The Use of Scoring Systems in Knee Arthroplasty: A Systematic Review of the Literature

Annika Theodoulou, Donald C. Bramwell, Andrew C. Spiteri, Susan W. Kim, Jeganath Krishnan

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

Background The primary purpose of this systematic review was to clarify and quantify scoring system utilization in knee arthroplasty literature. In addition, the study considered the frequency and relationship of score use in articles published across a range of orthopedic journals, and the influence of study design, level of evidence, primary research topic, and study country of origin on the scoring system used. Methods A systematic search of 8 electronic databases was performed to identify publications of clinical studies involving knee arthroplasty, in which a scoring system was used to assess patient outcomes. Results Of the 1994 unique publications identified, 438 met the selection criteria. Identified articles reported a total of 86 scoring systems, 5 of which were reported in greater than 10.0% of included studies. The 1989 Knee Society Score was markedly the most utilized scoring system (58.7%). Use of the Knee Society Score was significantly associated with orthopedic journal impact factor (IF; P =.001), with greater use observed in journals of lower IF. Use of the Western Ontario and McMaster Universities Osteoarthritis Index escalated with increasing IF; however, no statistically significant association was observed. A preference for scoring systems developed in the country of residence of the first author was also identified. Conclusions A large number of scoring systems are used to assess knee arthroplasty patients; however, 5 scores are consistently reported. By identifying and quantifying scoring system use, this review hopes to stimulate regularity in score usage to allow for improvements in comparability of clinician and patient-reported outcome measures in the knee arthroplasty literature.

LanguageEnglish
Pages2364-2370.e8
JournalJournal of Arthroplasty
Volume31
Issue number10
DOIs
Publication statusPublished - 1 Oct 2016
Externally publishedYes

Keywords

  • knee arthroplasty
  • knee replacement
  • patient-reported outcome measure
  • questionnaire
  • score
  • scoring system

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Theodoulou, A., Bramwell, D. C., Spiteri, A. C., Kim, S. W., & Krishnan, J. (2016). The Use of Scoring Systems in Knee Arthroplasty: A Systematic Review of the Literature. Journal of Arthroplasty, 31(10), 2364-2370.e8. https://doi.org/10.1016/j.arth.2016.05.055
Theodoulou, Annika ; Bramwell, Donald C. ; Spiteri, Andrew C. ; Kim, Susan W. ; Krishnan, Jeganath. / The Use of Scoring Systems in Knee Arthroplasty : A Systematic Review of the Literature. In: Journal of Arthroplasty. 2016 ; Vol. 31, No. 10. pp. 2364-2370.e8.
@article{f77d95ac1a8a49b48362448faf58f3a2,
title = "The Use of Scoring Systems in Knee Arthroplasty: A Systematic Review of the Literature",
abstract = "Background The primary purpose of this systematic review was to clarify and quantify scoring system utilization in knee arthroplasty literature. In addition, the study considered the frequency and relationship of score use in articles published across a range of orthopedic journals, and the influence of study design, level of evidence, primary research topic, and study country of origin on the scoring system used. Methods A systematic search of 8 electronic databases was performed to identify publications of clinical studies involving knee arthroplasty, in which a scoring system was used to assess patient outcomes. Results Of the 1994 unique publications identified, 438 met the selection criteria. Identified articles reported a total of 86 scoring systems, 5 of which were reported in greater than 10.0{\%} of included studies. The 1989 Knee Society Score was markedly the most utilized scoring system (58.7{\%}). Use of the Knee Society Score was significantly associated with orthopedic journal impact factor (IF; P =.001), with greater use observed in journals of lower IF. Use of the Western Ontario and McMaster Universities Osteoarthritis Index escalated with increasing IF; however, no statistically significant association was observed. A preference for scoring systems developed in the country of residence of the first author was also identified. Conclusions A large number of scoring systems are used to assess knee arthroplasty patients; however, 5 scores are consistently reported. By identifying and quantifying scoring system use, this review hopes to stimulate regularity in score usage to allow for improvements in comparability of clinician and patient-reported outcome measures in the knee arthroplasty literature.",
keywords = "knee arthroplasty, knee replacement, patient-reported outcome measure, questionnaire, score, scoring system",
author = "Annika Theodoulou and Bramwell, {Donald C.} and Spiteri, {Andrew C.} and Kim, {Susan W.} and Jeganath Krishnan",
year = "2016",
month = "10",
day = "1",
doi = "10.1016/j.arth.2016.05.055",
language = "English",
volume = "31",
pages = "2364--2370.e8",
journal = "Journal of Arthroplasty",
issn = "0883-5403",
publisher = "Churchill Livingstone",
number = "10",

