Functional Status Assessment for Total Hip Replacement

• • Denominator

    • • "Initial Population"

       

  • Denominator Exclusions

    • • Hospice."Has Hospice"
          or "Has Total Hip Arthroplasty with 2 or More Lower Body Fractures"
          or "Has Dementia Diagnosis"

       

  • Has Dementia Diagnosis

    • • exists ( ["Diagnosis": "Severe dementia (disorder)"] Dementia
            where Dementia.prevalencePeriod overlaps "Measurement Period"
        )

       

  • Has Qualifying Encounter

    • • exists ( ( ["Encounter, Performed": "Outpatient Consultation"]
            union ["Encounter, Performed": "Office Visit"]
            union ["Encounter, Performed": "Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure"] ) ValidEncounters
            where ValidEncounters.relevantPeriod during "Measurement Period"
        )

       

  • Has THA with Initial and Follow Up HOOS Assessments

    • • exists ( "Total Hip Arthroplasty Procedure" TotalHip
            with "Time HOOS Total Assessment Completed" InitialHipAssessmentHOOS
              such that TotalHip.relevantPeriod starts 90 days or less on or after InitialHipAssessmentHOOS
            with "Time HOOS Total Assessment Completed" FollowupHipAssessmentHOOS
              such that FollowupHipAssessmentHOOS in Interval[
              end of TotalHip.relevantPeriod + 270 days, 
              end of TotalHip.relevantPeriod + 365 days]
        )

       

  • Has THA with Initial and Follow Up HOOSJr Assessments

    • • exists ( "Total Hip Arthroplasty Procedure" TotalHip
            with "HOOSJr Total Assessment Completed" InitialHipAssessment
              such that TotalHip.relevantPeriod starts 90 days or less on or after InitialHipAssessment.relevantDatetime
            with "HOOSJr Total Assessment Completed" FollowupHipAssessment
              such that FollowupHipAssessment.relevantDatetime in Interval[
              end of TotalHip.relevantPeriod + 270 days, 
              end of TotalHip.relevantPeriod + 365 days]
        )

       

  • Has THA with Initial and Follow Up PROMIS10 Assessments

    • • exists ( "Total Hip Arthroplasty Procedure" TotalHip
            with "Time PROMIS10 Total Assessment Completed" InitialHipAssessmentPROMIS10
              such that TotalHip.relevantPeriod starts 90 days or less on or after InitialHipAssessmentPROMIS10
            with "Time PROMIS10 Total Assessment Completed" FollowupHipAssessmentPROMIS10
              such that FollowupHipAssessmentPROMIS10 in Interval[
              end of TotalHip.relevantPeriod + 270 days, 
              end of TotalHip.relevantPeriod + 365 days]
        )

       

  • Has THA with Initial and Follow Up VR12 Oblique Assessments

    • • exists ( "Total Hip Arthroplasty Procedure" TotalHip
            with "Time VR12 Oblique Total Assessment Completed" InitialHipAssessmentOblique
              such that TotalHip.relevantPeriod starts 90 days or less on or after InitialHipAssessmentOblique
            with "Time VR12 Oblique Total Assessment Completed" FollowupHipAssessmentOblique
              such that FollowupHipAssessmentOblique in Interval[
              end of TotalHip.relevantPeriod + 270 days, 
              end of TotalHip.relevantPeriod + 365 days]
        )

       

  • Has THA with Initial and Follow Up VR12 Orthogonal Assessments

    • • exists ( "Total Hip Arthroplasty Procedure" TotalHip
            with "Time VR12 Orthogonal Total Assessment Completed" InitialHipAssessmentOrthogonal
              such that TotalHip.relevantPeriod starts 90 days or less on or after InitialHipAssessmentOrthogonal
            with "Time VR12 Orthogonal Total Assessment Completed" FollowupHipAssessmentOrthogonal
              such that FollowupHipAssessmentOrthogonal in Interval[
              end of TotalHip.relevantPeriod + 270 days, 
              end of TotalHip.relevantPeriod + 365 days]
        )

       

  • Has Total Hip Arthroplasty with 2 or More Lower Body Fractures

    • • exists ( "Total Hip Arthroplasty Procedure" THAProcedure
            where Count(["Diagnosis": "Fracture - Lower Body"] LowerBodyFracture
                where LowerBodyFracture.prevalencePeriod starts less than 1 day on or before start of THAProcedure.relevantPeriod
            )>= 2
        )

       

  • HOOSJr Total Assessment Completed

    • • ( ["Assessment, Performed": "Hip Dysfunction and Osteoarthritis Outcome Score for Joint Replacement [HOOSJR]"] HOOSJr
            where HOOSJr.result is not null
        )

       

