Functional Outcome Measures for Patients Who Have Undergone Total Hip Arthroplasty
Conference Year
January 2019
Abstract
Background
As life expectancy and the number of overweight adults increase, the number of patients with hip osteoarthritis (OA) is also expected to grow drastically, resulting in a major public health problem and increased health care costs. Severe hip OA is most often treated by total hip arthroplasty (THA) and is performed annually on more than 280,000 patients in the United States at a cost of nearly $1 billion (Gwam et al., 2017). To regain function, patients are typically referred to physical therapy following their THA procedure. However, outpatient physical therapy clinicians do not have a standard toolbox of performance outcome measures to assess functional status or response to treatment for patients who have undergone THA.
Objective
The objective of this project was to use a systematic and well-defined search strategy to guide the review of current guidelines for physical therapy treatment for patients who have undergone THA in order to develop a set of standardized outcome measures for this population.
Methods
Relevant literature related to outcome measures for patients with THA was reviewed and a list of outcome measures with sound psychometric properties was created. A dissemination plan was created to establish documentation templates and smart phrases for the clinicians to increase their efficiency.
Results
Chart audits will be completed for patients with THA who received physical therapy services. Clinician adherence to the documentation standards will be examined as well as the changes in patient outcome measure scores from pre- to post-treatment.
Conclusions
A standard toolbox of outcome measures will improve the consistency of care and provide information regarding the effectiveness of the THA standard of care.
Primary Faculty Mentor Name
Sharon Henry
Secondary Mentor Name
Ashley Couture
Status
Undergraduate
Student College
College of Nursing and Health Sciences
Program/Major
Health Sciences
Primary Research Category
Health Sciences
Functional Outcome Measures for Patients Who Have Undergone Total Hip Arthroplasty
Background
As life expectancy and the number of overweight adults increase, the number of patients with hip osteoarthritis (OA) is also expected to grow drastically, resulting in a major public health problem and increased health care costs. Severe hip OA is most often treated by total hip arthroplasty (THA) and is performed annually on more than 280,000 patients in the United States at a cost of nearly $1 billion (Gwam et al., 2017). To regain function, patients are typically referred to physical therapy following their THA procedure. However, outpatient physical therapy clinicians do not have a standard toolbox of performance outcome measures to assess functional status or response to treatment for patients who have undergone THA.
Objective
The objective of this project was to use a systematic and well-defined search strategy to guide the review of current guidelines for physical therapy treatment for patients who have undergone THA in order to develop a set of standardized outcome measures for this population.
Methods
Relevant literature related to outcome measures for patients with THA was reviewed and a list of outcome measures with sound psychometric properties was created. A dissemination plan was created to establish documentation templates and smart phrases for the clinicians to increase their efficiency.
Results
Chart audits will be completed for patients with THA who received physical therapy services. Clinician adherence to the documentation standards will be examined as well as the changes in patient outcome measure scores from pre- to post-treatment.
Conclusions
A standard toolbox of outcome measures will improve the consistency of care and provide information regarding the effectiveness of the THA standard of care.