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 |
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container_title | The Journal of arthroplasty |
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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 |
format | Article |
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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 (<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. Therefore, especially in patients expected to achieve high levels of function after total joint replacement, we highly recommend the use of FJS for the long-term assessment of their treatment.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2019.10.058</identifier><identifier>PMID: 31806559</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>The Journal of arthroplasty, 2020-04, Vol.35 (4), p.1137-1144</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-6f4dc6fb3aa783dc89bc111fd547817ec8d44cb90334c63fdd0070064a4f88653</citedby><cites>FETCH-LOGICAL-c422t-6f4dc6fb3aa783dc89bc111fd547817ec8d44cb90334c63fdd0070064a4f88653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540319310356$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31806559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adriani, Marco</creatorcontrib><creatorcontrib>Malahias, Michael-Alexander</creatorcontrib><creatorcontrib>Gu, Alex</creatorcontrib><creatorcontrib>Kahlenberg, Cynthia A.</creatorcontrib><creatorcontrib>Ast, Michael P.</creatorcontrib><creatorcontrib>Sculco, Peter K.</creatorcontrib><title>Determining the Validity, Reliability, and Utility of the Forgotten Joint Score: A Systematic Review</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><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 (<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. Therefore, especially in patients expected to achieve high levels of function after total joint replacement, we highly recommend the use of FJS for the long-term assessment of their treatment.</description><subject>Arthroplasty, Replacement, Knee</subject><subject>Checklist</subject><subject>floor and ceiling effect</subject><subject>forgotten joint score</subject><subject>Humans</subject><subject>Patient Reported Outcome Measures</subject><subject>Reproducibility of Results</subject><subject>Surveys and Questionnaires</subject><subject>test-retest reliability</subject><subject>total hip arthroplasty</subject><subject>total knee arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1P3DAQhq2qqGyhf6AH5GMPzXYc24kXcUEUaBESEl9Xy7En4FUSg-0F7b9vsgs9chrN6HlfaR5CvjOYM2DVr-XcxPw4L4EtxsMcpPpEZkzyslACqs9kBkrxQgrgu-RrSksAxqQUX8guZwoqKRcz4n5jxtj7wQ8PND8ivTeddz6vf9Jr7LxpfLdZzODoXd4sNLQb8izEh5AzDvQi-CHTGxsiHtJjerNOGXuTvR07Xjy-7pOd1nQJv73NPXJ3dnp78qe4vDr_e3J8WVhRlrmoWuFs1TbcmFpxZ9WisYyx1klRK1ajVU4I2yyAc2Er3joHUANUwohWqUryPfJj2_sUw_MKU9a9Txa7zgwYVkmXvCxrCYpPaLlFbQwpRWz1U_S9iWvNQE929VJPdvVkd7qNdsfQwVv_qunR_Y-86xyBoy2A45fj51En63Gw6HxEm7UL_qP-f_THi14</recordid><startdate>202004</startdate><enddate>202004</enddate><creator>Adriani, Marco</creator><creator>Malahias, Michael-Alexander</creator><creator>Gu, Alex</creator><creator>Kahlenberg, Cynthia A.</creator><creator>Ast, Michael P.</creator><creator>Sculco, Peter K.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202004</creationdate><title>Determining the Validity, Reliability, and Utility of the Forgotten Joint Score: A Systematic Review</title><author>Adriani, Marco ; Malahias, Michael-Alexander ; Gu, Alex ; Kahlenberg, Cynthia A. ; Ast, Michael P. ; Sculco, Peter K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-6f4dc6fb3aa783dc89bc111fd547817ec8d44cb90334c63fdd0070064a4f88653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Arthroplasty, Replacement, Knee</topic><topic>Checklist</topic><topic>floor and ceiling effect</topic><topic>forgotten joint score</topic><topic>Humans</topic><topic>Patient Reported Outcome Measures</topic><topic>Reproducibility of Results</topic><topic>Surveys and Questionnaires</topic><topic>test-retest reliability</topic><topic>total hip arthroplasty</topic><topic>total knee arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adriani, Marco</creatorcontrib><creatorcontrib>Malahias, Michael-Alexander</creatorcontrib><creatorcontrib>Gu, Alex</creatorcontrib><creatorcontrib>Kahlenberg, Cynthia A.</creatorcontrib><creatorcontrib>Ast, Michael P.</creatorcontrib><creatorcontrib>Sculco, Peter K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adriani, Marco</au><au>Malahias, Michael-Alexander</au><au>Gu, Alex</au><au>Kahlenberg, Cynthia A.</au><au>Ast, Michael P.</au><au>Sculco, Peter K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determining the Validity, Reliability, and Utility of the Forgotten Joint Score: A Systematic Review</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2020-04</date><risdate>2020</risdate><volume>35</volume><issue>4</issue><spage>1137</spage><epage>1144</epage><pages>1137-1144</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>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 (<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. Therefore, especially in patients expected to achieve high levels of function after total joint replacement, we highly recommend the use of FJS for the long-term assessment of their treatment.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31806559</pmid><doi>10.1016/j.arth.2019.10.058</doi><tpages>8</tpages></addata></record> |
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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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