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Comparison of the short form-12 (SF-12) health status questionnaire with the SF-36 in patients with knee osteoarthritis who have replacement surgery

  • Knee
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To investigate whether the performance of the short form-12 (SF-12) health survey is comparable with the longer version SF-36 for measuring health-related quality of life over time in patients with knee osteoarthritis who have joint replacement surgery.

Methods

Four hundred and seven patients with knee osteoarthritis completed the SF-36 before surgery and at a minimum of 12 months following knee replacement. SF-12 item responses were obtained from the responses given to the SF-36 questionnaire. Correlation coefficients were calculated between SF-12 and SF-36 physical component summary (PCS) and mental component summary (MCS) scores and the respective change in scores. Sensitivity to change was determined with the standardised response mean (SRM).

Results

PCS and MCS scores were highly correlated between SF-12 and SF-36 versions for both preoperative and post-operative measures (r = 0.90–0.96, p < 0.0001). Change scores (post-operative–preoperative) were also highly correlated (PCS: r = 0.88, p < 0.001; MCS: r = 0.93, p < 0.001). Sensitivity to change was large for the PCS scale (all SRMs >1.0). Correlations above 0.7 were found between change scores for each SF-36 and SF-12 subscale except General Health (r = 0.55).

Conclusions

The SF-12 summary measures and component scores replicate well with the SF-36 and show similar responsiveness to change. The SF-12 appears to be an adequate alternative for use in patients with knee osteoarthritis who undergo replacement surgery, and its brevity should be attractive for both clinicians and patients.

Level of evidence

I.

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References

  1. Busija L, Osborne RH, Nilsdotter A, Buchbinder R, Roos EM (2008) Magnitude and meaningfulness of change in SF-36 scores in four types of orthopedic surgery. Health Qual Life Outcomes 6:55

    Article  PubMed  PubMed Central  Google Scholar 

  2. Dunbar MJ, Robertsson O, Ryd L, Lidgren L (2001) Appropriate questionnaires for knee arthroplasty. Results of a survey of 3600 patients from The Swedish Knee Arthroplasty Registry. J Bone Joint Surg Br 83(3):339–344

    Article  CAS  PubMed  Google Scholar 

  3. Escobar A, Quintana J, Bilbao A, Aróstegui I, Lafuente I, Vidaurreta I (2007) Responsiveness and clinically important differences for the WOMAC and SF-36 after total knee replacement. Osteoarthr Cartil 15(3):273–280

    Article  CAS  PubMed  Google Scholar 

  4. Guyatt G, Walter S, Norman G (1987) Measuring change over time: assessing the usefulness of evaluative instruments. J Chronic Dis 40:171–178

    Article  CAS  PubMed  Google Scholar 

  5. Hurst NP, Ruta DA, Kind P (1998) Comparison of the MOS short form-12 (SF12) health status questionnaire with the SF36 in patients with rheumatoid arthritis. Br J Rheumatol 37(8):862–869

    Article  CAS  PubMed  Google Scholar 

  6. Keller S, Majkut T, Kosinski M, Ware JJ (1999) Monitoring health outcomes among patients with arthritis using the SF-36 Health Survey: overview. Med Care 37(5):MS1-9

    PubMed  Google Scholar 

  7. Dempster M, Donnelly MA (2001) Comparative analysis of the SF-12 and the SF-36 among ischaemic heart disease patients. J Health Psychol 6(6):707–711

    Article  CAS  PubMed  Google Scholar 

  8. March LM, Cross MJ, Lapsley H, Brnabic AJ, Tribe KL, Bachmeier CJ, Courtenay BG, Brooks PM (1999) Outcomes after hip or knee replacement surgery for osteoarthritis. A prospective cohort study comparing patients’ quality of life before and after surgery with age-related population norms. Med J Aust 171(5):235–238

    CAS  PubMed  Google Scholar 

  9. Müller-Nordhorn J, Roll S, Willich S (2004) Comparison of the short form (SF)-12 health status instrument with the SF-36 in patients with coronary heart disease. Heart 90(5):523–527

    Article  PubMed  PubMed Central  Google Scholar 

  10. Ostendorf M, van Stel HF, Buskens E, Schrijvers AJ, Marting LN, Verbout AJ, Dhert WJ (2004) Patient-reported outcome in total hip replacement. A comparison of five instruments of health status. J Bone Joint Surg Br 86(6):801–808

    Article  CAS  PubMed  Google Scholar 

  11. Pickard AS, Johnson JA, Penn A, Lau F, Noseworthy T (1999) Replicability of SF-36 summary scores by the SF-12 in stroke patients. Stroke 30(6):1213–1217

    Article  CAS  PubMed  Google Scholar 

  12. Singh A, Gnanalingham K, Casey A, Crockard A (2006) Quality of life assessment using the Short Form-12 (SF-12) questionnaire in patients with cervical spondylotic myelopathy: comparison with SF-36. Spine 31(6):639–643

    Article  PubMed  Google Scholar 

  13. Ware JE Jr, Kosinski M, Bjorner JB, Turner-Bowker DM, Gandek B, Maruish ME (2007) User’s manual for the SF-36v2 Health Survey, 2nd edn. QualityMetric Incorporated, Lincoln

    Google Scholar 

  14. Ware JE Jr, Kosinski M, Keller SD (1996) A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care 34(3):220–233

    Article  PubMed  Google Scholar 

  15. Ware JE Jr, Kosinski M, Turner-Bowker DM, Gandek B (2002) How to score version 2 of the SF-12 health survey (with a supplement documenting version 1). QualityMetric Inc, Lincoln

    Google Scholar 

  16. Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483

    Article  PubMed  Google Scholar 

  17. Webster KE, Feller JA (2014) Use of the short form health surveys as an outcome measure for anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 22(5):1142–1148

    Article  PubMed  Google Scholar 

  18. Wee CC, Davis RB, Hamel MB (2008) Comparing the SF-12 and SF-36 health status questionnaires in patients with and without obesity. Health Qual Life Outcomes 6:11. doi:10.1186/1477-7525-1186-1111

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Kate E. Webster.

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Webster, K.E., Feller, J.A. Comparison of the short form-12 (SF-12) health status questionnaire with the SF-36 in patients with knee osteoarthritis who have replacement surgery. Knee Surg Sports Traumatol Arthrosc 24, 2620–2626 (2016). https://doi.org/10.1007/s00167-015-3904-1

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  • DOI: https://doi.org/10.1007/s00167-015-3904-1

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