Priority 1 from the Hip and Knee Replacement for Osteoarthritis PSP
| UNCERTAINTY: What are the most important patient and clinical outcomes in hip and knee replacement surgery, for people with OA, and what is the best way to measure them? (JLA PSP Priority 1) | |
|---|---|
| Overall ranking | 1 |
| JLA question ID | 0020/1 |
| Explanatory note | Not available for this PSP |
| Evidence | None available |
| Health Research Classification System category | Musculoskeletal |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples | What do patients expect in the way of function post op following knee replacements/ hip replacements) ~ How best can we measure psychological attributes before TJR?) ~ How can we deal with response shift after major interventions? ~ What is the percentage success rate for both? ~ Success following surgery and longevity ~ What are the chances of considerable improvement with a knee replacement ~ Success rates and outcomes ~ What is the likelihood of a total knee replacement failing despite taking all precautions? ~ Are pain symptoms improved by knee joint replacement? ~ How best can quality of life be measured? What is the best method for surgeons to measure quality of life, pain etc rather than assessing x- rays? ~ What criteria are used to judge the success of surgery? Patients, clinicians and health care professionals (HCPs) have differing views on this. Clinician focus may be on the technical success of the surgery and x-rays etc whereas for the patient the focus would be on resulting pain and mobility. After a hip replacement ‘Is walking with 2 sticks really a success’? |
| Submitted by | Uncertainty identified by 12 patient/carers, 15 clinicians, and 2 from patient/ carer discussion groups |
| Outcomes to be measured | |
| PSP information | |
|---|---|
| PSP unique ID | 0020 |
| PSP name | Hip and Knee Replacement for Osteoarthritis |
| Total number of uncertainties identified by this PSP. | 123 (To see more about the Top 10, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 27 March 2014 |