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Quality of Life Research

Erschienen in:

08.02.2018

Comparing the validity and responsiveness of the EQ-5D-5L to the Oxford hip and knee scores and SF-12 in osteoarthritis patients 1 year following total joint replacement

verfasst von: Barbara L. Conner-Spady, Deborah A. Marshall, Eric Bohm, Michael J. Dunbar, Tom W. Noseworthy

Erschienen in: Quality of Life Research | Ausgabe 5/2018

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Abstract

Purpose

(1) To assess responsiveness of the EQ-5D-5L compared to Oxford hip and knee scores and the SF-12 in osteoarthritis patients undergoing total hip (THR) or knee (TKR) replacement surgery; (2) to compare distribution and anchor-based methods of assessing responsiveness.

Methods

Questionnaires were mailed to consecutive patients following surgeon referral for primary THR or TKR and 1 year post-surgery. We assessed effect size (ES), standardized response mean (SRM), and standard error of measurement (SEM). Minimum important difference (MID) was the mean change in patients reporting somewhat better in hip or knee, health in general, and those who were satisfied with surgery (5-point scales). Responders were compared using MID versus 1 and 2SEM.

Results

The sample of 537 (50% TKR) was composed of 56% female with a mean age of 64 years (SD 10). EQ-5D-5L ES was 1.86 (THR) and 1.19 (TKR) compared to 3.00 and 2.05 for Oxford scores, respectively. MID for the EQ-5D-5L was 0.22 (THR) and 0.20 (TKR) for patients who rated their hip or knee as somewhat better. There was a wide variation in the MID and the percentage of responders, depending on the joint, method of assessment, and the outcome measure. The percent agreement of responder classification using 2SEM vs. MID ranged from 79.6 to 99.6% for the EQ-5D-5L and from 69.4 to 94.8% for the Oxford scores.

Conclusions

Responsiveness of the EQ-5D-5L was acceptable in TKR and THR. Caution should be taken in interpreting responder to TJR based on only one method of assessment.

Jones, C. A., Beaupre, L. A., Johnston, D. W., & Suarez-Almazor, M. E. (2005). Total joint arthroplasties: Current concepts of patient outcomes after surgery. Clinics in Geriatric Medicine, 21, 527–41.CrossRefPubMed

Franklin, P. D., Lewallen, D., Bozic, K., Hallstrom, B., Jiranek, W., & Ayers, D. C. (2014). Implementation of patient-reported outcome measures in U.S. Total joint replacement registries: rationale, status, and plans. Journal of Bone and Joint Surgery, 96(Suppl 1), 104–109.CrossRefPubMedPubMedCentral

Lin, F. J., Samp, J., Munoz, A., Wong, P. S., & Pickard, A. S. (2014). Evaluating change using patient-reported outcome measures in knee replacement: The complementary nature of the EQ-5D index and VAS scores. The European Journal of Health Economics, 15, 489–496.CrossRefPubMed

Ethgen, O., Bruyere, O., Richy, F., Dardennes, C., & Reginster, J. Y. (2004). Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. Journal of Bone and Joint Surgery, 86-A, 963–974.CrossRefPubMed

Anakwe, R. E., Jenkins, P. J., & Moran, M. (2011). Predicting dissatisfaction after total hip arthroplasty: A study of 850 patients. The Journal of Arthroplasty, 26, 209–213.CrossRefPubMed

Gandhi, R., Davey, J. R., & Mahomed, N. N. (2008). Predicting patient dissatisfaction following joint replacement surgery. The Journal of Rheumatology, 35, 2415–2418.CrossRefPubMed

Scott, C. E., Howie, C. R., MacDonald, D., & Biant, L. C. (2010). Predicting dissatisfaction following total knee replacement: a prospective study of 1217 patients. The Journal of Bone and Joint Surgery, 92, 1253–1258.CrossRefPubMed

Judge, A., Cooper, C., Williams, S., Dreinhoefer, K., & Dieppe, P. (2010). Patient-reported outcomes one year after primary hip replacement in a European Collaborative Cohort. Arthritis Care & Research, 62, 480–488.CrossRef

Rolfson, O., Eresian, C. K., Bohm, E., Lubbeke, A., Denissen, G., Dunn, J., et al. (2016). Patient-reported outcome measures in arthroplasty registries. Acta Orthopaedica, 87(Suppl 1), 3–8.CrossRefPubMedPubMedCentral

10.

