Evidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement

Abstract

The Oxford hip score (OHS) is a patient-based instrument for assessment of outcome which is often used after total hip replacement, and the EuroQol 5D (EQ5D) is a patient-based generic questionnaire for health assessment. In an analysis of the outcome at one year of 609 revision hip replacements (RHRs), we compared the OHS and EQ5D scores, postoperative patient satisfaction and change in pain. About 25% of the operations were repeat RHRs. At one year, 57% of patients were very pleased with their operation. The correlation between preoperative and postoperative scores and change scores for the OHS and EQ5D was high. For both instruments the effect sizes were large, but the greater effect size of the OHS suggests that it is particularly sensitive to improvements after RHR. The effect scores of the OHS declined with the number of previous RHRs, while those for the EQ5D seemed less sensitive. Our results confirm the value of the OHS in assessing outcome after RHR.

GP referral of patients with osteoarthritis for consideration of total joint replacement: a longitudinal study

“…[20][21][22][23] All the measures have good reliability, validity, and responsiveness to detect change over time. [17][18][19][20][21][22][23][24][25] In this article, only data collected at baseline on pain, stiffness, and physical functioning have been used in the analysis. Items on the baseline questionnaire also collected demographic data.…”

“…High levels of pain, reduced physical function, and poor quality of life are prevalent in individuals with OA. [1][2][3] Joint replacement for severe OA of the hip or knee is regarded as an effective treatment, [4][5][6] and is one of the most common operations in the UK. 7 GPs determine whether patients are potential candidates for TJR in their referral to orthopaedic surgeons.…”

Cerebral Microembolization during Primary Total Hip Arthroplasty and Neuropsychologic Outcome: A Pilot Study

“…In contrast to the HHS, the patient completes the OHS. Its validity and reliability have been assessed in comparison to the SF-36 and Charnley hip scores with excellent results [23][24][25]47]. In addition, operation time, any complications, and days to discharge were recorded for each patient.…”

The Development and Validation of a More Discriminating Functional Hip Score for Research

“…Various scoring systems for THAs are in common use [2] and range from simple measures such as the documentation of return to premorbid activities to formal scoring systems such as the popular Harris hip score [20]. Most scoring systems reliably measure improvement in pain or ability to perform day-to-day activities [2,4,10,18,19]. However, because we increasingly operate on young active patients who want to return to high levels of activity, any scoring system for those patients should be able to differentiate the functional ability of the younger, more active patient from that of the older arthritic patient undergoing a THA.…”

“…However, we found most active patients undergoing THA could carry on functions such as use of public transport and negotiating stairs despite their pain. The Oxford hip score is another sensitive outcome measure used in hip arthroplasty [10,18]. It assesses health over the previous 4 weeks.…”