Prioritization of patients on scheduled waiting lists: validation of a scoring system for hip and knee arthroplasty.

摘要: Introduction: The hip and knee replacement priority criteria tool (HKPT) is 1 of 5 tools developed by the Western Canada Waiting List Project for setting priorities among patients awaiting elective procedures. We set out to assess validity HKPT score (PCS) map maximum acceptable waiting times (MAWTs) levels urgency. Methods: Two studies were used convergent discriminant validity. In study 1, consecutive on a list or arthroplasty assessed orthopedic surgeons from 4 provinces in Canada, using data patient age, gender, joint site, type surgery (primary revision), 2 measures surgeon-rated urgency, diagnosis. 2, 6 videotaped during consultation interview with surgeon group experts. measured function PCS Ontario McMaster Universities Osteoarthritis Index (WOMAC). Results: we 394 patients, 19 raters patients. Correlations between other physician-rated urgency strong, ranging 0.78 0.89. For subgroup 60 correlation as WOMAC was 0.48, greater (0.45‐0.56) items measuring similar constructs (e.g., pain at rest) than those different (0.21‐0.40). median MAWTs ranged 24 weeks based percentiles. Conclusions: Results this support measure arthroplasty. Evaluative are needed acceptability establishment clinical practice.