Integrating Patient-reported Outcomes Into Orthopaedic Clinical Practice: Proof of Concept From FORCE-TJR

Ayers, David C.; Zheng, Hua; Franklin, Patricia D.

doi:10.1007/s11999-013-3143-z

Cited by 97 publications

(71 citation statements)

References 9 publications

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“…9,[18][19][20][21] Multiple studies confirm that clinical integration of PROs does not increase the duration of clinic visits, that provider and patient satisfaction is high, and that all parties feel their use improves communication. 12,19,20,[22][23][24] The successful use of PROs in outpatient orthopedic surgery clinics highlights the feasibility of use in busy outpatient settings and the benefit in clinical decision making.…”

Section: Pro Use In Clinical Practice Is Feasible and Beneficialmentioning

confidence: 99%

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Patient-reported outcomes in clinical practice

Dobrozsi

Panepinto

2015

Hematology

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Section: Pro Use In Clinical Practice Is Feasible and Beneficialmentioning

confidence: 99%

“…These data are used to monitor improvement or deterioration in function related to the condition, assess response to nonsurgical interventions, and assist with decision making regarding elective surgical interventions for knee, hip, or back problems. 21,25 …”

Section: Pro Use In Clinical Practice Is Feasible and Beneficialmentioning

confidence: 99%

Patient-reported outcomes in clinical practice

Dobrozsi

Panepinto

2015

Hematology

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“…FORCE-TJR collects patient-centered outcome measures before surgery and annually after surgery but also includes standardized measures of complications and adverse events, patient risk characteristics, surgeons and their practices, and clinical examination data [8]. (Editor's note: For more information on FORCE-TJR, please see the articles by Ayers et al [2] and Franklin et al [9], also in this issue of Clinical Orthopaedics and Related Research. )…”

Section: Where Are We Now?mentioning

confidence: 99%

Challenges in Outcome Measurement: Clinical Research Perspective

O’Connor

Brinker

2013

Clinical Orthopaedics &Amp; Related Research

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“…However, because most of these instruments are lengthy, administration can disrupt clinic flow, whereas incomplete survey responses and other inefficiencies and limitations are not infrequent. Although well designed for research purposes, they have not been universally adopted because they have not proven suitably efficient as tools for large patient registries and other outcomes reporting needs [2,14].…”

Section: Introductionmentioning

confidence: 99%

Validation of the HOOS, JR: A Short-form Hip Replacement Survey

Lyman

Lee

Franklin

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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141

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Background Patient-reported outcome measures (PROMs) are increasingly in demand for outcomes evaluation by hospitals, administrators, and policymakers. However, assessing total hip arthroplasty (THA) through such instruments is challenging because most existing measures of hip health are lengthy and/or proprietary. Questions/purposes The objective of this study was to derive a patient-relevant short-form survey based on the Hip disability and Osteoarthritis Outcome Score (HOOS), focusing specifically on outcomes after THA. Methods We retrospectively evaluated patients with hip osteoarthritis who underwent primary unilateral THA and who had completed preoperative and 2-year postoperative PROMs using our hospital's hip replacement registry. The 2-year followup in this population was 81% (4308 of 5351 patients). Of these, 2371 completed every item on the HOOS before surgery and at 2 years, making them eligible for the formal item reduction analysis. Through semistructured interviews with 30 patients, we identified items in the HOOS deemed qualitatively most important to patients with hip osteoarthritis. The original HOOS has 40 items, the four quality-of-life items were excluded a priori, five were excluded for being redundant, and one was excluded based on patient-relevance surveys. The remaining 30 items were evaluated using Rasch modeling to yield a final six-item One or more of the authors (SL, PDF) has received rsearch support funding from the Agency for Healthcare Research and Quality (Rockville, MD). One of the authors certifies that he (DJM), or a member of his or her immediate family, has or may receive payments or benefits, during the study period, an amount of USD 10,000-USD 100,000, from Mako (Fort Lauderdale, FL, USA), an amount of USD 10,000-USD 100,000, from Orthalign (Aliso Viejo, CA, USA), and an amount of USD 10,000-USD 100,000, from Smith & Nephew (London, UK). One of the authors certifies that he (DEP), or a member of his or her immediate family, has or may receive payments or benefits, during the study period, an amount of more than USD 1,000,001 from Stryker-Mako (Fort Lauderdale, FL, USA). The institution of one or more of the authors (SL, YYL) has received, during the study period, funding from The Starr Foundation (New York, NY, USA). All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. This work was performed at the Hospital for Special Surgery, New York, NY, USA. Electronic supplementary material

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Integrating Patient-reported Outcomes Into Orthopaedic Clinical Practice: Proof of Concept From FORCE-TJR

Cited by 97 publications

References 9 publications

Patient-reported outcomes in clinical practice

Patient-reported outcomes in clinical practice

Challenges in Outcome Measurement: Clinical Research Perspective

Validation of the HOOS, JR: A Short-form Hip Replacement Survey

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