The potential of dividing the oxford knee score into subscales for predicting clinically meaningful improvements in pain and function of patients undergoing total knee arthroplasty.

Subdividing the Oxford Knee Score (OKS) into a pain component scale (OKS-PCS) and a function component scale (OKS-FCS) for predicting clinically meaningful improvements may provide a basis for identifying patients in need of enhanced support from health care professionals to manage pain and function...

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Bibliographic Details
Published in:International Journal of Orthopaedic & Trauma Nursing Vol. 45
Main Authors: Buus, Amanda A.Ø., Laugesen, Britt, El-Galaly, Anders, Laursen, Mogens, Hejlesen, Ole K.
Format: research Journal Article
Published: Elsevier B.V. May2022
Online Access:View this record in EBSCOhost
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      issn: 18781241
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      dt: May2022
      vid: 45
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      pub: Elsevier B.V.
      place: New York, New York
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        156779541
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        10.1016/j.ijotn.2021.100919
        156779541
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        atl: The potential of dividing the oxford knee score into subscales for predicting clinically meaningful improvements in pain and function of patients undergoing total knee arthroplasty.
      aug:
        au:
          Buus, Amanda A.Ø.
          Laugesen, Britt
          El-Galaly, Anders
          Laursen, Mogens
          Hejlesen, Ole K.
        affil: Department of Orthopaedic Surgery, Aalborg University Hospital, Aalborg, Denmark
      sug:
        subj:
          Arthroplasty, Replacement, Knee Methods
          Knee Pain
          Functional Status
          Outcome Assessment
          Human
          Scales
          Nonexperimental Studies
          Retrospective Design
          Prospective Studies
          Postoperative Pain
          Multiple Logistic Regression
          ROC Curve
          Algorithms
      ab: Subdividing the Oxford Knee Score (OKS) into a pain component scale (OKS-PCS) and a function component scale (OKS-FCS) for predicting clinically meaningful improvements may provide a basis for identifying patients in need of enhanced support from health care professionals to manage pain and functional challenges following total knee arthroplasty. To assess the potential of dividing the OKS into subscales for predicting clinically meaningful improvements in pre- and postoperative pain and function by comparing two different versions of extracting pain and function derived from the OKS. This retrospective observational cohort study included 201 patients undergoing total knee arthroplasty. Multiple logistic regression analysis was applied for binary classification of whether patients achieved clinically meaningful improvements in pain and function. The best overall version for predicting clinically meaningful improvements had an area under the receiver operating characteristic curve of 0.79 for both pain and function, whereas Nagelkerke's R2 was 0.322 and 0.334, respectively. The findings indicate that it is reasonable to subdivide the OKS into subscales for predicting clinically meaningful improvements in pain and function. However, more studies are needed to compare various types of classification algorithms in larger patient populations.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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