Patient Reported Outcomes from the University of Oxford

Orthopaedic PRO Measures

Isis Outcomes has a portfolio of orthopaedic PROs all designed, developed, tested and validated at Oxford University. The Isis Outcomes orthopaedic PROs have demonstrably reliable, valid and responsive measurement properties. These orthopaedic PROs include assessments for hip (THA), knee (TKA), shoulder and elbow interventions as well as other therapies (both surgical and non-surgical) in childhood foot and ankle problems.

The Team

The orthopaedic PROs available from Isis Outcomes have been developed by senior academics within the Health Services Research Unit, part of the Department of Public Health, University of Oxford and colleagues at the University of Manchester. All of our orthopaedic PROs have been developed in close collaboration with orthpaedic colleagues from the Nuffield Orthopaedic Centre and the Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences.

More about the team who developed the orthopaedic PROs can be found here.

The Orthopaedic PRO Measures

The first five of the joint-specific outcomes measures from Isis Outcomes share similar properties of:

  • being joint-specific,
  • being short, 12-item PROs,
  • have demonstrably reliable, valid and responsive measurement properties,
  • include components for assessment of pain and physical function,
  • have been developed by senior researchers (Professor Ray Fitzpatrick and Dr Jill Dawson) at Oxford in collaboration with consultant surgeons also at Oxford,
  • were specifically designed for joint-specific assessment using patient generated input.

Oxford Knee Score (OKS) – for assessing outcomes of knee replacement surgery (TKA).

Oxford Hip Score (OHS) – for assessing outcomes of Hip replacement surgery (THA).

Oxford Shoulder Score (OSS) – for assessing the outcome of shoulder surgery e.g. for tackling degenerative conditions such as arthritis and rotator cuff problems.

Oxford Shoulder Instability Score (OSIS) – for assessing the therapy on patients suffering from unidirectional or multidirectional instability of the shoulder.

Oxford Elbow Score (OES) – for the assessment of outcome following surgery of the elbow.

Manchester Oxford Foot Questionnaire (MOxFQ) - a 16 item PRO measure for assessing outcome following foot and ankle interventions.

Manchester Foot Pain Disability Index (MFPDI) - a 19 item PRO assessing foot pain and disability.

The final orthopaedic PRO is the Oxford Ankle Foot Questionnaire for Children (OxAFQ-C). The OxAFQ-C is a short 15-item PRO shown to be responsive and valid and that can uniquely be used to assess the outcome of ankle/foot therapy from the child’s and parent/caregivers perspective. Designed to be used with children between the ages of 5 and 16 the OxAFQ-C has 3 domains (Physical, School & Play and Emotional) and can be used to assess various therapies. The OxAFQ-C was developed by Dr Chris Morris, Senior Research Fellow in Child Health at Peninsula Medical School in Exeter.