{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T18:18:16Z","timestamp":1783189096455,"version":"3.54.6"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Although a few studies have assessed cosmetic outcomes following total hip arthroplasty (THA), none have investigated their association with hip-specific patient-reported outcome measures (PROMs). This study aimed to investigate the relationship between cosmetic outcomes and PROMs following THA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We included 139 cases of primary THAs for osteoarthritis of the hip with a follow-up period of at least 1\u2009year. Cosmetic outcomes were evaluated using the Patient Scar Assessment Scale (PSAS) from the Patient and Observer Scar Assessment Scale. PROMs were assessed using the Forgotten Joint Score-12 (FJS-12) and Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ). Correlations between cosmetic outcomes and PROMs were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean follow-up period after THA was 24\u2009months. The PSAS total score was negatively correlated with the FJS-12 total score (r\u2009=\u2009\u22120.430,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and JHEQ total score (r\u2009=\u2009\u22120.243,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.004). Among the JHEQ subscales, negative correlations were observed with the pain (r\u2009=\u2009\u22120.221,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.009) and mental (r\u2009=\u2009\u22120.288,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) subscales.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Better cosmetic outcomes were associated with better PROMs after THA. However, the direction and clinical importance of the association remain unclear and warrant further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11207000261453861","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T05:31:41Z","timestamp":1782970301000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Relationship of wound cosmesis with patient-reported outcome measures following total hip arthroplasty"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4306-8592","authenticated-orcid":false,"given":"Sho","family":"Masuda","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1939-8288","authenticated-orcid":false,"given":"Yukihide","family":"Minoda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4155-9508","authenticated-orcid":false,"given":"Hideki","family":"Ueyama","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4681-7481","authenticated-orcid":false,"given":"Yohei","family":"Ohyama","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Sugama","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidetomi","family":"Terai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.53942"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-03809-z"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2021.12.036"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.101B7.BJJ-2018-1491.R1"},{"key":"e_1_3_3_6_2","article-title":"Dissatisfaction after total hip arthroplasty associated with preoperative patient-reported outcome phenotypes","volume":"37","author":"Orr MN","year":"2022","unstructured":"Orr MN, Klika AK, Emara AK, et al. Dissatisfaction after total hip arthroplasty associated with preoperative patient-reported outcome phenotypes. J Arthroplasty 2022; 37: S498\u2013S509.","journal-title":"J Arthroplasty"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.01.075"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.0785"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.03.060"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.100B7.BJJ-2017-1200.R2"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000150294.81825.8c"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-003-0715-x"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2020.04.090"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.100B9.BJJ-2017-1372.R1"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13887"},{"key":"e_1_3_3_16_2","article-title":"Diabetic wound-healing science","volume":"57","author":"Burgess JL","year":"2021","unstructured":"Burgess JL, Wyant WA, Abujamra BA, et al. Diabetic wound-healing science. Medicina (Kaunas) 2021; 57: 1072.","journal-title":"Medicina (Kaunas)"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-011-0166-8"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-023-04175-9"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2012.11.012"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000172982.43599.d6"},{"key":"e_1_3_3_21_2","doi-asserted-by":"crossref","DOI":"10.1016\/j.arth.2011.06.035","article-title":"The \u201cforgotten joint\u201d as the ultimate goal in joint arthroplasty. Validation of a new patient-reported outcome measure","volume":"27","author":"Behrend H","year":"2012","unstructured":"Behrend H, Giesinger K, Giesinger JM, et al. The \u201cforgotten joint\u201d as the ultimate goal in joint arthroplasty. Validation of a new patient-reported outcome measure. 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The most current algorithms for the treatment and prevention of hypertrophic scars and keloids: a 2020 update of the algorithms published 10 years ago. 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