New Zealand Joint Replacement Priority Scoring

 

 

Ring the score which best applies and add all ringed numbers together for total score

 

 

Name:................................................................................................ Date:.................................

 

 

PAIN

Degree (while on maximal medical therapy)	Score	Occurence	Score
None	0	With first steps only	0
Mild (slight or occasional, no alteration to activity or work)	4	Only after 30 minutes walk	4
Mild-to-moderate (moderate or frequent but no change to activities)	6	With all walking but mainly in the day	10
Moderate (active but has had to alter activities)	9	Significant, regular pain at night	20
Moderate-severe (fairly severe pain, substantial limitation of activities)	14
Severe (major pain, serious limitation of activities)	20

 

 

FUNCTION

Time walked	Score	Other functional limitations*	Score
Unlimited	0	None	0
31-60 minutes	2	Mild	2
11-30 minutes	4	Moderate	4
2-10 minutes	6	Severe	10
<2 minutes or indoors only	8	*(putting on shoes, managing stairs, getting out of a chair, sexual activity, hobbies, need for walking aids)
Unable to walk	10

 

 

MOVEMENT AND DEFORMITY

Pain on examination (active and passive range of motion)	Score	Other abnormal orthopaedic findings*	Score
None	0	None	0
Mild	2	Mild	2
Moderate	5	Moderate	5
Severe	10	Severe	10
		*(reduced range of motion, deformity, limp, instability, changes on x-ray)

 

OTHER FACTORS

Multiple joint disease	Score	Ability to work, care for others, live independently, relating to affected joint	Score
No	0	Not threatened or difficult	0
Yes (each other joint mild-moderately affected)	4	Not threatened but more difficult	4
Yes (each other joint severely affected)	10	Threatened, but not immediately	6
		Immediately threatened	10

 

 

A score greater than 70 indicates priority.

 

 

 

Total score:.............................

 

 

Assessed by:.......................................................................................

 

 

Hadorn DC, Holmes AC. The New Zealand priority criteria project. Part 1: Overview. BMJ 1997;314:131-134. [Full text]