Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 10/2008

01-12-2008

Comparative responsiveness and minimal change for the Oxford Elbow Score following surgery

Auteurs: Jill Dawson, Helen Doll, Irene Boller, Ray Fitzpatrick, Christopher Little, Jonathan Rees, Andrew Carr

Gepubliceerd in: Quality of Life Research | Uitgave 10/2008

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

To assess the responsiveness and minimal change for the Oxford Elbow Score (OES) using anchor- and distribution-based approaches.

Methods

A prospective observational study of 104 patients undergoing elbow surgery at a specialist orthopaedic hospital was carried out. Patients completed the OES and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaires (both scored on a 0 to 100 scale) pre- and 6 months post-surgery. Transition items (used as anchors) assessed perceived changes following surgery. Indicators of responsiveness were the effect size; the anchor-based minimal clinically important difference (MCID) and best cut-point on the receiver operator characteristic (ROC) curve; and the distribution-based minimal detectable change (MDC).

Results

The three elbow-specific OES scales (Function, Pain, Social-Psychological) produced generally larger effect sizes (0.79, 1.14 and 1.18, respectively) than the upper-limb-specific DASH scale (0.76). Clear associations were observed between transition items and all OES and DASH scores (all r > |0.35|). The MCIDs for the OES Function scale and the DASH were similar (≈10), but were larger for the OES Pain and Social-Psychological scales (≈18), reflecting their lower (i.e. poorer) baseline scores and larger effect sizes. The MCIDs were, however, only consistently larger than the MDCs for the OES Pain domain. The OES Function scale and the DASH performed similarly on ROC analysis, but with the OES Pain and Social-Psychological scales demonstrating superior efficiency.

Conclusions

For elbow surgery, the 12-item three-scale OES is highly responsive to 6-month post-operative outcomes, with its performance being generally better than that of the 30-item one-scale DASH. Study estimates of minimal change for the OES may be useful for informing sample size calculations and interpreting outcomes in future clinical trials.

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Podotherapeut Totaal

Binnen de bundel kunt u gebruik maken van boeken, tijdschriften, e-learnings, web-tv's en uitlegvideo's. BSL Podotherapeut Totaal is overal toegankelijk; via uw PC, tablet of smartphone.

Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
go back to reference Pynsent, P., Fairbank, J. C. T., & Carr, A. (1993). Outcome measures in orthopaedics. Oxford: Butterworth-Heinemann. Pynsent, P., Fairbank, J. C. T., & Carr, A. (1993). Outcome measures in orthopaedics. Oxford: Butterworth-Heinemann.
2.
go back to reference Dawson, J., Fitzpatrick, R., Murray, D., & Carr, A. (1996). The problem of ‘noise’ in monitoring patient-based outcomes: generic, disease-specific and site-specific instruments for total hip replacement. Journal of Health Services Research & Policy, 1, 224–231. Dawson, J., Fitzpatrick, R., Murray, D., & Carr, A. (1996). The problem of ‘noise’ in monitoring patient-based outcomes: generic, disease-specific and site-specific instruments for total hip replacement. Journal of Health Services Research & Policy, 1, 224–231.
3.
go back to reference Dawson, J., Fitzpatrick, R., Carr, A., & Murray, D. (1996). Questionnaire on the perceptions of patients about total hip replacement. The Journal of Bone and Joint Surgery. British Volume, 78, 185–190. PubMed Dawson, J., Fitzpatrick, R., Carr, A., & Murray, D. (1996). Questionnaire on the perceptions of patients about total hip replacement. The Journal of Bone and Joint Surgery. British Volume, 78, 185–190. PubMed
5.
go back to reference Dawson, J., Fitzpatrick, R., & Carr, A. (1996). Questionnaire on the perceptions of patients about shoulder surgery. The Journal of Bone and Joint Surgery. British Volume, 78, 593–600. PubMed Dawson, J., Fitzpatrick, R., & Carr, A. (1996). Questionnaire on the perceptions of patients about shoulder surgery. The Journal of Bone and Joint Surgery. British Volume, 78, 593–600. PubMed
6.
go back to reference Dawson, J., Fitzpatrick, R., & Carr, A. (1999). The assessment of shoulder instability. The development and validation of a questionnaire. The Journal of Bone and Joint Surgery. British Volume, 81, 420–426. PubMedCrossRef Dawson, J., Fitzpatrick, R., & Carr, A. (1999). The assessment of shoulder instability. The development and validation of a questionnaire. The Journal of Bone and Joint Surgery. British Volume, 81, 420–426. PubMedCrossRef
7.
go back to reference Khan, F., Ng, L., Gonzalez, S., Hale, T., & Turner-Stokes, L. (2008). Multidisciplinary rehabilitation programmes following joint replacement at the hip and knee in chronic arthropathy. Cochrane Database of Systematic Reviews (Online : Update Software), 2:CD004957. Review. Khan, F., Ng, L., Gonzalez, S., Hale, T., & Turner-Stokes, L. (2008). Multidisciplinary rehabilitation programmes following joint replacement at the hip and knee in chronic arthropathy. Cochrane Database of Systematic Reviews (Online : Update Software), 2:CD004957. Review.
8.
go back to reference Huber, W., Hofstaetter, J. G., Hanslik-Schnabel, B., Posch, M., & Wurnig, C. (2004). The German version of the Oxford Shoulder Score—cross-cultural adaptation and validation. Archives of Orthopaedic and Trauma Surgery, 124, 531–536. doi: 10.​1007/​s00402-004-0716-z. PubMedCrossRef Huber, W., Hofstaetter, J. G., Hanslik-Schnabel, B., Posch, M., & Wurnig, C. (2004). The German version of the Oxford Shoulder Score—cross-cultural adaptation and validation. Archives of Orthopaedic and Trauma Surgery, 124, 531–536. doi: 10.​1007/​s00402-004-0716-z. PubMedCrossRef
12.
go back to reference Overend, T. J., Wuori-Fearn, J. L., Kramer, J. F., & MacDermid, J. C. (1999). Reliability of a patient-rated forearm evaluation questionnaire for patients with lateral epicondylitis. Journal of Hand Therapy, 12, 31–37. PubMed Overend, T. J., Wuori-Fearn, J. L., Kramer, J. F., & MacDermid, J. C. (1999). Reliability of a patient-rated forearm evaluation questionnaire for patients with lateral epicondylitis. Journal of Hand Therapy, 12, 31–37. PubMed
14.
go back to reference Dawson, J., Doll, H., Boller, I., Fitzpatrick, R., Little, C., Rees, J., et al. (2008). The development and validation of a patient-reported questionnaire to assess outcomes of elbow surgery. The Journal of Bone and Joint Surgery. British Volume, 90, 466–473. doi: 10.​1302/​0301-620X.​90B4.​20290. PubMedCrossRef Dawson, J., Doll, H., Boller, I., Fitzpatrick, R., Little, C., Rees, J., et al. (2008). The development and validation of a patient-reported questionnaire to assess outcomes of elbow surgery. The Journal of Bone and Joint Surgery. British Volume, 90, 466–473. doi: 10.​1302/​0301-620X.​90B4.​20290. PubMedCrossRef
16.
go back to reference Terwee, C. B., Dekker, F. W., Wiersinga, W. M., Prummel, M. F., & Bossuyt, P. M. M. (2003). On assessing responsiveness of health-related quality of life instruments: guidelines for instrument evaluation. Quality of Life Research, 12, 349–362. doi: 10.​1023/​A:​1023499322593. PubMedCrossRef Terwee, C. B., Dekker, F. W., Wiersinga, W. M., Prummel, M. F., & Bossuyt, P. M. M. (2003). On assessing responsiveness of health-related quality of life instruments: guidelines for instrument evaluation. Quality of Life Research, 12, 349–362. doi: 10.​1023/​A:​1023499322593. PubMedCrossRef
20.
go back to reference Wyrwich, K. W., Tierney, W. M., & Wolinsky, F. D. (1999). Further evidence supporting an SEM-based criterion for identifying meaningful intra-individual changes in health-related quality of life. Journal of Clinical Epidemiology, 52, 861–873. doi: 10.​1016/​S0895-4356(99)00071-2. PubMedCrossRef Wyrwich, K. W., Tierney, W. M., & Wolinsky, F. D. (1999). Further evidence supporting an SEM-based criterion for identifying meaningful intra-individual changes in health-related quality of life. Journal of Clinical Epidemiology, 52, 861–873. doi: 10.​1016/​S0895-4356(99)00071-2. PubMedCrossRef