Messick, S. (1989). Validity. In (In R. Linn (Ed.), Educational measurement (pp. 13–103). New York: Macmillan Publishing Company.

11.

SooHoo, N. F., Li, Z., Chenok, K. E., & Bozic, K. J. (2015). Responsiveness of patient reported outcome measures in total joint arthroplasty patients. The Journal of Arthroplasty, 30, 176–191.CrossRefPubMed

12.

Brooks, R. (1996). EuroQol: the current state of play. Health Policy, 37, 53–72.CrossRefPubMed

13.

Ostendorf, M., van Stel, H. F., Buskens, E., Schrijvers, A. J., Marting, L. N., Verbout, A. J., et al. (2004). Patient-reported outcome in total hip replacement. A comparison of five instruments of health status. The Journal of Bone and Joint Surgery, 86, 801–808.CrossRefPubMed

14.

Jenkins, P. J., Clement, N. D., Hamilton, D. F., Gaston, P., Patton, J. T., & Howie, C. R. (2013). Predicting the cost-effectiveness of total hip and knee replacement: a health economic analysis. The Bone & Joint Journal, 95-B, 115–121.CrossRef

15.

Giesinger, K., Hamilton, D. F., Jost, B., Holzner, B., & Giesinger, J. M. (2014). Comparative responsiveness of outcome measures for total knee arthroplasty. Osteoarthritis Cartilage, 22, 184–189.CrossRefPubMedPubMedCentral

16.

Fransen, M., & Edmonds, J. (1999). Reliability and validity of the EuroQol in patients with osteoarthritis of the knee. Rheumatology, 38, 807–813.CrossRefPubMed

17.

Wolfe, F., & Hawley, D. J. (1997). Measurement of the quality of life in rheumatic disorders using the EuroQol. British Journal of Rheumatology, 36, 786–793.CrossRefPubMed

18.

Herdman, M., Gudex, C., Lloyd, A., Janssen, M., Kind, P., Parkin, D., et al. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Quality of Life Research 20, 1727–1736CrossRefPubMedPubMedCentral

19.

Luo, N., Li, M., Chevalier, J., Lloyd, A., & Herdman, M. (2013). A comparison of the scaling properties of the English, Spanish, French, and Chinese EQ-5D descriptive systems. Quality of Life Research, 22, 2237–2243.CrossRefPubMed

20.

Kim, T. H., Jo, M. W., Lee, S. I., Kim, S. H., & Chung, S. M. (2013). Psychometric properties of the EQ-5D-5L in the general population of South Korea. Quality of Life Research, 22, 2245–2253.CrossRefPubMed

21.

Hinz, A., Kohlmann, T., Stobel-Richter, Y., Zenger, M., & Brahler, E. (2014). The quality of life questionnaire EQ-5D-5L: psychometric properties and normative values for the general German population. Quality of Life Research, 23, 443–447.CrossRefPubMed

22.

Kim, S. H., Kim, H. J., Lee, S. I., & Jo, M. W. (2012). Comparing the psychometric properties of the EQ-5D-3L and EQ-5D-5L in cancer patients in Korea. Quality of Life Research, 21, 1065–1073.CrossRefPubMed

23.

Jia, Y. X., Cui, F. Q., Li, L., Zhang, D. L., Zhang, G. M., Wang, F. Z., et al. (2014). Comparison between the EQ-5D-5L and the EQ-5D-3L in patients with hepatitis B. Quality of Life Research, 23, 2355–2363.CrossRefPubMed

24.

