Functional Status Assessment for Total Knee Replacement

• • Denominator

    • • "Initial Population"

       

  • Denominator Exclusions

    • • Hospice."Has Hospice"
          or "Has Total Knee 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 Encounters

    • • 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 TKA with Initial and Follow Up KOOS Assessments

    • • exists ( "Total Knee Arthroplasty Procedure" TotalKnee
            with "Time KOOS Total Assessment Completed" InitialKOOSAssessmentTime
              such that TotalKnee.relevantPeriod starts 90 days or less on or after InitialKOOSAssessmentTime
            with "Time KOOS Total Assessment Completed" FollowupKOOSAssessmentTime
              such that FollowupKOOSAssessmentTime in Interval[
              end of TotalKnee.relevantPeriod + 270 days, 
              end of TotalKnee.relevantPeriod + 365 days]
        )

       

  • Has TKA with Initial and Follow Up KOOSJr Assessments

    • • exists ( "Total Knee Arthroplasty Procedure" TotalKnee
            with "KOOSJr Total Assessment Completed" InitialKOOSJrAssessment
              such that TotalKnee.relevantPeriod starts 90 days or less on or after InitialKOOSJrAssessment.relevantDatetime
            with "KOOSJr Total Assessment Completed" FollowupKOOSJrAssessment
              such that FollowupKOOSJrAssessment.relevantDatetime in Interval[
              end of TotalKnee.relevantPeriod + 270 days, 
              end of TotalKnee.relevantPeriod + 365 days]
        )

       

  • Has TKA with Initial and Follow Up PROMIS10 Assessments

    • • exists ( "Total Knee Arthroplasty Procedure" TotalKnee
            with "Time PROMIS10 Total Assessment Completed" InitialPROMIS10AssessmentTime
              such that TotalKnee.relevantPeriod starts 90 days or less on or after InitialPROMIS10AssessmentTime
            with "Time PROMIS10 Total Assessment Completed" FollowupPROMIS10AssessmentTime
              such that FollowupPROMIS10AssessmentTime in Interval[
              end of TotalKnee.relevantPeriod + 270 days, 
              end of TotalKnee.relevantPeriod + 365 days]
        )

       

  • Has TKA with Initial and Follow Up VR12 Oblique Assessments

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

       

  • Has TKA with Initial and Follow Up VR12 Orthogonal Assessments

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

       

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

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

       

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

       

  • KOOSJr Total Assessment Completed

    • • ( ["Assessment, Performed": "Knee Injury and Osteoarthritis Outcome Score for Joint Replacement [KOOSJR]"] KOOSJr
            where KOOSJr.result is not null
        )

       

  • Numerator

    • • "Has TKA with Initial and Follow Up KOOS Assessments"
          or "Has TKA with Initial and Follow Up KOOSJr Assessments"
          or "Has TKA with Initial and Follow Up PROMIS10 Assessments"
          or "Has TKA with Initial and Follow Up VR12 Oblique Assessments"
          or "Has TKA 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 KOOS Total Assessment Completed

    • • from
          ["Assessment, Performed": "Quality of life score [KOOS]"] KOOSLifeQuality,
          ["Assessment, Performed": "Sport-recreation score [KOOS]"] KOOSSport,
          ["Assessment, Performed": "Activities of daily living score [KOOS]"] KOOSActivityScore,
          ["Assessment, Performed": "Symptoms score [KOOS]"] KOOSSymptoms,
          ["Assessment, Performed": "Pain score [KOOS]"] KOOSPain
          where KOOSLifeQuality.relevantDatetime same day as KOOSSport.relevantDatetime
            and KOOSSport.result is not null
            and KOOSLifeQuality.relevantDatetime same day as KOOSActivityScore.relevantDatetime
            and KOOSActivityScore.result is not null
            and KOOSLifeQuality.relevantDatetime same day as KOOSSymptoms.relevantDatetime
            and KOOSSymptoms.result is not null
            and KOOSLifeQuality.relevantDatetime same day as KOOSPain.relevantDatetime
            and KOOSPain.result is not null
            and KOOSLifeQuality.result is not null
          return Max({ KOOSLifeQuality.relevantDatetime, KOOSSport.relevantDatetime, KOOSActivityScore.relevantDatetime, KOOSSymptoms.relevantDatetime, KOOSPain.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"] VR12MentalAssessment,
          ["Assessment, Performed": "VR-12 Physical component summary (PCS) score - orthogonal 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 })

       

  • Total Knee Arthroplasty Procedure

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

       

Functions

TBD