Table 1.
Intrinsic and Extrinsic Factors Examined
| Intrinsic factors | Source | Scoring system |
|---|---|---|
| Demographic Data | ||
| Age, race, gender, height, weight | Self-reported | |
| Living status | Who do you currently live with? | Alone versus Not alone |
| Subjective Clinical Data | ||
| General affect | MHI-5 [46] (a subscale within SF- 36[43]) | Index score: 5–25 (5 items each score 1–5) |
| Symptoms of anxiety/depression | Anxiety/Depression items in EQ- 5D[46] | Item score: 0–2 |
| Expectations of intervention | How much do you expect your treatment (surgery or physical therapy) to improve your quality of life over the NEXT COUPLE YEARS? | Item score: 0–4 |
| Perception of personal health | Current health status subscale of EQ-5D [55] | Item score: 0–100 |
| Clinical symptoms of knee OA | KOOS symptoms subscale[45] | Index score: 0–20 |
| Clinical symptoms of meniscal tear | In the LAST WEEK, have you had any of the following symptoms in your [INDEX] KNEE? Clicking, catching, popping, giving way, locking, swelling, pain with pivoting/twisting? | Yes versus No for each item |
| Knee pain with specific activities | KOOS pain subscale[45] | Index score: 0–36 |
| General pain | Pain/Discomfort subscale of EQ- 5D[55] | Item score: 0–2 |
| Index knee-related function during athletic activities or specific postures and activities of daily living | SF-36 activities subscale[43] | Index score: 9–27 (9 items scores 1–3) |
| General function during ADLs and mild physical activity | KOOS function/daily living subscale[45] | Index score: 0–68 (17 items scores 014) |
| Objective Clinical Data | ||
| Need to take oral medication for knee pain | How often do you take each of the following medications for your knee? | Index score: 0–6 |
| Need for intra-articular knee injection(s) | Have you had injections in your knee in the LAST THREE MONTHS? | Yes versus No |
| Kellgren and Lawrence OA grade on plain films[47] | AP standing plain radiograph reviewed and scored during pre-trial screening by participating physician | Grade 0 – 4 |
| Score on Timed Up and Go test | Timed Up and Go test supervised by physical therapist during pre- trial musculoskeletal exam[48] | Seconds |
| Score on Quadriceps and Hamstrings manual muscle testing | Manual muscle testing[49] performed and recorded by physical therapist during pre-trial musculoskeletal exam | Average of 3 trials using the manual muscle test hand held dynamometer, pounds |
| Extrinsic Factors | Source | Scoring system |
| Annual income | What is your annual household income from all sources before taxes? | Item score: 1–5 |
| Randomization arm | Randomization arm assigned during pre-trial screening by research coordinator (Surgical / Non- Surgical) | Surgery versus Physical Therapy |
| Highest level of education achieved | What is the highest level of education you have achieved? | Item score: 1–5 |