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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Categorization of changes in the Oxford Knee Score after Total Knee Replacement: An interpretive tool developed from a dataset of 46,094 replacements

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OBJECTIVES: The objective of the study was to create an interpretive categorical classification for the transition in the Oxford Knee Score (OKS) change score (ΔOKS) using the anchor-based method.

STUDY DESIGN AND SETTING: Registry data from 46,094 total knee replacements from the year 2014/15, were accessed via the Health and Social Care Information Center official website. Data included preoperative and 6-month follow-up OKS and response to the transition anchor question. Categories were determined using Gaussian approximation probability and k-fold cross-validation.

RESULTS: Four categories were identified with the corresponding ΔOKS intervals: "1. much better" (≥16), "2. a little better" (7-15), "3. about the same" (1-6), and "4. much worse" (≤0) based on the anchor questions' original five categories. The mean 10-fold cross-validation error was 0.35 OKS points (95% confidence interval 0.12 to 0.63). Sensitivity ranged from 0.34 to 0.68; specificity ranged from 0.74 to 0.95.

CONCLUSION: We have categorized the change score into a clinically meaningful classification. We argue it should be an addition to the continuous OKS outcome to contextualize the results in a way more applicable to the shared decision-making process and for interpreting research results.

Original languageEnglish
JournalJournal of Clinical Epidemiology
Volume132
Pages (from-to)18-25
Number of pages8
ISSN0895-4356
DOIs
Publication statusPublished - 1 Apr 2021

    Research areas

  • Interpretive tool, Knee replacement, Oxford Knee Score, Patient-reported outcome

ID: 61502301