Osteoarthritis

Patient Acceptable Symptom State Versus Latent Class Analysis Outcome Classification: A Comparative Longitudinal Study of Knee Arthroplasty

Arthritis Care Res (Hoboken)Published Secondary analysis of the Knee Arthroplasty Skills Training for Pain (KASTPain) randomised trial

Authors' conclusion

When used for outcome classification, observed PASS scores consistently underperform relative to probabilistic latent class-derived subgroups of pain and self-rated health outcome. PASS is a weak substitute for probabilistic classification of other patient-reported outcome measures of KA outcome.

Study context

Population
Participants with knee arthroplasty in KASTPain, a 1-year no-effect multicenter RCT
Comparison
Patient Acceptable Symptom State (PASS) vs latent class analysis-derived outcome classification
Primary endpoint
Differentiation of outcome classification:
  • Separation of good
  • Poor outcome trajectories
Follow-up
1 year after KA
Methodological detailsmulticenter, confirmatory latent class analyses, longitudinal
  • Multicenter
  • Confirmatory latent class analyses
  • Longitudinal

Primary result

As reported in the abstract

Separation of outcome growth trajectories · 12 months

Effect size for 12-month 4-item pain score separation, latent class vs PASS

≈3 times larger

Further findings

Prevalence of poor outcomes

Self-rated health
10%
4-item pain and PASS
20%

Original publication

Patient Acceptable Symptom State Versus Latent Class Analysis Outcome Classification: A Comparative Longitudinal Study of Knee Arthroplasty. Arthritis Care Res (Hoboken). Published 26 January 2023. doi:10.1002/acr.24962

Composed by AI from the published abstract and checked against it. How Briefs are made →

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