Abstract
Purpose
The purpose of the study was to report SF-36 data from a large cohort with anterior cruciate ligament (ACL) reconstruction surgery and compare between the SF-36 and SF-12.
Methods
1,500 patients completed the SF-36 at a minimum 12 months following ACL reconstruction surgery. The items which make up the SF-12 were selected and subscale scores were calculated and compared with the SF-36. The physical and mental component summary scores were calculated for both versions and correlated with disease-specific outcomes and were compared between different patient groups. In addition, the percentage of patients with below average, average, or above average general health was tabulated.
Results
Over 90 % of the cohort scored in the average or above average range for both physical and mental health component summary scores. Correlations between SF-36 and SF-12 scores were above 0.8 for all subscales except general health. Mean differences between the two versions were small except for the bodily pain subscale for which the SF-12 was 8.17 points higher than the SF-36 (0–100 scoring). For both versions, disease-specific measures were more highly correlated with the physical component score than the mental component score. Both versions were able to similarly distinguish between primary and revision procedures and groups that were and were not participating in sports.
Conclusions
Following ACL reconstruction, patients generally have excellent health. The SF-12 provides a simple health outcome assessment following ACL reconstruction surgery and is an adequate alternative for the SF-36 for measures made at a single time point. The bodily pain subscale for the SF-12 may lack sensitivity, and disease-specific measures of pain should therefore also be included.
Level of evidence
I.
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References
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. doi:10.1186/1477-7525-6-55
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
Irrgang JJ, Anderson AF, Boland AL, Harner CD, Kurosaka M, Neyret P, Richmond JC, Shelbourne KD (2001) Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med 29(5):600–613
Kocher MS, Steadman JR, Briggs K, Zurakowski D, Sterett WI, Hawkins RJ (2002) Determinants of patient satisfaction with outcome after anterior cruciate ligament reconstruction. J Bone Joint Surg Am 84A(9):1560–1572
Månsson O, Kartus J, Sernert N (2011) Health-related quality of life after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 19(3):479–487
Möller E, Weidenhielm L, Werner S (2009) Outcome and knee-related quality of life after anterior cruciate ligament reconstruction: a long-term follow-up. Knee Surg Sports Traumatol Arthrosc 17(7):786–794
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
Noyes FR, Barber SD, Mooar LA (1989) A rationale for assessing sports activity levels and limitations in knee disorders. Clin Orthop Relat Res 246:238–249
Ochiai S, Hagino T, Tonotsuka H, Haro H (2011) Prospective analysis of health-related quality of life and clinical evaluations in patients with anterior cruciate ligament injury undergoing reconstruction. Arch Orthop Trauma Surg 131(8):1091–1094
Osthus T, Preljevic V, Sandvik L, Leivestad T, Nordhus I, Dammen T, Os I (2012) Mortality and health-related quality of life in prevalent dialysis patients: comparison between 12-items and 36-items short-form health survey. Health Qual Life Outcomes 10:46. doi:10.1186/1477-7525-10-46
Patrick DL, Deyo RA (1989) Generic and disease-specific measures in assessing health status and quality of life. Med Care 27(3):217–232
Shapiro ET, Richmond JC, Rockett SE, McGrath MM, Donaldson WR (1996) The use of a generic, patient-based health assessment (SF-36) for evaluation of patients with anterior cruciate ligament injuries. Am J Sports Med 24(2):196–200
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
Vangsness CTJ, Mac P, Requa R, Garrick J (1995) Review of outcome instruments for evaluation of anterior cruciate ligament reconstruction. Bull Hosp Jt Dis 54(1):25–29
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. Quality Metric Incorporated, Lincoln
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
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
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
Wright RW (2009) Knee injury outcomes measures. J Am Acad Orthop Surg 17(1):31–39
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Webster, K.E., Feller, J.A. Use of the short form health surveys as an outcome measure for anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 22, 1142–1148 (2014). https://doi.org/10.1007/s00167-013-2520-1
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DOI: https://doi.org/10.1007/s00167-013-2520-1