Willingness to go through surgery again validated the WOMAC clinically important difference from THR/TKR surgery
Abstract Objective The objective was to determine the clinically important difference (CID) from primary total hip replacement (THR) and total knee replacement (TKR) surgeries using the Western Ontario McMaster University (WOMAC) osteoarthritis index. Study Design and Setting WOMAC scores were colle...
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description | Abstract Objective The objective was to determine the clinically important difference (CID) from primary total hip replacement (THR) and total knee replacement (TKR) surgeries using the Western Ontario McMaster University (WOMAC) osteoarthritis index. Study Design and Setting WOMAC scores were collected at decision for and 1 year after surgery ( n = 2,709). Transition ratings (15-point scale) were obtained at 1 year for pain and function, as well as a global assessment of willingness to go through surgery again. A “good deal better” defined the positive CID. WOMAC change scores for transition ratings and willingness to go through surgery again were evaluated using receiver operating characteristic curves. Patient characteristics within transition rating categories were examined. Results For THR, the positive CIDs were 41 of 100 for pain and 34 of 100 for function. The negative CIDs were 35 and 33, respectively. For TKR, the positive CIDs were 36 for pain and 33 for function. The negative CIDs were 30 and 25, respectively. Change scores for willingness to go through surgery again validated CID values. Postoperative complications decreased the likelihood of a positive CID. Conclusion Improvement that is “a good deal better” is an appropriate threshold for the THR/TKR positive CID. Attaining a positive CID is negatively related to postoperative complications. |
doi_str_mv | 10.1016/j.jclinepi.2007.10.014 |
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Study Design and Setting WOMAC scores were collected at decision for and 1 year after surgery ( n = 2,709). Transition ratings (15-point scale) were obtained at 1 year for pain and function, as well as a global assessment of willingness to go through surgery again. A “good deal better” defined the positive CID. WOMAC change scores for transition ratings and willingness to go through surgery again were evaluated using receiver operating characteristic curves. Patient characteristics within transition rating categories were examined. Results For THR, the positive CIDs were 41 of 100 for pain and 34 of 100 for function. The negative CIDs were 35 and 33, respectively. For TKR, the positive CIDs were 36 for pain and 33 for function. The negative CIDs were 30 and 25, respectively. Change scores for willingness to go through surgery again validated CID values. Postoperative complications decreased the likelihood of a positive CID. Conclusion Improvement that is “a good deal better” is an appropriate threshold for the THR/TKR positive CID. Attaining a positive CID is negatively related to postoperative complications.</description><identifier>ISSN: 0895-4356</identifier><identifier>EISSN: 1878-5921</identifier><identifier>DOI: 10.1016/j.jclinepi.2007.10.014</identifier><identifier>PMID: 18687289</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Arthritis ; Arthroplasty ; Arthroplasty, Replacement, Hip - psychology ; Arthroplasty, Replacement, Hip - rehabilitation ; Arthroplasty, Replacement, Knee - psychology ; Arthroplasty, Replacement, Knee - rehabilitation ; Biological and medical sciences ; Clinically important difference ; Data collection ; Epidemiology ; Female ; Health sciences ; Health Status ; Health Status Indicators ; Humans ; Internal Medicine ; Joint surgery ; Male ; Medical sciences ; Ontario - epidemiology ; Orthopedic surgery ; Osteoarthritis ; Osteoarthritis - epidemiology ; Osteoarthritis - psychology ; Osteoarthritis - rehabilitation ; Pain ; Pain Measurement - methods ; Pain, Postoperative - psychology ; Patient Satisfaction ; Probability ; Quality of Life - psychology ; Ratings & rankings ; Reoperation - psychology ; Severity of Illness Index ; Studies ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surveys and Questionnaires ; Total hip replacement ; Total knee replacement ; Validation ; WOMAC</subject><ispartof>Journal of clinical epidemiology, 2008-09, Vol.61 (9), p.907-918</ispartof><rights>Elsevier Inc.