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July 31, 2025

Revisiting minimally important changes for the Oxford Hip and Knee scores

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Authors

ASAdam B. SmithSMStuart MealingDLDamian Lewis

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Overview

Analysis reveals that baseline scores affect minimally important change metrics in hip and knee assessments, suggesting broader evaluation strategies.

Key Points

  • MINIMUM CHANGE: The MIC for the Oxford Hip and Knee scores may be unreliable as standalone metrics for assessment.
  • DATA ANALYSIS: Data from 387,524 NHS records demonstrated variability in MIC based on pre-operative scores.
  • MEASUREMENT ERROR: Few MIC estimates surpassed the threshold of measurement error, indicating potential issues in reliability.
  • EVALUATION STRATEGY: Combining baseline, post-intervention, and change scores can offer a more robust evaluation of patient outcomes.

Cite This Study

Smith et al. (2025) studied this question.

synapsesocial.com/papers/689a094be6551bb0af8cf481https://doi.org/10.1101/2025.07.29.25332390
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