Name
Patient-specific index, Patient specific index.
Source Article
Wright, J. G.; Rudicel, S.; and Feinstein, A. R.: Ask patients what they want. Evaluation of individual complaints before total hip replacement. / Bone and Joint Surg., 76-B(2): 229-234,1994.
SUMMARY
Formal evaluation of patient preferences for relief of complaints is particularly relevant to orthopaedic operations because most elective procedures are performed to relieve pain and functional disability. A standardized method that incorporates the preferences of individual patients for the relief of complaints would have broad application to the evaluation of many operative, procedures intended to improve functional disability. The Patient-Specific Index allows patients to indicate the type, severity, and importance of their complaints.
Structure / Content
The Patient-Specific Index is originally intended to evaluate the complaints of individual patients before and after total hip arthroplasty. Patients rate twenty-two complaints (and any additional ones) for severity and importance (Appendix). These complaints were selected from seven previously published scales and were identified on the basis of interviews with 72patients (Wright-1994).
Rate the severity
of each of the following problems. | 1 Not severe | 2 Minimally severe | 3 Somewhat severe | 4 Moderately severe | 5 Very severe | 6 Extremely severe | 7 Most severe imaginable | Not Applicable |
|
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| ||||||||
|
.Rate the severity of each
additional problem here. | ||||||||
|
Rate the degree
to which each of the following problems bothers
you | 1 Not bothersome | 2 Minimally bothersome | 3 Somewhat bothersome | 4 Moderately bothersome | 5 Very bothersome | 6 Extremely bothersome | 7 Most bothersome imaginable | Not Applicable |
Having to take pill for the hip | ||||||||
Having to use walking aids | ||||||||
Difference in leg lengths | ||||||||
Fear of falling because of the hip | ||||||||
Loss of independence | ||||||||
Rate the severity of each
additional problem here. | ||||||||
| Rate the severity of each additional problem here. | ||||||||
|
Rate the degree
of difficulty you have doing each of the following
activities. | 1 Not difficult | 2 Minimally difficult | 3 Somewhat difficult | 4 Moderately difficult | 5 Very difficult | 6 Extremely difficult | 7 Unable | Not Applicable |
Walking | ||||||||
Going up and down stairs | ||||||||
Putting on shoes or stockings | ||||||||
Sitting | ||||||||
Using public transportation (bus) | ||||||||
Driving | ||||||||
job/housework | ||||||||
Recreational activities/hobbies | ||||||||
Sexual activity | ||||||||
Tub baths | ||||||||
Getting onto and off of the toilet | ||||||||
Bending to pick up things off of
the floor | ||||||||
Standing for 5 minutes | ||||||||
Rale the severity of each
additional problem here. | ||||||||
| Rale the severity of each additional problem here. | ||||||||
|
Rate the
importance of each of the following problems. | 1 Not important at all | 2 Minimally important | 3 A little important | 4 Important | 5 Moderately important | 6 Very important | 7 Extremely important | |
Daytime hip pain | ||||||||
Nighttime hip pain | ||||||||
Limp | ||||||||
Hip stiffness | ||||||||
Rale 1st additional severity ilem
here. | ||||||||
Rate 2nd additional severity item
here. | ||||||||
Having to take pill for the hip | ||||||||
Having to use walking aids | ||||||||
Difference in leg lengths | ||||||||
Fear of falling because of the hip | ||||||||
Loss of independence | ||||||||
Rate 1st additional bothersome
item here. | ||||||||
Rate 2nd additional bothersome
item here. | ||||||||
Walking | ||||||||
Going up and down stairs | ||||||||
Putting on shoes or stockings | ||||||||
Sitting | ||||||||
Using public transportation (bus) | ||||||||
Driving | ||||||||
Job/housework | ||||||||
Recreational activities/hobbies | ||||||||
Sexual activity | ||||||||
Tub baths | ||||||||
Getting onto and off of the toilet | ||||||||
Bending to pick up things off of
the floor | ||||||||
Standing for 5 minutes | ||||||||
Rate 1st additional difficulty
item here. | ||||||||
| Rate 2nd additional difficulty item here. |
Scoring Method
Severity was defined as the degree of the complaint, such as extreme difficulty with stairclimbing, and importance was defined as the level of concern that the patient had about the complaint. For example, although a patient may have extreme difficulty with stair-climbing, this activity may be of minimum importance to the patient if there are no stairs in the residence. The severity of each complaint was rated according to seven response categories, which depended on the question. The importance of relief of the complaint also was rated according to seven categories, which ranged from "not important at all" to "extremely important."
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