Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften E-learning Web-tv Video Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Quality of Life Research
Gepubliceerd in: Quality of Life Research 4/2011

01-05-2011

Responsiveness of the short musculoskeletal function assessment (SMFA) in patients with femoral neck fractures

Auteurs: Carl Johan Hedbeck, Jan Tidermark, Sari Ponzer, Richard Blomfeldt, Gunnar Bergström

Gepubliceerd in: Quality of Life Research | Uitgave 4/2011

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
    Link delen
publish
Publiceer nu

Abstract

Purpose

The aim of this study was to evaluate the internal and external responsiveness of the Short Musculoskeletal Function Assessment (SMFA), i.e. the instrument’s ability to capture clinically important changes, in patients with hip fractures within the context of a randomized controlled trial.

Methods

To evaluate the internal responsiveness of the SMFA, the observed change and the standardized response mean (SRM) in relation to the change in the Dysfunction Index and the Bother Index were calculated. In order to calculate external responsiveness, an external criterion (EC) was constructed by using the Harris hip score. Receiver operating characteristic (ROC) curves and logistic regression analysis were used in the evaluation.

Results

Both the Bother and the Dysfunction SMFA indices displayed good internal responsiveness as expressed by significant change scores and by moderate and large SRMs, 0.76 and 0.96, respectively. The ROC curve and logistic regression analyses showed that both indices had acceptable external responsiveness and were able to discriminate between patients with a less good outcome versus a moderately good or good outcome based on the EC while the ability to differ between patients with moderately good versus a good outcome was limited. The percentage of correctly classified cases was 64% (good/moderately good), 80% (good/less good), and 74% (moderately good/less good) for both the Dysfunction and Bother Indices.

