80; P < .001).CONCLUSION: The present study is the first to present validated PASS thresholds for the HHS following THA. These findings will serve as a useful reference for future THA outcome studies and as benchmarks for surgeons in their assessment of their patients' clinical success.",
keywords = "Harris Hip Score, Patient Acceptable Symptom State, patient-reported outcome measures, satisfaction, total hip arthroplasty",
author = "Galea, {Vincent P} and Isabella Florissi and Pakdee Rojanasopondist and Connelly, {James W} and Ingelsrud, {Lina H} and Charles Bragdon and Henrik Malchau and Anders Troelsen",
note = "Copyright {\circledC} 2019 Elsevier Inc. All rights reserved.",
year = "2020",
month = "1",
doi = "10.1016/j.arth.2019.08.037",
language = "English",
volume = "35",
pages = "145--152.e2",
journal = "Journal of Arthroplasty",
issn = "0883-5403",
publisher = "Churchill Livingstone",
number = "1",

}

RIS

TY - JOUR

T1 - The Patient Acceptable Symptom State for the Harris Hip Score Following Total Hip Arthroplasty

T2 - Validated Thresholds at 3-Month, 1-, 3-, 5-, and 7-Year Follow-Up

AU - Galea, Vincent P

AU - Florissi, Isabella

AU - Rojanasopondist, Pakdee

AU - Connelly, James W

AU - Ingelsrud, Lina H

AU - Bragdon, Charles

AU - Malchau, Henrik

AU - Troelsen, Anders

N1 - Copyright © 2019 Elsevier Inc. All rights reserved.

PY - 2020/1

Y1 - 2020/1

N2 - BACKGROUND: The Patient Acceptable Symptom State (PASS) represents the value on a patient-reported outcome measure scale beyond which patients consider themselves well or in a satisfactory state. The aim of this study is to define and validate the PASS threshold for the HHS at 3 months, 1, 3, 5, and 7 years after THA.METHODS: A total of 976 patients from 14 centers in 7 countries were enrolled into a prospective study. Patients completed the HHS and a numerical rating scale for satisfaction at each follow-up. PASS thresholds for the HHS were calculated at each follow-up interval using the anchor-based, 80% specificity method. A bootstrapping method was used to internally validate the primary PASS thresholds. A patient sample sourced from an institutional registry was used for external validation.RESULTS: The HHS was an excellent predictor of satisfaction at each time point (area under the curve > 0.8; P < .001). PASS thresholds for the HHS were 76 points at 3 months, 89 points at 1 year, 93 points at 3 years, 94 points at 5 years, and 93 points at 7 years. When applied to the internal and external validation cohorts, all PASS thresholds showed acceptable or excellent ability to predict satisfaction (area under the curve = 0.73-80; P < .001).CONCLUSION: The present study is the first to present validated PASS thresholds for the HHS following THA. These findings will serve as a useful reference for future THA outcome studies and as benchmarks for surgeons in their assessment of their patients' clinical success.

AB - BACKGROUND: The Patient Acceptable Symptom State (PASS) represents the value on a patient-reported outcome measure scale beyond which patients consider themselves well or in a satisfactory state. The aim of this study is to define and validate the PASS threshold for the HHS at 3 months, 1, 3, 5, and 7 years after THA.METHODS: A total of 976 patients from 14 centers in 7 countries were enrolled into a prospective study. Patients completed the HHS and a numerical rating scale for satisfaction at each follow-up. PASS thresholds for the HHS were calculated at each follow-up interval using the anchor-based, 80% specificity method. A bootstrapping method was used to internally validate the primary PASS thresholds. A patient sample sourced from an institutional registry was used for external validation.RESULTS: The HHS was an excellent predictor of satisfaction at each time point (area under the curve > 0.8; P < .001). PASS thresholds for the HHS were 76 points at 3 months, 89 points at 1 year, 93 points at 3 years, 94 points at 5 years, and 93 points at 7 years. When applied to the internal and external validation cohorts, all PASS thresholds showed acceptable or excellent ability to predict satisfaction (area under the curve = 0.73-80; P < .001).CONCLUSION: The present study is the first to present validated PASS thresholds for the HHS following THA. These findings will serve as a useful reference for future THA outcome studies and as benchmarks for surgeons in their assessment of their patients' clinical success.

KW - Harris Hip Score

KW - Patient Acceptable Symptom State

KW - patient-reported outcome measures

KW - satisfaction

KW - total hip arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=85071947665&partnerID=8YFLogxK

U2 - 10.1016/j.arth.2019.08.037

DO - 10.1016/j.arth.2019.08.037

M3 - Journal article

VL - 35

SP - 145-152.e2

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

SN - 0883-5403

IS - 1

ER -

ID: 57953491