Defining an International Standard Set of Outcome Measures for Patients With Hip or Knee Osteoarthritis: Consensus of the International Consortium for Health Outcomes Measurement Hip and Knee Osteoarthritis Working Group

Rolfson, Ola; Wissig, Stephanie; Maasakkers, Lisa van; Stowell, Caleb; Ackerman, Ilana N.; Ayers, David C.; Barber, Thomas; Benzakour, Thami; Bozic, Kevin J.; Budhiparama, Nicolaas C.; Caillouette, James T.; Conaghan, Philip G.; Dahlberg, Leif; Dunn, Jennifer; Grady-Benson, John; Ibrahim, Said A.; Lewis, Sally; Malchau, Henrik; Manzary, Mojieb; March, Lyn; Nassif, Nader; Nelissen, Rob G H H; Smith, Noel H.; Franklin, Patricia D.

doi:10.1002/acr.22868

Cited by 125 publications

(94 citation statements)

References 44 publications

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“…Unfortunately, inconsistency in outcome reporting and incomplete data reporting still limited the number of studies that could be included in statistical analysis to fewer than half. It is hence recommended that a validated standard set of outcome measures be implemented for future studies, such as those already available in hip and knee pain . This would eliminate the variability in outcome measures and allow pooling of data across more studies.…”

Section: Discussionmentioning

confidence: 99%

Effect of preoperative psychological interventions on elective orthopaedic surgery outcomes: a systematic review and meta‐analysis

Tong

Dannaway

Enke

et al. 2019

ANZ Journal of Surgery

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Background Orthopaedic surgery is largely successful; however, a proportion of patients are dissatisfied and report pain and poor function. Psychological factors have been shown to influence orthopaedic surgical outcomes. This systematic review and meta‐analysis investigates the types and effectiveness of preoperative psychological interventions in elective orthopaedic surgery. Methods A registered systematic review (PROSPERO CRD42017073833) was performed on literature (1960–January 2018) using eight databases. Prospective controlled clinical trials involving adult and adolescent elective orthopaedic surgery were included. Interventions examined included relaxation, cognitive behavioural therapy, hypnosis, emotional counselling and mixed psychotherapies; general procedural education was excluded. Outcomes extracted included pain, anxiety, quality of life and disability. Results A total of 19 studies met the inclusion criteria (n = 1893 patients). Meta‐analyses were performed for pain, anxiety and quality of life. Analysis did not find enough evidence to confirm reduction in post‐operative pain (seven studies, 666 patients; g = −0.15 (95% CI −0.42, 0.13), P = 0.305). Pooled data from six studies on acute post‐operative anxiety (589 patients) showed a moderate statistically significant benefit (g = −0.26 (−0.49, −0.03), P = 0.024). There was an improved quality of life (mental component) at longer term follow‐up (g = 0.25 (0.02, 0.49), P = 0.034). Conclusions These studies provide evidence that psychological interventions have a positive effect on anxiety in the acute post‐operative period, and on mental components of quality of life at longer term follow‐up.

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Section: Discussionmentioning

confidence: 99%

Effect of preoperative psychological interventions on elective orthopaedic surgery outcomes: a systematic review and meta‐analysis

Tong

Dannaway

Enke

et al. 2019

ANZ Journal of Surgery

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“…Quality of life is based on a personal perception of one's own health status (Fusco et al, 2011). Despite this fact, Rolfson et al (2016) identified that EQ-5D has a clear potential for application for measure of clinical impact of interventions in the elderly (Rolfson, 2016). There are some studies mentioned in this review that have attempted to establish a minimally important difference be-…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life in elderly: a review of the EQ-5D use

Veras¹,

Magliano²,

Santos³

et al. 2016

JBES

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Objective: To systematically identify and review studies that used EQ-5D to assess health-related quality of life (QoL) in elderly. Methods: Relevant literature was searched in MEDLINE and Lilacs databases and the EuroQol Plenary Meetings Proceedings (June/2003 to June/2013). The inclusion criteria were subjects aged 60 years or more and the use of the EQ-5D questionnaire. Two independent reviewers screened title, abstract, full text and performed data extraction. The country where the study had been conducted, demographic characteristics of the population, objectives, common criteria used by the studies to the exclusion of patients/participants and presentation of the data were the variables analyzed. Results: A total of 90 studies were included with 34,449 subjects, the mean age was 75.6 ± 4.3 years. The majority of the studies were from Europe (66.7%). Studies in Africa and South America were not identified. The main diseases investigated were orthopedic (20.0%) and cardiovascular diseases (15.5%). The study's results were most frequently based on personal interviews (41.1%) involving directly the elderly (92.2%). The most common exclusion criteria were health conditions that could result in bias or confounding on the study protocol (61.1%) and low cognitive level (50.0%). The EQ-5D results were presented in different ways: means (82.2%) or medians (5.6%) associated with measures of dispersion as standard deviation (61.1%) and confidence interval (22.2%), or according to the answers in the descriptive system (22.2%). Conclusions: The lack of standardization in the exhibition of the results limits a direct comparison among different interventions. RESUMO Objetivo:Identificar sistematicamente e revisar os estudos que utilizaram o EQ-5D para avaliar a qualidade de vida relacionada à saúde em idosos. Métodos: Foram realizadas buscas nas bases MEDLINE e Lilacs e nos arquivos do encontro anual do grupo EuroQol (Junho/2003 a Junho/2013). Os critérios de inclusão dos estudos foram: população com idade ≥ 60 anos e uso do questionário EQ-5D. Dois revisores independentes avaliaram os títulos, depois os resumos e o texto completo e extraíram os dados. As variáveis estudadas foram: país de origem do estudo, características demográficas da amostra, objetivos do estudo, critérios para a exclusão dos pacientes e forma de apresentação dos resultados. Resultados: Foram incluídos 90 estudos, totalizando 34.449 indivíduos, cuja média de idade foi de 75,6 ± 4,3 anos. A maioria dos estudos foi conduzida na Europa (66,7%). Não foram identificados estudos na África ou na América do Sul. As principais doenças investigadas

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“…These combined sets have already been developed for several conditions, including lower back pain, 6 advanced prostate cancer 7 and hip and knee osteoarthritis. 8 no doubt that these are important, but as O'Mahony and colleagues point out, implementation of the framework will require further review and validation of these outcomes by patient groups, including those from low and middle-income countries. 12 Then, these outcomes should be measured appropriately.…”

Section: Functional Outcomes Andmentioning

confidence: 99%

“…The second step is to establish so‐called minimum outcomes sets or core sets of outcomes (both clinical and patient‐reported). These combined sets have already been developed for several conditions, including lower back pain, advanced prostate cancer and hip and knee osteoarthritis . With the help of Delphi‐like processes and involvement of both patients and different clinical specialists, organizations such as the International Consortium for Health Outcomes Measurement (ICHOM) and the Core Outcome Measures in Effectiveness Trials (COMET) focus on defining outcomes that matter most to patients and that are to be used as effectiveness endpoints in clinical trials, with the patient's voice becoming increasingly important …”

mentioning

confidence: 99%