Table 3

Specialist referral and waiting list prioritisation instruments, levels and scores for THA and TKA
CAHTA* CPAC** WCWLP***
Criteria Level Score Criteria Level Score Criteria Level Score
Severity of disease (clinical and radiological exploration) Moderate 0 Pain on examination None 0
Severe 18 Mild 6
Moderate 15
Severe 30
Other abnormal findings None 0 Abnormal findings on physical exam None/mild 0
Mild 2 Moderate 5
Moderate 5 Severe 9
Severe 10
Multiple joint involvement No 0
Yes, affected joints with moderate severity 4
Yes, severe involvement 10
Pain Mild 0 Degree of pain None 0 Pain on motion None/mild 0
Moderate 17 Mild 4 Moderate 13
Severe 33 Mild to moderate 6 Severe 20
Moderate 9
Moderate to severe 14
Severe 20 Pain at rest
Probability of recovery Moderate 0
High 4
Difficult in doing ADL Some difficulty 0 Time walked Unlimited 0 Ability to walk without significant pain Over 5 blocks 0
Great difficulty 10 31-60 min. 2 1-5 blocks 4
Unable to do most ADL 20 11-30 min. 4 Less than 1 block 8
2-10 min. 6 Household ambulatory 13
2 < min. or indoors only 8
Unable to walk 10
Other functional limitations None 0 Other functional limitations (ADL) None 0
Mild 2 Mild 2
Moderate 4 Moderate 4
Severe 10 Severe (unable to do most activities) 10
Limitation on ability to work No/does not work 0 Ability to work, give care to dependents or live independently Not threatened or difficult 0 Ability to work, give care to dependents or live independently Not threatened but more difficult 0
Yes 10
Not threatened but more difficult 4 Threatened but not immediately 7
Has someone to look after the patient Yes 0
No 9 Threatened, but not immediately 6 Immediately threatened 10
Be a care-giver No 0
Yes 6 Immediately threatened 10

*Catalan Agency for Health Technology Assessment [62]; **Clinical Priority Assessment Criteria [63].***Western Canada Waiting List Program [65] (asks about situation over the past three months).

Mota et al.

Mota et al. BMC Health Services Research 2012 12:225   doi:10.1186/1472-6963-12-225

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