</rights><rights>2008 Elsevier Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c545t-b84826b38a29c4f1d0b540486102d95ce3989fc1c49321c9ba5e5d793cb6f5033</citedby><cites>FETCH-LOGICAL-c545t-b84826b38a29c4f1d0b540486102d95ce3989fc1c49321c9ba5e5d793cb6f5033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1033833501?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994,64384,64386,64388,72340</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20594754$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18687289$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chesworth, Bert M</creatorcontrib><creatorcontrib>Mahomed, Nizar N</creatorcontrib><creatorcontrib>Bourne, Robert B</creatorcontrib><creatorcontrib>Davis, Aileen M</creatorcontrib><creatorcontrib>OJRR Study Group</creatorcontrib><title>Willingness to go through surgery again validated the WOMAC clinically important difference from THR/TKR surgery</title><title>Journal of clinical epidemiology</title><addtitle>J Clin Epidemiol</addtitle><description>Abstract Objective The objective was to determine the clinically important difference (CID) from primary total hip replacement (THR) and total knee replacement (TKR) surgeries using the Western Ontario McMaster University (WOMAC) osteoarthritis index. Study Design and Setting WOMAC scores were collected at decision for and 1 year after surgery ( n = 2,709). Transition ratings (15-point scale) were obtained at 1 year for pain and function, as well as a global assessment of willingness to go through surgery again. A “good deal better” defined the positive CID. WOMAC change scores for transition ratings and willingness to go through surgery again were evaluated using receiver operating characteristic curves. Patient characteristics within transition rating categories were examined. Results For THR, the positive CIDs were 41 of 100 for pain and 34 of 100 for function. The negative CIDs were 35 and 33, respectively. For TKR, the positive CIDs were 36 for pain and 33 for function. The negative CIDs were 30 and 25, respectively. Change scores for willingness to go through surgery again validated CID values. Postoperative complications decreased the likelihood of a positive CID. Conclusion Improvement that is “a good deal better” is an appropriate threshold for the THR/TKR positive CID. Attaining a positive CID is negatively related to postoperative complications.</description><subject>Aged</subject><subject>Arthritis</subject><subject>Arthroplasty</subject><subject>Arthroplasty, Replacement, Hip - psychology</subject><subject>Arthroplasty, Replacement, Hip - rehabilitation</subject><subject>Arthroplasty, Replacement, Knee - psychology</subject><subject>Arthroplasty, Replacement, Knee - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Clinically important difference</subject><subject>Data collection</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health sciences</subject><subject>Health Status</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Joint surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Ontario - epidemiology</subject><subject>Orthopedic surgery</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis - epidemiology</subject><subject>Osteoarthritis - psychology</subject><subject>Osteoarthritis - rehabilitation</subject><subject>Pain</subject><subject>Pain Measurement - methods</subject><subject>Pain, Postoperative - psychology</subject><subject>Patient Satisfaction</subject><subject>Probability</subject><subject>Quality of Life - psychology</subject><subject>Ratings & rankings</subject><subject>Reoperation - psychology</subject><subject>Severity of Illness Index</subject><subject>Studies</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surveys and Questionnaires</subject><subject>Total hip replacement</subject><subject>Total knee replacement</subject><subject>Validation</subject><subject>WOMAC</subject><issn>0895-4356</issn><issn>1878-5921</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkk9r3DAQxUVpabZpv0IQlPbmjSRLtnQpDUublKYE0i05ClkeO3L9L5Id2G8fmd1tIJeeBKPfPGbeG4TOKFlTQrPzZt3Y1vUwujUjJI_FNaH8FVpRmctEKEZfoxWRSiQ8FdkJehdCQwjNSS7eohMqM5kzqVZovHNt1Kl7CAFPA64HPN37Ya7vcZh9DX6HTW1cjx9N60ozQRn_Ad_d_LrY4GUCZ03b7rDrxsFPpp9w6aoKPPQWcOWHDm-vbs-3P2-Pcu_Rm8q0AT4c3lP05_u37eYqub65_LG5uE6s4GJKCskly4pUGqYsr2hJCsEJlxklrFTCQqqkqiy1XKWMWlUYAaLMVWqLrBIkTU_R573u6IeHGcKkOxcstK3pYZiDzhQnlFEWwY8vwGaYfR9n0zTqyDQVhEYq21PWDyF4qPToXWf8LkJ6SUQ3-piIXhJZ6jGR2Hh2kJ-LDsrntkMEEfh0AEyIXlbe9NaFfxwjQvFcLEJf9xxE1x4deB2sW2wunQc76XJw_5_lywuJY4J_YQfheW8dmCb693I_y_mQnJBoRJY-ARvTwWo</recordid><startdate>20080901</startdate><enddate>20080901</enddate><creator>Chesworth, Bert M</creator><creator>Mahomed, Nizar N</creator><creator>Bourne, Robert B</creator><creator>Davis, Aileen M</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><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>3V.