Pickard, A. S., De Leon, M. C., Kohlmann, T., Cella, D., & Rosenbloom, S. (2007). Psychometric comparison of the standard EQ-5D to a 5 level version in cancer patients. Medical Care, 45, 259–263.CrossRefPubMed

25.

Scalone, L., Ciampichini, R., Fagiuoli, S., Gardini, I., Fusco, F., Gaeta, L., et al. (2013). Comparing the performance of the standard EQ-5D 3L with the new version EQ-5D 5L in patients with chronic hepatic diseases. Quality of Life Research, 22, 1707–1716.CrossRefPubMed

26.

Janssen, M. F., Pickard, A. S., Golicki, D., Gudex, C., Niewada, M., Scalone, L., et al. (2013). Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups: a multi-country study. Quality of Life Research, 22, 1717–1727.CrossRefPubMed

27.

Dawson, J., Fitzpatrick, R., Carr, A., & Murray, D. (1996). Questionnaire on the perceptions of patients about total hip replacement. The Bone & Joint Journal, 78, 185–190.

28.

Dawson, J., Fitzpatrick, R., Murray, D., & Carr, A. (1998). Questionnaire on the perceptions of patients about total knee replacement. The Bone & Joint Journal, 80, 63–69.

29.

Murray, D. W., Fitzpatrick, R., Rogers, K., Pandit, H., Beard, D. J., Carr, A. J., et al. (2007). The use of the Oxford hip and knee scores. The Bone & Joint Journal, 89, 1010–1014.

30.

van Hout, B., Janssen, M. F., Feng, Y. S., Kohlmann, T., Busschbach, J., Golicki, D., et al. (2012). Interim scoring for the EQ-5D-5L: mapping the EQ-5D-5L to EQ-5D-3L value sets. Value Health, 15, 708–715.CrossRefPubMed

31.

Ware, J. Jr., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233.CrossRefPubMed

32.

Gonzalez Saenz, dT., Escobar, A., Herrera, C., Garcia, L., Aizpuru, F., & Sarasqueta, C. (2010). Patient expectations and health-related quality of life outcomes following total joint replacement. Value Health, 13, 447–454.CrossRef

33.

Garbuz, D. S., Xu, M., & Sayre, E. C. (2006). Patients’ outcome after total hip arthroplasty: a comparison between the Western Ontario and McMaster Universities index and the Oxford 12-item hip score. The Journal of Arthroplasty, 21, 998–1004.CrossRefPubMed

34.

McHorney, C. A., & Tarlov, A. R. (1995). Individual-patient monitoring in clinical practice: are available health status surveys adequate? Quality of Life Research, 4, 293–307.CrossRefPubMed

35.

Conner-Spady, B. L., Marshall, D. A., Bohm, E., Dunbar, M. J., Loucks, L., Khudairy, A., A. et al (2015). Reliability and validity of the EQ-5D-5L compared to the EQ-5D-3L in patients with osteoarthritis referred for hip and knee replacement. Quality of Life Research, 24, 1775–1784.CrossRefPubMed

36.

Benson, T., Williams, D. H., & Potts, H. W. (2016). Performance of EQ-5D, howRu and Oxford hip & knee scores in assessing the outcome of hip and knee replacements. BMC Health Services Research, 16, 512.CrossRefPubMedPubMedCentral

37.

King, M. T. (2011). A point of minimal important difference (MID): a critique of terminology and methods. Expert Review of Pharmacoeconomics & Outcomes Research, 11, 171–184.CrossRef

38.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale: Lawrence Erlbaum Associates.

39.

Revicki, D., Hays, R. D., Cella, D., & Sloan, J. (2008). Recommended methods for determining responsiveness and minimally important differences for patient-reported outcomes. Journal of Clinical Epidemiology, 61, 102–109.CrossRefPubMed

40.

