Substantial clinical benefit (SCB) defines the amount of quantifiable outcome improvement that is needed for a patient to feel substantially better. Overall, the researchers found statistically significant difference between preoperative and postoperative score averages across every outcome. A greater proportion of female hips achieved the minimal clinically important difference for the mHHS, but male hips were more likely to meet the patient acceptable symptom state for this outcome. The inversion implies that the maximum score is 100 points when the patient has a minimum of pain and stiffness and optimal function. Over 300,000 people undergo total hip arthroplasty (THA) each year in the US alone; demand is rising, especially in middle aged patients. “Our final modified Harris Hip Score was not different between the two groups and showed clinically important improvements in pain relief and improved … The HHS was translated and modified in Slovenian. with published patient acceptable symptomatic state (PASS) and minimal clinically important difference (MCID) estimates. Statistical significance was determined using a P value of.05. Background: There is a paucity of midterm outcome data on hip revision arthroscopic surgery. To (1) establish the minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) thresholds for microfracture surgery including the time-dependent nature of these thresholds and (2) identify predictors of achieving the MCID and PASS in patients specifically undergoing microfracture of the knee. Paired t -test analysis of preoperative and postoperative reported outcomes demonstrated statistically significant improvements in mHHS (52.6 ± 14.0 vs 76.5 ± 18.1; P < .001) and iHOT-33 (31.8 ± 16.0 vs 67.6 ± 26.5; P < .001). nonarthritic hip score OHS – engl. Methods: The modified Harris Hip Score (mHHS), the Hip Outcome Score (HOS), and the international Hip Outcome Tool (iHOT-33) were administered to revision hip arthroscopy patients. At 1 year postoperatively, patients graded their hip function based on anchor responses. Harris Hip Score in the ALTS group was higher than that in the NTS group (87.0, 84.0–90.0 vs. 82.0, 76.0–84.5; p < 0.001). Purpose: To define minimal clinically important difference (MCID) and substantial clinical benefit (SCB) in revision hip arthroscopy. Methods: The modified Harris Hip Score (mHHS), the Hip Outcome Score (HOS), and the international Hip Outcome Tool (iHOT-33) were administered to revision hip arthroscopy patients. Additionally, responsiveness estimates derived by the Harris Hip Score (HHS) and the Short Form 36 (SF-36) before and after revision total hip arthroplasty (THA) have not been clinically compared. The modified Harris Hip Score (mHHS), the Hip Outcome Score (HOS), and the international Hip Outcome Tool (iHOT-33) were administered at baseline and 1 year postoperatively. Minimal clinically important difference (MCID) defines the minimum degree of quantifiable outcome improvement that a patient perceives as the result of an intervention or in the process of healing. This study compared responsiveness and minimal important differences (MID) between HHS and SF-36. Comparison of Oxford hip score and Harris hip score values before (a) and after (b) surgery. Minimal clinically important differences in health-related quality of life after total hip or knee replacement A SYSTEMATIC REVIEW Studies were identified by searching electronic data- bases. In this study, patients who did not achieve the minimal clinically important difference (8 points in the modified Harris Hip Score) by 6 months, had significantly lower modified Harris Hip Scores at 1 year and 2 years compared with those who did. Additionally, Oxford Hip Score and Harris Hip Score were collected at 6, 12 and 24 months. At 5 years, 88.4%, 67.6% and 64.9% reached at least 1 threshold for achieving minimally clinically importance difference, patient acceptable symptomatic state and substantial clinical benefit. Substantial clinical benefit (SCB) defines the amount of quantifiable outcome improvement that is needed for a patient to feel substantially better. BACKGROUND: Hip arthroscopy for femoroacetabular impingement (FAI) has been shown to improve patient outcomes, especially for returning to sport. Purpose: To define preoperative outcome score thresholds and determine clinical/demographic patient factors predictive for achieving the minimal clinically important difference (MCID) after arthroscopic FAI surgery. minimal clinically important difference MDC – minimal