Files and links (1)
Published, Version of Record (VoR) Open Access via Drexel Libraries Read and Publish Program 2025 Open CC BY V4.0
Journal article
Total Hip Arthroplasty Patient-Reported Outcome Measures Plateau by One Year: A Scoping Review and Meta-Analysis
The journal of arthroplasty, v 41(2), pp 311-320
Feb 2026
PMID: 40685025
Featured in Collection : Research Supported by Drexel Libraries' OA Programs
Abstract
Background
To assess total hip arthroplasty (THA) success, various stakeholders utilize patient-reported outcome measures (PROMs). However, these metrics remain unstandardized, and data collection time points vary. In this study, we addressed this gap by systematically investigating the THA PROMs plateau. We asked: (1) in the THA literature, when do studies acquire PROMS; and (2) when does a plateau occur?
Methods
A systematic review was conducted using PubMed and EMBASE to identify studies of adult THA patients that reported joint-specific PROMs (Harris Hip Score (HHS), Oxford Hip Score (OHS), University of California, Los Angeles Activity Scale (UCLA), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Numerical Rating Scales (NRS), Visual Analog Scales (VAS), and Hip Disability and Osteoarthritis Outcome Score (HOOS)). Studies were included if they collected data from before arthroplasty to at least five years postoperatively. After data extraction, random-effects meta-analyses evaluated PROM score changes across timepoints, while Kruskal-Wallis tests assessed differences in the rate of change for the HHS and the OHS.
Results
Studies most frequently reported the HHS (n = 14) and the OHS (n = 11). Meta-analyses revealed early score improvements that stabilized over time. The minimal clinically important difference (MCID) based comparisons showed plateaus in PROM scores by six months in 40.7% of cases and by one year in 18.5%. Rate-of-change analyses confirmed that the score change approached zero for most PROMs by one year. For HHS, the rate of change from zero to six months was significantly greater than later time points, while for OHS, a significant difference was observed between the first six months and after one year (P < 0.05).
Conclusion
The PROMs tended to plateau after six months, with additional improvement limited after one year. Streamlining collection to this timeframe can reduce costs, improve registry efficiency, and enhance patient adherence without compromising clinical insight.
Metrics
9 Record Views
Details
- Title
- Total Hip Arthroplasty Patient-Reported Outcome Measures Plateau by One Year: A Scoping Review and Meta-Analysis
- Creators
- Cemile Basgul (Corresponding Author) - Drexel University, School of Biomedical Engineering, Science, and Health SystemsHannah Spece - Drexel University, School of Biomedical Engineering, Science, and Health SystemsMichael A Kurtz - Drexel University, School of Biomedical Engineering, Science, and Health SystemsSteven M Kurtz - Drexel University, School of Biomedical Engineering, Science, and Health Systems
- Publication Details
- The journal of arthroplasty, v 41(2), pp 311-320
- Publisher
- Elsevier
- Number of pages
- 10
- Grant note
Institutional funding for this study was provided by Stryker, United States.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- School of Biomedical Engineering, Science, and Health Systems
- Web of Science ID
- WOS:001656268600001
- Scopus ID
- 2-s2.0-105012838019
- Other Identifier
- 991022064140204721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Orthopedics