Determining the Validity, Reliability, and Utility of the Forgotten Joint Score: A Systematic Review

With improving patient outcome after total hip and total knee arthroplasty, patient-reported outcome measures (PROMs) have seen a parallel rise in average scores and ceiling effects. The Forgotten Joint Score (FJS) is a PROM that has been previously proposed to reduce this observed ceiling effect. H...

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Veröffentlicht in:The Journal of arthroplasty 2020-04, Vol.35 (4), p.1137-1144
Hauptverfasser: Adriani, Marco, Malahias, Michael-Alexander, Gu, Alex, Kahlenberg, Cynthia A., Ast, Michael P., Sculco, Peter K.
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container_end_page 1144
container_issue 4
container_start_page 1137
container_title The Journal of arthroplasty
container_volume 35
creator Adriani, Marco
Malahias, Michael-Alexander
Gu, Alex
Kahlenberg, Cynthia A.
Ast, Michael P.
Sculco, Peter K.
description With improving patient outcome after total hip and total knee arthroplasty, patient-reported outcome measures (PROMs) have seen a parallel rise in average scores and ceiling effects. The Forgotten Joint Score (FJS) is a PROM that has been previously proposed to reduce this observed ceiling effect. However, the validity and reliability of the FJS has not been well analyzed. The US National Library of Medicine (PubMed/MEDLINE), EMBASE, and the Cochrane Database of Systematic Reviews were queried using keywords pertinent to FJS, validity, reliability, measurement properties, and PROM. The methodological quality of measurement properties was evaluated using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. In total, 13 articles met the inclusion criteria and were included in this analysis. Internal consistency was consistently high (Cronbach alpha >0.9). Test-retest reliability was good or excellent (interclass correlation coefficient ≥0.8) in all studies. As for construct validity, all the articles reported a positive rating. Floor and ceiling effects overall were low (
doi_str_mv 10.1016/j.arth.2019.10.058
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The Forgotten Joint Score (FJS) is a PROM that has been previously proposed to reduce this observed ceiling effect. However, the validity and reliability of the FJS has not been well analyzed. The US National Library of Medicine (PubMed/MEDLINE), EMBASE, and the Cochrane Database of Systematic Reviews were queried using keywords pertinent to FJS, validity, reliability, measurement properties, and PROM. The methodological quality of measurement properties was evaluated using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. In total, 13 articles met the inclusion criteria and were included in this analysis. Internal consistency was consistently high (Cronbach alpha &gt;0.9). Test-retest reliability was good or excellent (interclass correlation coefficient ≥0.8) in all studies. As for construct validity, all the articles reported a positive rating. Floor and ceiling effects overall were low (&lt;15%). Conflicting results were found for responsiveness and measurement error. There is a strong evidence of good construct validity and test-retest reliability regarding the FJS, with moderate evidence of good internal consistency. Ceiling and floor effects were very low, showing a very promising discriminatory power between patients with a good outcome and patients with an excellent outcome. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Arthroplasty, Replacement, Knee
Checklist
floor and ceiling effect
forgotten joint score
Humans
Patient Reported Outcome Measures
Reproducibility of Results
Surveys and Questionnaires
test-retest reliability
total hip arthroplasty
total knee arthroplasty
title Determining the Validity, Reliability, and Utility of the Forgotten Joint Score: A Systematic Review
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