detectable change mHHS – engl. Clinically Meaningful Improvements after Hip Arthroscopy for Femoroacetabular Impingement in Adolescent and Young Adult Patients Regardless of Gender Gregory L. Cvetanovich, Alexander E. Weber, Benjamin D. Kuhns, Charles P. Hannon, Dwayne D'Souza, Joshua Harris , Richard C. Mather, Shane J. Nho Calculating thresholds for the absolute postoperative OHS values, ... Current methods range from yearly outpatient visits to nurse-performed telephone interviews using the modified Harris Hip Score … a Dashes indicate not applicable. All clinical investigations of hip arthroscopy using modified Harris Hip Score (mHHS) and/or Hip Outcome Score (HOS) outcomes with at least 1 year of followup were reviewed. BACKGROUND: Minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient acceptable symptomatic state (PASS) have In hip preservation surgery, much attention has been given to defining early clinically meaningful outcome; however, it is unknown what represents meaningful patient-reported outcome improvement in the medium… HHS responsiveness has been determined in a study of 335 THRs. The effect size between preoperative and 6‐months postoperative was excellent for pain (2.80) and function (1.72), but weak in the 2‐years followup, i.e., pain (0.15) and function (0.18) ( 10 ). A prospective institutional hip preservation registry was reviewed to identify patients undergoing arthroscopic FAI surgery. No limits were applied for language and foreign papers were translated. A similar concept to the Patient Acceptable Symptom State was performed by Arden et al, relating the OHS to patient satisfaction with surgery after 12 and 24 months ( 42 ). Purpose: (1) To report minimum 5-year patient-reported outcome measurement scores (PROMSs) in patients who underwent revision hip arthroscopy, (2) to compare minimum 5-year PROMSs with a propensity-matched control group that underwent primary hip arthroscopy, and (3) to compare … Harris hip scores significantly improved in both groups with the most marked improvement achieved within the first 3 months after THA, in comparison to the baseline values (p<0.001 in both groups). Preoperative sex differences in mHHS, all HOOS domains, and Short Form-12 Health Survey physical function component score were greater than the postoperative differences. The 2-point difference was determined to be the minimum clinically important difference (MCID) because the average acceptable VAS pain score difference following surgery was approximately 2 points according previous studies [ 12, 18, 19 ]. short form 36 VAS – vizualno analogna skala Failure was defined as failure to achieve the minimal clinically important difference (MCID) utilizing the modified Harris Hip Score or as the need for secondary operation. You’ll probably know at the 6-month mark. Patients continued to improve in HHS scores up to the first 6 months after surgery, and no further improvement was noticed during the next follow-up examinations. Methods: The modified Harris Hip Score (mHHS), the Hip Outcome Score (HOS), and the international Hip Outcome Tool (iHOT-33) … Results A total of 85 of 101 eligible consecutive patients (84% inclusion) (age: 41.4 ± 14.0 years; 69% female, mean body mass index [BMI] 25.0 ± 4.2) met inclusion and exclusion criteria. modified Harris hip score NAHS – engl. An official Slovenian version has not been culturally adapted and validated. The aim of this study was to create a Slovenian valid and reliable version of the HHS. SCB net change ranged from 16.2 on the HOS ADL to 25.2 on the iHOT-33, whereas absolute SCB ranged from 82.4 on the iHOT-33 to 84.7 on the mHHS. Hip Osteoarthritis Outcome Score; PS = Physical Function Short Form; QoL = quality of life; WOMAC = Western Ontario and McMaster Universities Arthritis Index; MCII = minimal clinically important improvement; MCIC = minimal clinically important change; ROC = receiver operating characteristic Volume 475, Number 4, April 2017 Statistics In Brief 935 123 Participants were randomized (1,1) to either the duloxetine group or the placebo group. Amount of decreased CCD angle, rate of delayed union, nonunion, avascular necrosis, and number of patients who converted to total hip arthroplasty (THA) all showed no significant difference (p > 0.05). 