Gulliksen, H. (1950). Theory of mental tests. New York: WileyCrossRef

41.

Escobar, A., Quintana, J. M., Bilbao, A., Arostegui, I., Lafuente, I., & Vidaurreta, I. (2007). Responsiveness and clinically important differences for the WOMAC and SF-36 after total knee replacement. Osteoarthritis Cartilage, 15, 273–280.CrossRefPubMed

42.

Quintana, J. M., Escobar, A., Bilbao, A., Arostegui, I., Lafuente, I., & Vidaurreta, I. (2005). Responsiveness and clinically important differences for the WOMAC and SF-36 after hip joint replacement. Osteoarthritis Cartilage, 13, 1076–1083.CrossRefPubMed

43.

Wyrwich, K. W., Tierney, W. M., & Wolinsky, F. D. (1999). Further evidence supporting an SEM-based criterion for identifying meaningful intra-individual changes in health-related quality of life. Journal of Clinical Epidemiology, 52, 861–873.CrossRefPubMed

44.

Lydick, E., & Epstein, R. S. (1993). Interpretation of quality of life changes. Quality of Life Research, 2, 221–226.CrossRefPubMed

45.

Norman, G. R., Sridhar, F. G., Guyatt, G. H., & Walter, S. D. (2001). Relation of distribution- and anchor-based approaches in interpretation of changes in health-related quality of life. Medical Care, 39, 1039–1047.CrossRefPubMed

46.

Norman, G. R., Sloan, J. A., & Wyrwich, K. W. (2003). Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Medical Care, 41, 582–592.PubMed

47.

Hays, R. D., Farivar, S. S., & Liu, H. (2005). Approaches and recommendations for estimating minimally important differences for health-related quality of life measures. COPD, 2, 63–67.CrossRefPubMed

48.

Jaeschke, R., Singer, J., & Guyatt, G. H. (1989). Measurement of health status. Ascertaining the minimal clinically important difference. Controlled Clinical Trials, 10, 407–415.CrossRefPubMed

49.

Ramkumar, P. N., Harris, J. D., & Noble, P. C. (2015). Patient-reported outcome measures after total knee arthroplasty: a systematic review. Bone & Joint Research, 4, 120–127.CrossRef

50.

Escobar, A., Garcia, P. L., Herrera-Espineira, C., Aizpuru, F., & Sarasqueta, C. (2013). Total knee replacement; minimal clinically important differences and responders. Osteoarthritis Cartilage, 21, 2006–2012CrossRefPubMed

51.

Terwee, C. B., Roorda, L. D., Knol, D. L., de Boer, M. R., & de Vet, H. C. (2009). Linking measurement error to minimal important change of patient-reported outcomes. Journal of Clinical Epidemiology, 62, 1062–1067.CrossRefPubMed

52.

Quintana, J. M., Aguirre, U., Barrio, I., Orive, M., Garcia, S., & Escobar, A. (2012). Outcomes after total hip replacement based on patients’ baseline status: what results can be expected? Arthritis Care & Research, 64, 563–572.CrossRef

53.

Hawker, G. A., Badley, E. M., Borkhoff, C. M., Croxford, R., Davis, A. M., Dunn, S., et al. (2013). Which patients are most likely to benefit from total joint arthroplasty? Arthritis & Rheumatism, 65, 1243–1252.CrossRef

54.

Haase, E., Kopkow, C., Beyer, F., Lutzner, J., Kirschner, S., Hartmann, A., et al. (2016). Patient-reported outcomes and outcome predictors after primary total hip arthroplasty: results from the Dresden Hip Surgery Registry. Hip International, 26, 73–81.CrossRefPubMed

55.

Berliner, J. L., Brodke, D. J., Chan, V., SooHoo, N. F., & Bozic, K. J. (2016). John Charnley Award: Preoperative patient-reported outcome measures predict clinically meaningful improvement in function after THA. Clinical Orthopaedics and Related Research, 474, 321–329.CrossRefPubMed

56.

