Construction of a conceptual model and preliminary content development for patient-reported outcomes measurement after total hip arthroplasty: from a Chinese perspective - Scorecard - MDSpire

Construction of a conceptual model and preliminary content development for patient-reported outcomes measurement after total hip arthroplasty: from a Chinese perspective

  • By

  • Liang Li

  • Weiwei Sun

  • Wei Zhang

  • Yongfeng Chen

  • Jianhui Zhai

  • Dawei Zhang

  • Jianbing Ma

  • Yuhai Zhang

  • Chao Xu

  • Lei Shang

  • May 25, 2026

  • 0 min

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Clinical Scorecard: Development of a Conceptual Framework and Initial Content for Patient-Reported Outcome Assessment Following Total Hip Arthroplasty: Insights from China

At a Glance

CategoryDetail
ConditionTotal Hip Arthroplasty (THA)
Key MechanismsBiopsychosocial medical model guiding patient-reported outcomes
Target PopulationChinese patients undergoing THA
Care SettingOrthopedic surgical settings

Key Highlights

  • Development of a culturally specific Patient-Reported Outcome Measurement (PROM) for THA in China
  • Involvement of 50 patients and 17 experts in the study
  • Conceptual model includes eight key dimensions: function, pain, symptoms, quality of life, cognitive and social support, psychology, expectations, and satisfaction
  • 99 items developed for the Chinese THA PROM (CTP)
  • CTP aims to comprehensively address disease experiences and clinical focuses

Guideline-Based Recommendations

Diagnosis

  • Assess advanced hip arthritis, femoral head necrosis, femoral neck fractures, and congenital hip dysplasia as indications for THA

Management

  • Utilize PROMs to assess postoperative functional experience and subjective patient perceptions

Monitoring & Follow-up

  • Implement follow-up based on PROM data to adjust treatment plans

Risks

  • Cultural differences may affect the accuracy and validity of PROMs if not adequately adapted

Patient & Prescribing Data

Patients undergoing THA in Mainland China

Need for culturally adapted PROMs to ensure accurate postoperative assessments

Clinical Best Practices

  • Incorporate patient perspectives in the development of PROMs
  • Conduct psychometric testing for the CTP to ensure reliability and validity
  • Utilize a multidisciplinary approach in expert consultations for PROM development

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