TRIA Orthopaedic Center, Minneapolis, MN.
University of Minnesota Medical School, Minneapolis, MN.
J Arthroplasty. 2019 Jun;34(6):1122-1126. doi: 10.1016/j.arth.2019.02.035. Epub 2019 Feb 25.
Patient-reported outcome measures (PROMs) play a vital role in the care we provide our patients. To help understand the application of PROMs in arthroplasty, normative and benchmark data to serve as a comparison to patients presurgery and postsurgery would be extremely valuable. We collected normative data of the Hip Disability and Osteoarthritis Outcome Score (HOOS), JR on a healthy population, greater than 17 years of age, in the United States devoid of hip injury and/or surgery.
This is a cross-sectional study, where hard copy surveys were administered to 1140 patients, being seen for an orthopedic issue unrelated to their hip, and nonpatient visitors in July 2018 at an outpatient orthopedic clinic in a suburban metropolitan city. Participants were eligible if they self-reported a medical history negative for hip arthroplasty, current hip pain/disability, or hip procedure (surgery or injection) within the past year. Mean, standard deviation, 95% confidence intervals, and ranges on the HOOS, JR interval scores were calculated by sex, age decade, body mass index (BMI), reason for visit, history of orthopedic procedure, and medical history.
We included 425 men and 575 women in the final study cohort. Women aged between 70+ years reported the lowest mean interval score (mean = 89.8). Overall women scored lower as well (93.3 vs 95.7, P = .001). There was not a statistical difference between the interval scores by tobacco consumption (93.5 vs 94.4, P = .49) and between patients versus nonpatient visitors (94.2 vs 94.5, P = .672). Lower scores were observed in participants with a past nonhip orthopedic procedure (92.6 vs 94.9, P = .016), with a medical history of a chronic illness (92.5 vs 95.9, P = <.001), and classified as obese (BMI > 30) (91.7 vs 95.2, P < .001). On regression analysis, there was a decrease of 0.3 and 0.1 in the interval score for each unit of BMI and age by year, respectively (P < .001).
This study provides normative reference values for the HOOS, JR in a US population from a suburban metropolitan city for individuals greater than 17 years of age. These scores can facilitate physician-patient shared decision-making to help patients understand expectations after hip arthroplasty in respect to PROMs.
患者报告的结果测量（PROM）在我们为患者提供的护理中起着至关重要的作用。为了帮助理解 PROM 在关节置换中的应用，有必要获得作为术前和术后患者比较基准的规范和基准数据。我们收集了美国健康人群（年龄大于 17 岁）髋关节无损伤和/或手术的髋部残疾和骨关节炎结果评分（HOOS）、JR 的规范数据。
这是一项横断面研究，2018 年 7 月，在一个郊区大都市的门诊骨科诊所，对因与髋部无关的骨科问题就诊的 1140 名患者和非患者访客进行了纸质问卷调查。如果患者自我报告髋关节炎置换术、当前髋部疼痛/残疾或过去 1 年内髋部手术（手术或注射）的病史阴性，则有资格参加。按性别、年龄十年、体重指数（BMI）、就诊原因、骨科手术史和病史计算 HOOS、JR 区间评分的均值、标准差、95%置信区间和范围。
最终研究队列包括 425 名男性和 575 名女性。70 岁以上的女性报告的平均区间评分最低（平均 89.8）。整体而言，女性的得分也较低（93.3 对 95.7，P =.001）。吸烟状况（93.5 对 94.4，P =.49）和患者与非患者访客（94.2 对 94.5，P =.672）之间的区间评分无统计学差异。过去非髋部骨科手术（92.6 对 94.9，P =.016）、慢性疾病史（92.5 对 95.9，P <.001）和肥胖（BMI>30）（91.7 对 95.2，P<.001）的参与者得分较低。回归分析显示，BMI 每增加 1 个单位和年龄每年增加 1 岁，区间评分分别下降 0.3 和 0.1（P<.001）。
本研究为美国郊区大都市地区 17 岁以上人群提供了 HOOS、JR 的规范参考值。这些评分可以促进医患共同决策，帮助患者了解髋关节置换术后 PROM 的预期。
