Letter to the Editor: Analytic approaches for prognostic studies of persistent pain following knee arthroplasty

Authors

  • Dan Riddle Distinguished Career Emeritus Professor of Physical Therapy, Orthopaedic Surgery and Rheumatology, Virginia Commonwealth University, Richmond, VA, USA https://orcid.org/0000-0002-3611-2739
  • Levent Dumenci College of Public Health, Department of Epidemiology and Biostatistics, Temple University, Philadelphia, PA, USA

DOI:

https://doi.org/10.2340/17453674.2026.46698

Keywords:

Arthroplasty, Knee, Statistics

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References

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Cheng H Y, Beswick A D, Bertram W, Siddiqui M A, Gooberman-Hill R, Whitehouse M R, et al. What proportion of people have long-term pain after total hip or knee replacement? An update of a systematic review and meta-analysis. BMJ Open 2025; 15(5): e088975. doi: 10.1136/bmjopen-2024-088975.

Beswick A D, Wylde V, Gooberman-Hill R, Blom A, Dieppe P. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open 2012; 2(1): e000435. doi: 10.1136/bmjopen-2011-000435.

Riddle D L, Dumenci L. Using two predictive models to capture two types of poor outcomes in knee arthroplasty: a multisite longitudinal cohort study. Arthritis Rheumatol 2024; 76(7): 1036-46. doi: 10.1002/art.42819.

Riddle D L, Dumenci L. Performance of baseline quartile-stratified minimal clinically important difference estimates was superior to individual minimal clinically important difference estimates when compared with a gold standard comparator of important change. Pain 2025; 166(6): 1450-6. doi: 10.1097/j.pain.0000000000003492.

Riddle D L, Macfarlane G J, Hamilton D F, Beasley M, Dumenci L. Cross-validation of good versus poor self-reported outcome trajectory types following knee arthroplasty. Osteoarthritis Cartilage 2022; 30(1): 61-8. doi: 10.1016/j.joca.2021.09.004.

Beard D J, Harris K, Dawson J, Doll H, Murray D W, Carr A J, et al. Meaningful changes for the Oxford hip and knee scores after joint replacement surgery. J Clin Epidemiol 2015; 68(1): 73-9. doi: 10.1016/j.jclinepi.2014.08.009.

Ayilara O F, Zhang L, Sajobi T T, Sawatzky R, Bohm E, Lix L M. Impact of missing data on bias and precision when estimating change in patient-reported outcomes from a clinical registry. Health Qual Life Outcomes 2019; 17(1): 106. doi: 10.1186/s12955-019-1181-2.

Deckey D G, Verhey J T, Gerhart C R B, Christopher Z K, Spangehl M J, Clarke H D, et al. There are considerable inconsistencies among minimum clinically important differences in TKA: a systematic review. Clin Orthop Relat Res; 2023; 481(1): 63-80. doi: 10.1097/CORR.0000000000002440.

MacKay C, Clements N, Wong R, Davis A M. A systematic review of estimates of the minimal clinically important difference and patient acceptable symptom state of the Western Ontario and McMaster Universities Osteoarthritis Index in patients who underwent total hip and total knee replacement. Osteoarthritis Cartilage 2019; 27(10): 1408-19. doi: 10.1016/j.joca.2019.05.002.

Riddle D L, Dumenci L. Limitations of minimal clinically important difference estimates and potential alternatives. J Bone Joint Surg Am 2024; 06(10): 931-7. doi: 10.2106/JBJS.23.00467.

Dumenci L, Perera R, Keefe F, Ang D, Slover J, Jensen M, et al. Model-based pain and function outcome trajectory types for patients undergoing knee arthroplasty: a secondary analysis from a randomized clinical trial. Osteoarthritis Cartilage 2019; 27(6): 878-84. doi: 10.1016/j.joca.2019.01.004.

Riddle D L, Dumenci L. The latent difference score model is a viable alternative to arithmetic difference score-based anchor-driven minimal important change calculation. J Patient Rep Outcomes 2026; 10(1): 118. doi: 10.1186/s41687-026-01085-2.

Additional Files

Published

2026-09-07

How to Cite

Riddle, D., & Dumenci, L. (2026). Letter to the Editor: Analytic approaches for prognostic studies of persistent pain following knee arthroplasty. Acta Orthopaedica, 97, 629–630. https://doi.org/10.2340/17453674.2026.46698

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