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The Oxford hip score (OHS) is a patient-based instrument for assessment of outcome which is often used after total hip replacement, and the EuroQol 5D (EQ5D) is a patient-based generic questionnaire for health assessment. In an analysis of the outcome at one year of 609 revision hip replacements (RHRs), we compared the OHS and EQ5D scores, postoperative patient satisfaction and change in pain. About 25% of the operations were repeat RHRs. At one year, 57% of patients were very pleased with their operation. The correlation between preoperative and postoperative scores and change scores for the OHS and EQ5D was high. For both instruments the effect sizes were large, but the greater effect size of the OHS suggests that it is particularly sensitive to improvements after RHR. The effect scores of the OHS declined with the number of previous RHRs, while those for the EQ5D seemed less sensitive. Our results confirm the value of the OHS in assessing outcome after RHR.

Original publication

DOI

10.1302/0301-620x.83b8.11643

Type

Journal article

Journal

The Journal of bone and joint surgery. British volume

Publication Date

11/2001

Volume

83

Pages

1125 - 1129

Addresses

Institute of Health Sciences, University of Oxford and the Nuffield Orthopaedic Centre, Headington, England.

Keywords

Humans, Prosthesis-Related Infections, Prosthesis Failure, Arthroplasty, Replacement, Hip, Reoperation, Health Status Indicators, Questionnaires, Sensitivity and Specificity, Hip Prosthesis, Outcome Assessment (Health Care), Female, Male