title: The assessment of outcome after total knee arthroplasty: are we there yet?
abstract: The routine use of patient reported outcome measures (PROMs) in evaluating the outcome after arthroplasty by healthcare organisations reflects a growing recognition of the importance of patients' perspectives in improving treatment. Although widely embraced in the NHS, there are concerns that PROMs are being used beyond their means due to a poor understanding of their limitations. This paper reviews some of the current challenges in using PROMs to evaluate total knee arthroplasty. It highlights alternative methods that have been used to improve the assessment of outcome.
authors.affiliation: Yorkshire and Humber Deanery Orthopaedic Training Rotation, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK.
authors.forename: F S
authors.initials: FS
authors.lastname: Hossain
authors.affiliation: NE(UCH) Orthopaedic Training Rotation, University College London Hospitals NHS Trust, 350 Euston Road, London, NW1 2BU, UK.
authors.forename: S
authors.initials: S
authors.lastname: Konan
authors.affiliation: NE(UCH) Orthopaedic Training Rotation, University College London Hospitals NHS Trust, 350 Euston Road, London, NW1 2BU, UK.
authors.forename: S
authors.initials: S
authors.lastname: Patel
authors.affiliation: Department of Orthopaedic Surgery, La Paz University Hospital, Paseo de la Castellana 261, 28046-Madrid, Spain.
authors.forename: E C
authors.initials: EC
authors.lastname: Rodriguez-Merchan
authors.affiliation: University College London Hospitals, Euston Road, London NW1 2BU, UK.
authors.forename: F S
authors.initials: FS
authors.lastname: Haddad
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000379:methods / Q000706:statistics & numerical data*; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000175:diagnosis / Q000601:surgery; D017063:Outcome Assessment, Health Care; D010149:Postoperative Pain / Q000503:physiopathology; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology / Q000503:physiopathology; D011788:Quality of Life; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012086:Reoperation / Q000706:statistics & numerical data; D018570:Risk Assessment; D013222:State Medicine; D006113:United Kingdom
keywords: Functional outcomes; Knee arthroplasty; PROMS; Peformance-based scores