  • Hospice.Has Hospice

    • • exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice
            where ( DischargeHospice.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"
                or DischargeHospice.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"
            )
              and DischargeHospice.relevantPeriod ends during "Measurement Period"
        )
          or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder
              where HospiceOrder.authorDatetime during "Measurement Period"
          )
          or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed
              where HospicePerformed.relevantPeriod overlaps "Measurement Period"
          )

       

  • Initial Population

    • • "Has Qualifying Encounter"
          and exists ( "Total Hip Arthroplasty Procedure" )
          and exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
              where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 19
          )

       

  • Numerator

    • • ( "Has THA with Initial and Follow Up HOOS Assessments" )
          or ( "Has THA with Initial and Follow Up HOOSJr Assessments" )
          or ( "Has THA with Initial and Follow Up PROMIS10 Assessments" )
          or ( "Has THA with Initial and Follow Up VR12 Oblique Assessments" )
          or ( "Has THA with Initial and Follow Up VR12 Orthogonal Assessments" )

       

  • SDE Ethnicity

    • • ["Patient Characteristic Ethnicity": "Ethnicity"]

       

  • SDE Payer

    • • ["Patient Characteristic Payer": "Payer"]

       

  • SDE Race

    • • ["Patient Characteristic Race": "Race"]

       

  • SDE Sex

    • • ["Patient Characteristic Sex": "ONC Administrative Sex"]

       

  • Time HOOS Total Assessment Completed

    • • from
          ["Assessment, Performed": "Quality of life score [HOOS]"] HOOSLifeQuality,
          ["Assessment, Performed": "Sport-recreation score [HOOS]"] HOOSSport,
          ["Assessment, Performed": "Activities of daily living score [HOOS]"] HOOSActivityScore,
          ["Assessment, Performed": "Symptoms score [HOOS]"] HOOSSymptoms,
          ["Assessment, Performed": "Pain score [HOOS]"] HOOSPain
          where HOOSLifeQuality.relevantDatetime same day as HOOSSport.relevantDatetime
            and HOOSSport.result is not null
            and HOOSLifeQuality.relevantDatetime same day as HOOSActivityScore.relevantDatetime
            and HOOSActivityScore.result is not null
            and HOOSLifeQuality.relevantDatetime same day as HOOSSymptoms.relevantDatetime
            and HOOSSymptoms.result is not null
            and HOOSLifeQuality.relevantDatetime same day as HOOSPain.relevantDatetime
            and HOOSPain.result is not null
            and HOOSLifeQuality.result is not null
          return Max({ HOOSLifeQuality.relevantDatetime, HOOSSport.relevantDatetime, HOOSActivityScore.relevantDatetime, HOOSSymptoms.relevantDatetime, HOOSPain.relevantDatetime })

       

  • Time PROMIS10 Total Assessment Completed

    • • from
          ["Assessment, Performed": "PROMIS-10 Global Mental Health (GMH) score T-score"] Promis10MentalScore,
          ["Assessment, Performed": "PROMIS-10 Global Physical Health (GPH) score T-score"] Promis10PhysicalScore
          where Promis10MentalScore.relevantDatetime same day as Promis10PhysicalScore.relevantDatetime
            and Promis10PhysicalScore.result is not null
            and Promis10MentalScore.result is not null
          return Max({ Promis10MentalScore.relevantDatetime, Promis10PhysicalScore.relevantDatetime })

       

  • Time VR12 Oblique Total Assessment Completed

    • • from
          ["Assessment, Performed": "VR-12 Mental component summary (MCS) score - oblique method T-score"] VR12MentalAssessment,
          ["Assessment, Performed": "VR-12 Physical component summary (PCS) score - oblique method T-score"] VR12PhysicalAssessment
          where VR12MentalAssessment.relevantDatetime same day as VR12PhysicalAssessment.relevantDatetime
            and VR12MentalAssessment.result is not null
            and VR12PhysicalAssessment.result is not null
          return Max({ VR12MentalAssessment.relevantDatetime, VR12PhysicalAssessment.relevantDatetime })

       

  • Time VR12 Orthogonal Total Assessment Completed

    • • from
          ["Assessment, Performed": "VR-12 Mental component summary (MCS) score - orthogonal method T-score"] VR12MentalOrthogonal,
          ["Assessment, Performed": "VR-12 Physical component summary (PCS) score - orthogonal method T-score"] VR12PhysicalOrthogonal
          where VR12MentalOrthogonal.relevantDatetime same day as VR12PhysicalOrthogonal.relevantDatetime
            and VR12MentalOrthogonal.result is not null
            and VR12PhysicalOrthogonal.result is not null
          return Max({ VR12MentalOrthogonal.relevantDatetime, VR12PhysicalOrthogonal.relevantDatetime })

       

  • Total Hip Arthroplasty Procedure

    • • ["Procedure, Performed": "Primary THA Procedure"] THAProcedure
          where THAProcedure.relevantPeriod starts 12 months or less on or before start of "Measurement Period"

       

Functions

Not Applicable