Lee, W. C., Kwan, Y. H., Chong, H. C., & Yeo, S. J. (2017). The minimal clinically important difference for Knee Society Clinical Rating System after total knee arthroplasty for primary osteoarthritis. Knee Surgery, Sports Traumatology, Arthroscopy, 25, 3354–3359.CrossRefPubMed

57.

Clement, N. D., MacDonald, D., & Simpson, A. H. (2014). The minimal clinically important difference in the Oxford knee score and Short Form 12 score after total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy, 22, 1933–1939.CrossRefPubMed

58.

Beard, D. J., Harris, K., Dawson, J., Doll, H., Murray, D. W., Carr, A. J., et al. (2015). Meaningful changes for the Oxford hip and knee scores after joint replacement surgery. Journal of Clinical Epidemiology, 68, 73–79.CrossRefPubMedPubMedCentral

59.

Conner-Spady, B., & Suarez-Almazor, M. E. (2003). Variation in the estimation of quality-adjusted life-years by different preference-based instruments. Medical Care, 41, 791–801.CrossRefPubMed

60.

Impellizzeri, F. M., Leunig, M., Preiss, S., Guggi, T., & Mannion, A. F. (2017). The use of the Core Outcome Measures Index (COMI) in patients undergoing total knee replacement. The Knee, 24, 370–372.CrossRef

61.

Jenny, J. Y., Louis, P., & Diesinger, Y. (2014). High activity arthroplasty score has a lower ceiling effect than standard scores after knee arthroplasty. The Journal of Arthroplasty, 29, 719–721.CrossRefPubMed

62.

Dawson, J., Fitzpatrick, R., Frost, S., Gundle, R., McLardy-Smith, P., & Murray, D. (2001). Evidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement. The Journal of Bone and Joint Surgery, 83, 1125–1129.CrossRefPubMed

63.

Naylor, J. M., Kamalasena, G., Hayen, A., Harris, I. A., & Adie, S. (2013). Can the Oxford Scores be used to monitor symptomatic progression of patients awaiting knee or hip arthroplasty? The Journal of Arthroplasty, 28, 1454–1458.CrossRefPubMed

64.

Poitras, S., Beaule, P. E., & Dervin, G. F. (2012). Validity of a short-term quality of life questionnaire in patients undergoing joint replacement: the Quality of Recovery-40. The Journal of Arthroplasty, 27, 1604–1608.CrossRefPubMed

65.

Walters, S. J., & Brazier, J. E. (2005). Comparison of the minimally important difference for two health state utility measures: EQ-5D and SF-6D. Quality of Life Research, 14, 1523–1532.CrossRefPubMed

66.

Whitehurst, D. G., & Bryan, S. (2013). Trial-based clinical and economic analyses: the unhelpful quest for conformity. Trials, 14, 421.CrossRefPubMedPubMedCentral

67.

Escobar, A., Gonzalez, M., Quintana, J. M., Vrotsou, K., Bilbao, A., Herrera-Espineira, C., et al. (2012). Patient acceptable symptom state and OMERACT-OARSI set of responder criteria in joint replacement. Identification of cut-off values. Osteoarthritis Cartilage, 20, 87–92.CrossRefPubMed

68.

Beaton, D. E., Boers, M., & Wells, G. A. (2002). Many faces of the minimal clinically important difference (MCID): a literature review and directions for future research. Current Opinion in Rheumatology, 14, 109–114.CrossRefPubMed

Titel: Comparing the validity and responsiveness of the EQ-5D-5L to the Oxford hip and knee scores and SF-12 in osteoarthritis patients 1 year following total joint replacement
verfasst von: Barbara L. Conner-Spady
Deborah A. Marshall
Eric Bohm
Michael J. Dunbar
Tom W. Noseworthy
Publikationsdatum: 08.02.2018
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 5/2018
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-018-1808-5

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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