</scope><scope>7QL</scope><scope>7QP</scope><scope>7RV</scope><scope>7T2</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20080901</creationdate><title>Willingness to go through surgery again validated the WOMAC clinically important difference from THR/TKR surgery</title><author>Chesworth, Bert M ; Mahomed, Nizar N ; Bourne, Robert B ; Davis, Aileen M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c545t-b84826b38a29c4f1d0b540486102d95ce3989fc1c49321c9ba5e5d793cb6f5033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Arthritis</topic><topic>Arthroplasty</topic><topic>Arthroplasty, Replacement, Hip - psychology</topic><topic>Arthroplasty, Replacement, Hip - rehabilitation</topic><topic>Arthroplasty, Replacement, Knee - psychology</topic><topic>Arthroplasty, Replacement, Knee - rehabilitation</topic><topic>Biological and medical sciences</topic><topic>Clinically important difference</topic><topic>Data collection</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health sciences</topic><topic>Health Status</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Joint surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Ontario - epidemiology</topic><topic>Orthopedic surgery</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis - epidemiology</topic><topic>Osteoarthritis - psychology</topic><topic>Osteoarthritis - rehabilitation</topic><topic>Pain</topic><topic>Pain Measurement - methods</topic><topic>Pain, Postoperative - psychology</topic><topic>Patient Satisfaction</topic><topic>Probability</topic><topic>Quality of Life - psychology</topic><topic>Ratings & rankings</topic><topic>Reoperation - psychology</topic><topic>Severity of Illness Index</topic><topic>Studies</topic><topic>Surgery</topic><topic>Surgery (general aspects). 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Study Design and Setting WOMAC scores were collected at decision for and 1 year after surgery ( n = 2,709). Transition ratings (15-point scale) were obtained at 1 year for pain and function, as well as a global assessment of willingness to go through surgery again. A “good deal better” defined the positive CID. WOMAC change scores for transition ratings and willingness to go through surgery again were evaluated using receiver operating characteristic curves. Patient characteristics within transition rating categories were examined. Results For THR, the positive CIDs were 41 of 100 for pain and 34 of 100 for function. The negative CIDs were 35 and 33, respectively. For TKR, the positive CIDs were 36 for pain and 33 for function. The negative CIDs were 30 and 25, respectively. Change scores for willingness to go through surgery again validated CID values. Postoperative complications decreased the likelihood of a positive CID. Conclusion Improvement that is “a good deal better” is an appropriate threshold for the THR/TKR positive CID. Attaining a positive CID is negatively related to postoperative complications.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18687289</pmid><doi>10.1016/j.jclinepi.2007.10.014</doi><tpages>12</tpages></addata></record> |
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subjects | Aged Arthritis Arthroplasty Arthroplasty, Replacement, Hip - psychology Arthroplasty, Replacement, Hip - rehabilitation Arthroplasty, Replacement, Knee - psychology Arthroplasty, Replacement, Knee - rehabilitation Biological and medical sciences Clinically important difference Data collection Epidemiology Female Health sciences Health Status Health Status Indicators Humans Internal Medicine Joint surgery Male Medical sciences Ontario - epidemiology Orthopedic surgery Osteoarthritis Osteoarthritis - epidemiology Osteoarthritis - psychology Osteoarthritis - rehabilitation Pain Pain Measurement - methods Pain, Postoperative - psychology Patient Satisfaction Probability Quality of Life - psychology Ratings & rankings Reoperation - psychology Severity of Illness Index Studies Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surveys and Questionnaires Total hip replacement Total knee replacement Validation WOMAC |
title | Willingness to go through surgery again validated the WOMAC clinically important difference from THR/TKR surgery |
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