22.
go back to reference Fayers, P. M., & Machin, D. (2000). Quality of life: assessment, analysis and interpretation. Chichester: Wiley. Fayers, P. M., & Machin, D. (2000). Quality of life: assessment, analysis and interpretation. Chichester: Wiley.
23.
go back to reference de Vet, H. C., Terwee, C. B., Ostelo, R. W., Beckerman, H., Knol, D. L., & Bouter, L. M. (2006). Minimal changes in health status questionnaires: distinction between minimally detectable change and minimally important change. Health and Quality of Life Outcomes, 4, 54. doi: 10.​1186/​1477-7525-4-54. PubMedCrossRef de Vet, H. C., Terwee, C. B., Ostelo, R. W., Beckerman, H., Knol, D. L., & Bouter, L. M. (2006). Minimal changes in health status questionnaires: distinction between minimally detectable change and minimally important change. Health and Quality of Life Outcomes, 4, 54. doi: 10.​1186/​1477-7525-4-54. PubMedCrossRef
26.
go back to reference SPSS Inc. (2007) SPSS statistical software: release 15.0. Chicago, IL: SPSS Inc. SPSS Inc. (2007) SPSS statistical software: release 15.0. Chicago, IL: SPSS Inc.
27.
go back to reference StataCorp. (2007). Stata statistical software: release 10. College Station, TX: StataCorp. StataCorp. (2007). Stata statistical software: release 10. College Station, TX: StataCorp.
29.
go back to reference Cohen, J. (1997). Statistical power analysis for the behavioural sciences. New York: Academic Press. Cohen, J. (1997). Statistical power analysis for the behavioural sciences. New York: Academic Press.
30.
go back to reference Hanley, J. A., & McNeil, B. J. (1983). A method of comparing the areas under receiver operating characteristic derived curves from the same cases. Radiology, 148, 839–843. PubMed Hanley, J. A., & McNeil, B. J. (1983). A method of comparing the areas under receiver operating characteristic derived curves from the same cases. Radiology, 148, 839–843. PubMed
31.
go back to reference Riddle, D. L., Stratford, P. W., & Binkley, J. M. (1998). Sensitivity to change of the Roland-Morris Back Pain Questionnaire: part 2. Physical Therapy, 78, 1197–1207. PubMed Riddle, D. L., Stratford, P. W., & Binkley, J. M. (1998). Sensitivity to change of the Roland-Morris Back Pain Questionnaire: part 2. Physical Therapy, 78, 1197–1207. PubMed
32.
go back to reference Stratford, P. W., Binkley, J. M., & Riddle, D. L. (1996). Health status measures: strategies and analytic methods for assessing change scores. Physical Therapy, 76, 1109–1123. PubMed Stratford, P. W., Binkley, J. M., & Riddle, D. L. (1996). Health status measures: strategies and analytic methods for assessing change scores. Physical Therapy, 76, 1109–1123. PubMed
33.
go back to reference Beaton, D. E., Katz, J. N., Fossel, A. H., Wright, J. G., Tarasuk, V., & Bombardier, C. (2001). Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremity. Journal of Hand Therapy, 14, 128–146. PubMed Beaton, D. E., Katz, J. N., Fossel, A. H., Wright, J. G., Tarasuk, V., & Bombardier, C. (2001). Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremity. Journal of Hand Therapy, 14, 128–146. PubMed
34.
go back to reference Kovacs, F. M., Abraira, V., Royuela, A., Corcoll, J., Alegre, L., Tomás M, et al. (2008). Minimum detectable and minimal clinically important changes for pain in patients with nonspecific neck pain. BMC Musculoskeletal Disorders, 9, 43. doi: 10.​1186/​1471-2474-9-43. PubMedCrossRef Kovacs, F. M., Abraira, V., Royuela, A., Corcoll, J., Alegre, L., Tomás M, et al. (2008). Minimum detectable and minimal clinically important changes for pain in patients with nonspecific neck pain. BMC Musculoskeletal Disorders, 9, 43. doi: 10.​1186/​1471-2474-9-43. PubMedCrossRef
35.
go back to reference Kennedy, D. M., Stratford, P. W., Wessel, J., Gollish, J. D., & Penney, D. (2005). Assessing stability and change of four performance measures: a longitudinal study evaluating outcome following total hip and knee arthroplasty. BMC Musculoskeletal Disorders, 6, 3. doi: 10.​1186/​1471-2474-6-3. PubMedCrossRef Kennedy, D. M., Stratford, P. W., Wessel, J., Gollish, J. D., & Penney, D. (2005). Assessing stability and change of four performance measures: a longitudinal study evaluating outcome following total hip and knee arthroplasty. BMC Musculoskeletal Disorders, 6, 3. doi: 10.​1186/​1471-2474-6-3. PubMedCrossRef
37.
go back to reference Sloan, J., Symonds, T., Vargas-Chanes, D., & Fridley, B. (2003). Practical guidelines for assessing the clinical significance of health-related quality of life changes within clinical trials. Drug Information Journal, 37, 23–31. Sloan, J., Symonds, T., Vargas-Chanes, D., & Fridley, B. (2003). Practical guidelines for assessing the clinical significance of health-related quality of life changes within clinical trials. Drug Information Journal, 37, 23–31.
39.
go back to reference Guyatt, G. H., Juniper, E. F., Walter, S. D., Griffith, L. E., & Goldstein, R. S. (1998). Interpreting treatment effects in randomised trials. BMJ (Clinical Research Ed.), 316, 690–693. Guyatt, G. H., Juniper, E. F., Walter, S. D., Griffith, L. E., & Goldstein, R. S. (1998). Interpreting treatment effects in randomised trials. BMJ (Clinical Research Ed.), 316, 690–693.
Metagegevens
Titel
Comparative responsiveness and minimal change for the Oxford Elbow Score following surgery
Auteurs
Jill Dawson
Helen Doll
Irene Boller
Ray Fitzpatrick
Christopher Little
Jonathan Rees
Andrew Carr
Publicatiedatum
01-12-2008
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 10/2008
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-008-9409-3