1, 2 Functional recovery is an important priority, as well as a key expectation, for patients undergoing THA. Regression analysis identified associations with modified Harris Hip Scores (mHHS), minimal clinically important difference (MCID) rates, and Nonarthritic Hip Scores (NAHS). We found a decrease in BMD between the postoperative and the … Stated otherwise, what is the minimum clinically important differences (MCID) for a specific outcomes measurement tool, ... Singh JA, Schleck C, Harmsen S, Lewallen D. Clinically important improvement thresholds for Harris Hip Score and its ability to predict revision risk after primary total hip … Figure 1. Return to Dance and Predictors of Outcome After Hip Arthroscopy for Femoroacetabular Impingement Syndrome Gift C. Ukwuani, Brian R. Waterman, Benedict U. Nwachukwu, Edward C. Beck, Kyle N. Kunze, Joshua D. Harris , Shane J. Nho tion concept of “minimum clinically important difference” was found to be useful and more meaningful when assessing results for the hip and knee patients. To facilitate comparison with the Medical Outcomes Study 36-Item Short-Form Health Survey and the Harris hip score, the score was inverted. Defining thresholds for the change value are referred to as the minimal clinically important difference (MCID). Although previous studies often evaluated outcomes 2 years after hip arthroscopy, there has been no analysis of the progression of patient improvement over time or with respect to achieving the minimal clinically important difference (MCID). Objectives: The objective of this study was to determine the minimal clinical important difference (MCID) and patient acceptable symptomatic state (PASS) for the modified Harris Hip Score (mHHS) and Hip Outcome Score (HOS) in a population of patients with femoroacetabular impingement treated with arthroscopic surgery of the hip. The minimum clinically important difference (MCID) can be defined as the smallest change or difference that is evaluated as beneficial and could change the patient’s clinical management. Oxford hip score PROs – engl. Purpose: To define minimal clinically important difference (MCID) and substantial clinical benefit (SCB) in revision hip arthroscopy. The patient acceptable symptom state (PASS) is considered the minimum PROMs cut-off value that corresponds to a patient’s satisfactory state of health. This differs from the Minimally Important Difference (or Minimally Clinically Important Difference), which is the smallest change on an outcome measure that would be considered important by client or clinician (17), and thus introduces an element of subjectivity. The Harris Hip Score is the most widely used outcome measure for the assessment of hip pathologies. The higher the HHS, the less dysfunction. A total score of <70 is considered a poor result; 70–80 is considered fair, 80–90 is good, and 90–100 is an excellent result ( 1 ). No normative values are available. Study design: Cohort study (diagnosis); Level of evidence, 2. BACKGROUND: There is a paucity in the literature reporting patient-reported outcome (PRO) scores and the minimal clinically important difference (MCID) after revision hip arthroscopic surgery with circumferential labral reconstruction. MCID – engl. iHOT-33, International Hip Outcome Tool; MCID, minimal clinically important difference; mHHS, modified Harris Hip Score. Keywords: Harris Hip Score, Total Hip Arthroplasty, Responsiveness, Discriminant ability, Predictability, Clinically important improvement, Minimal clinically important improvement, MCII, Minimal clinically important difference, MCID * Correspondence: Jasvinder.md@gmail.com 1Department of Medicine, Medicine Service, Birmingham VA Medical Center, Methods: We identified four papers published in two journals defining MCID/SCB values on the modified Harris Hip Score (mHHS), Hip Outcome Score–Activities of Daily Living (HOS-ADL), Hip Outcome Score-Sport (HOS-Sport), international Hip Outcome Tool (iHOT-33), and its short version (iHOT-12) for different groups of FAIS patients undergoing hip arthroscopy. According to Murray et al, the minimum clinically important difference can be expected to be between 3–5 points concerning joint replacement, but work is in progress . We defined MCID and SCB values for patients who underwent revision hip arthroscopy. MCID values ranged from 7.9 on the mHHS and the HOS ADL to 13.1 on the HOS Sports. patient reported outcome measures SD – standardna devijacija SF-36 – engl. Minimal clinically important difference (MCID) defines the minimum degree of quantifiable outcome improvement that a patient perceives as the result of an intervention or in the process of healing. The equal variance t test was used to analyze radiographic parameters.
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