The Validity of Self-Report as a Technique for Measuring Short-Term Complications After Total Hip Arthroplasty in a Joint Replacement Registry Academic Article uri icon

Overview

MeSH Major

  • Arthroplasty, Replacement, Hip
  • Periprosthetic Fractures
  • Postoperative Hemorrhage
  • Pulmonary Embolism
  • Registries
  • Self Report
  • Venous Thrombosis

abstract

  • This study evaluated concordance between self-reports and surgeon assessments of short-term complications. A total of 3976 primary total hip arthroplasty patients consented for an institutional registry (5/2007-12/2008); 3186 (80.1%) completed a 6-month survey; 137 (4.4%) reported deep venous thrombosis, pulmonary embolism, major bleeding, fracture, or dislocation. Patients reporting complications were called. Positive predictive values and 95% confidence intervals (95% CI) for patient self-report were measured, using surgeon assessment for comparison: pulmonary embolism, 88.9% (95% CI, 78.4%-99.4%); dislocation, 81.1% (95% CI, 75.9%-86.5%); fracture, 73.7% (95% CI, 63.8%-83.5%); deep venous thrombosis, 69.7% (95% CI, 61.9%-77.5%); major bleeding, 32.0% (95% CI, 19.4%-44.5%); any bleeding, 88.0% (95% CI, 75.3%-99.9%). Of 97 confirmed complications, 64.95% presented to outside institutions. Registry data on self-reported complications may overcome limitations of traditional methods, but data should be interpreted cautiously. Concordance was high for PE and dislocation but low for major bleeding.

publication date

  • August 2012

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2011.10.031

PubMed ID

  • 22197286

Additional Document Info

start page

  • 1310

end page

  • 5

volume

  • 27

number

  • 7