{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T11:09:02Z","timestamp":1788260942578,"version":"build-2803163510"},"reference-count":24,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"3","license":[{"start":{"date-parts":[[2012,3,1]],"date-time":"2012-03-01T00:00:00Z","timestamp":1330560000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:p> We obtained information from the Elective Orthopaedic Centre on 1523 patients with baseline and six-month Oxford hip scores (OHS) after undergoing primary hip replacement (THR) and 1784 patients with Oxford knee scores (OKS) for primary knee replacement (TKR) who completed a six-month satisfaction questionnaire. <\/jats:p><jats:p> Receiver operating characteristic curves identified an absolute change in OHS of 14\u00a0points or more as the point that discriminates best between patients\u2019 satisfaction levels and an 11-point change for the OKS. Satisfaction is highest (97.6%) in patients with an absolute change in OHS of 14 points or more, compared with lower levels of satisfaction (81.8%) below this threshold. Similarly, an 11-point absolute change in OKS was associated with 95.4% satisfaction compared with 76.5% below this threshold. For the six-month OHS a score of 35 points or more distinguished patients with the highest satisfaction level, and for the six-month OKS 30 points or more identified the highest level of satisfaction. The thresholds varied according to patients\u2019 pre-operative score, where those with severe pre-operative pain\/function required a lower six-month score to achieve the highest levels of satisfaction. <\/jats:p><jats:p> Our data suggest that the choice of a six-month follow-up to assess patient-reported outcomes of THR\/TKR is acceptable. The thresholds help to differentiate between patients with different levels of satisfaction, but external validation will be required prior to general implementation in clinical practice. <\/jats:p>","DOI":"10.1302\/0301-620x.94b3.27425","type":"journal-article","created":{"date-parts":[[2012,2,27]],"date-time":"2012-02-27T17:31:59Z","timestamp":1330363919000},"page":"412-418","source":"Crossref","is-referenced-by-count":162,"title":["Interpretation of patient-reported outcomes for hip and knee replacement surgery"],"prefix":"10.1302","volume":"94-B","author":[{"given":"A.","family":"Judge","sequence":"first","affiliation":[{"name":"University of Oxford, Oxford\rNIHR Musculoskeletal Biomedical Research Unit, Windmill\rRoad, Headington, Oxford\rOX3 7LD, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. K.","family":"Arden","sequence":"additional","affiliation":[{"name":"University of Oxford, Oxford\rNIHR Musculoskeletal Biomedical Research Unit, Windmill\rRoad, Headington, Oxford\rOX3 7LD, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Kiran","sequence":"additional","affiliation":[{"name":"University of Oxford, Oxford\rNIHR Musculoskeletal Biomedical Research Unit, Windmill\rRoad, Headington, Oxford\rOX3 7LD, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Price","sequence":"additional","affiliation":[{"name":"University of Oxford, Oxford\rNIHR Musculoskeletal Biomedical Research Unit, Windmill\rRoad, Headington, Oxford\rOX3 7LD, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. K.","family":"Javaid","sequence":"additional","affiliation":[{"name":"University of Oxford, Oxford\rNIHR Musculoskeletal Biomedical Research Unit, Windmill\rRoad, Headington, Oxford\rOX3 7LD, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Beard","sequence":"additional","affiliation":[{"name":"University of Oxford, Oxford\rNIHR Musculoskeletal Biomedical Research Unit, Windmill\rRoad, Headington, Oxford\rOX3 7LD, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Murray","sequence":"additional","affiliation":[{"name":"University of Oxford, Oxford\rNIHR Musculoskeletal Biomedical Research Unit, Windmill\rRoad, Headington, Oxford\rOX3 7LD, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. E.","family":"Field","sequence":"additional","affiliation":[{"name":"South West London Elective Orthopaedic\rCentre , Dorking Road, Epsom, Surrey\rKT18 7EG, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","unstructured":"Ellams D, Forsyth O, Mistry A, et al. National Joint Registry for England and Wales: 7th annual report, 2010. http:\/\/www.njrcentre.org.uk\/NjrCentre\/Portals\/0\/NJR%207th%20Annual%20Report%202010.pdf (date last accessed 5 October 2011)."},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200405000-00012"},{"key":"r3","unstructured":"No authors listed. Department of Health: NHS contracts for 2007\/2008 and guidance on the NHS contract for acute hospital services 2007\/08. http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_064142 (date last accessed 10 November 2011)."},{"key":"r4","unstructured":"No authors listed. Department of Health: Guidance on the routine collection of Patient Reported Outcome Measures (PROMs), 2009. http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_092647 (date last accessed 10 November 2011)."},{"key":"r5","unstructured":"Darzi A. High quality care for all: NHS Next Stage Review final report, 2008. http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_085825 (date last accessed 10 November 2011)."},{"key":"r6","doi-asserted-by":"crossref","unstructured":"Dawson J, Doll H, Fitzpatrick R, Jenkinson C, Carr AJ. The routine use of patient reported outcome measures in healthcare settings. 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NHS HES Online: Finalised PROMs data 2009-10. http:\/\/www.hesonline.nhs.uk\/Ease\/servlet\/ContentServer?siteID=1937&\ncategoryID=1583 (date last accessed 10 October 2011)."},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20038"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.023028"},{"key":"r14","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1136\/ard.2007.079798","volume":"66","author":"Kvien TK","year":"2007","journal-title":"Ann Rheum Dis"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B7.19091"},{"key":"r16","unstructured":"van der Meulen J, Lewsey J, Hardoon S, et al. 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