}

Theodoulou, A, Bramwell, DC, Spiteri, AC, Kim, SW & Krishnan, J 2016, 'The Use of Scoring Systems in Knee Arthroplasty: A Systematic Review of the Literature', Journal of Arthroplasty, vol. 31, no. 10, pp. 2364-2370.e8. https://doi.org/10.1016/j.arth.2016.05.055

The Use of Scoring Systems in Knee Arthroplasty : A Systematic Review of the Literature. / Theodoulou, Annika; Bramwell, Donald C.; Spiteri, Andrew C.; Kim, Susan W.; Krishnan, Jeganath.

In: Journal of Arthroplasty, Vol. 31, No. 10, 01.10.2016, p. 2364-2370.e8.

Research output: Contribution to journalReview article

TY - JOUR

T1 - The Use of Scoring Systems in Knee Arthroplasty

T2 - Journal of Arthroplasty

AU - Theodoulou, Annika

AU - Bramwell, Donald C.

AU - Spiteri, Andrew C.

AU - Kim, Susan W.

AU - Krishnan, Jeganath

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Background The primary purpose of this systematic review was to clarify and quantify scoring system utilization in knee arthroplasty literature. In addition, the study considered the frequency and relationship of score use in articles published across a range of orthopedic journals, and the influence of study design, level of evidence, primary research topic, and study country of origin on the scoring system used. Methods A systematic search of 8 electronic databases was performed to identify publications of clinical studies involving knee arthroplasty, in which a scoring system was used to assess patient outcomes. Results Of the 1994 unique publications identified, 438 met the selection criteria. Identified articles reported a total of 86 scoring systems, 5 of which were reported in greater than 10.0% of included studies. The 1989 Knee Society Score was markedly the most utilized scoring system (58.7%). Use of the Knee Society Score was significantly associated with orthopedic journal impact factor (IF; P =.001), with greater use observed in journals of lower IF. Use of the Western Ontario and McMaster Universities Osteoarthritis Index escalated with increasing IF; however, no statistically significant association was observed. A preference for scoring systems developed in the country of residence of the first author was also identified. Conclusions A large number of scoring systems are used to assess knee arthroplasty patients; however, 5 scores are consistently reported. By identifying and quantifying scoring system use, this review hopes to stimulate regularity in score usage to allow for improvements in comparability of clinician and patient-reported outcome measures in the knee arthroplasty literature.

AB - Background The primary purpose of this systematic review was to clarify and quantify scoring system utilization in knee arthroplasty literature. In addition, the study considered the frequency and relationship of score use in articles published across a range of orthopedic journals, and the influence of study design, level of evidence, primary research topic, and study country of origin on the scoring system used. Methods A systematic search of 8 electronic databases was performed to identify publications of clinical studies involving knee arthroplasty, in which a scoring system was used to assess patient outcomes. Results Of the 1994 unique publications identified, 438 met the selection criteria. Identified articles reported a total of 86 scoring systems, 5 of which were reported in greater than 10.0% of included studies. The 1989 Knee Society Score was markedly the most utilized scoring system (58.7%). Use of the Knee Society Score was significantly associated with orthopedic journal impact factor (IF; P =.001), with greater use observed in journals of lower IF. Use of the Western Ontario and McMaster Universities Osteoarthritis Index escalated with increasing IF; however, no statistically significant association was observed. A preference for scoring systems developed in the country of residence of the first author was also identified. Conclusions A large number of scoring systems are used to assess knee arthroplasty patients; however, 5 scores are consistently reported. By identifying and quantifying scoring system use, this review hopes to stimulate regularity in score usage to allow for improvements in comparability of clinician and patient-reported outcome measures in the knee arthroplasty literature.

KW - knee arthroplasty

KW - knee replacement

KW - patient-reported outcome measure

KW - questionnaire

KW - score

KW - scoring system

UR - http://www.scopus.com/inward/record.url?scp=84990861921&partnerID=8YFLogxK

U2 - 10.1016/j.arth.2016.05.055

DO - 10.1016/j.arth.2016.05.055

M3 - Review article

VL - 31

SP - 2364-2370.e8

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

SN - 0883-5403

IS - 10

ER -