Conclusions

The SMFA had good overall responsiveness in patients with hip fractures and, based on our results, we conclude that the SMFA can be recommended for use as one of the measures to evaluate the outcome after a hip fracture.
vorige artikel Measurement invariance of the 16-item social distress scale
volgende artikel Validation of the psychometric properties of the health-promoting lifestyle profile in a sample of Taiwanese women
Literatuur
1.
Bowling, A. (2001). Measuring disease: A review of disease specific quality of life measurement scales (2nd ed.). Philadephia: Open University Press.
2.
Bowling, A. (2005). Measuring health: A review of quality of life measurement scales (3rd ed.). New York: Open University Press.
3.
Borgström, F., Zethraeus, N., Johnell, O., Lidgren, L., Ponzer, S., Svensson, O., et al. (2006). Costs and quality of life associated with osteoporosis-related fractures in Sweden. Osteoporosis International, 17(5), 637–650.PubMedCrossRef
4.
Bronfort, G., & Bouter, L. M. (1999). Responsiveness of general health status in chronic low back pain: A comparison of the COOP charts and the SF-36. Pain, 83(2), 201–209.PubMedCrossRef
5.
Deyo, R. A., Diehr, P., & Patrick, D. L. (1991). Reproducibility and responsiveness of health status measures. Statistics and strategies for evaluation. Controlled Clinical Trials, 12(Suppl), 142–158.CrossRef
6.
Swiontkowski, M. F., Engelberg, R., Martin, D. P., & Agel, J. (1999). Short musculoskeletal function assessment questionnaire: Validity, reliability, and responsiveness. Journal of Bone and Joint Surgery; American volume, 81(9), 1245–1260.
7.
Ponzer, S., Skoog, A., & Bergström, G. (2003). The Short Musculoskeletal Function Assessment Questionnaire (SMFA): Cross-cultural adaptation, validity, reliability and responsiveness of the Swedish SMFA (SMFA-Swe). Acta Orthopaedica Scandinavica, 74(6), 756–763.PubMedCrossRef
8.
Husted, J. A., Cook, R. J., Farewell, V. T., & Gladman, D. D. (2000). Methods for assessing responsiveness: A critical review and recommendations. Journal of Clinical Epidemiology, 53(5), 459–468.PubMedCrossRef
9.
Garden, R. S. (1961). Low-angle fixation in fractures of the femoral neck. Journal of Bone and Joint Surgery. British Volume, 4, 647–663.
10.
Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23(10), 433–441.PubMed
11.
Ceder, L., Thorngren, K. G., & Wallden, B. (1980). Prognostic indicators and early home rehabilitation in elderly patients with hip fractures. Clinical Orthopaedics and Related research, 152, 173–184.PubMed
12.
Katz, S., Ford, A., Moskowitz, R., Jackson, B., & Jaffe, M. (1963). Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychological function. Journal of the American Medical Association, 185, 94–99.
13.
Harris, W. H. (1969). Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. Journal of Bone and Joint Surgery; American volume, 51(4), 737–755.
14.
Frihagen, F., Grotle, M., Madsen, J. E., Wyller, T. B., Mowinckel, P., & Nordsletten, L. (2008). Outcome after femoral neck fractures: A comparison of Harris Hip Score, Eq-5d and Barthel Index. Injury, 39(10), 1147–1156.PubMedCrossRef
15.
Söderman, P., & Malchau, H. (2001). Is the Harris hip score system useful to study the outcome of total hip replacement? Clinical Orthopaedics and Related research, 384, 189–197.PubMedCrossRef
16.
Blomfeldt, R., Törnkvist, H., Eriksson, K., Söderqvist, A., Ponzer, S., & Tidermark, J. (2007). A randomised controlled trial comparing bipolar hemiarthroplasty with total hip replacement for displaced intracapsular fractures of the femoral neck in elderly patients. Journal of Bone and Joint Surgery; British volume, 89(2), 160–165.PubMedCrossRef
17.
Tidermark, J., Ponzer, S., Svensson, O., Söderqvist, A., & Törnkvist, H. (2003). Internal fixation compared with total hip replacement for displaced femoral neck fractures in the elderly. A randomised, controlled trial. Journal of Bone and Joint Surgery; British volume, 85(3), 380–388.PubMedCrossRef
18.
Rogmark, C., Carlsson, A., Johnell, O., & Sernbo, I. (2002). A prospective randomised trial of internal fixation versus arthroplasty for displaced fractures of the neck of the femur. Functional outcome for 450 patients at two years. Journal of Bone and Joint Surgery; British volume, 84(2), 183–188.PubMedCrossRef
19.
Norman, G. R., Sloan, J. A., & Wyrwich, K. W. (2003). Interpretation of changes in health-related quality of life: The remarkable universality of half a standard deviation. Medical Care, 41(5), 582–592.PubMed
20.
Revicki, D., Hays, R. D., Cella, D., & Sloan, J. (2008). Recommended methods for determining responsiveness and minimally important differences for patient-reported outcomes. Journal of Clinical Epidemiology, 61(2), 102–109.PubMedCrossRef
21.
Norman, G. R., Sloan, J. A., & Wyrwich, K. W. (2004). The truly remarkable universality of half a standard deviation: Confirmation through another look. Expert Review of Pharmacoeconomics and Outcomes Research, 4(5), 581–585.PubMedCrossRef
22.
Norman, G. R., Stratford, P., & Regehr, G. (1997). Methodological problems in the retrospective computation of responsiveness to change: The lesson of Cronbach. Journal of Clinical Epidemiology, 50(8), 869–879.PubMedCrossRef
23.
Beaton, D. E., Hogg-Johnson, S., & Bombardier, C. (1997). Evaluating changes in health status: reliability and responsiveness of five generic health status measures in workers with musculoskeletal disorders. Journal of Clinical Epidemiology, 50(1), 79–93.PubMedCrossRef
24.
Jaglal, S., Lakhani, Z., & Schatzker, J. (2000). Reliability, validity, and responsiveness of the lower extremity measure for patients with a hip fracture. Journal of Bone and Joint Surgery. American Volume, 82-A(7), 955–962.
25.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates.
26.
Hosmer, D. W., & Lemeshow, S. (1989). Applied logistic regression (2nd ed.). New York: Wiley-Interscience Publication.
27.
Guyatt, G. H., Deyo, R. A., Charlson, M., Levine, M. N., & Mitchell, A. (1989). Responsiveness and validity in health status measurement: A clarification. Journal of Clinical Epidemiology, 42(5), 403–408.PubMedCrossRef
28.
Agel, J., Obremsky, W., Kregor, P., Keeve, J., Abbott, P., Buss, D., et al. (2003). Administration of the Short Musculoskeletal Function Assessment: Impact on office routine and physician-patient interaction. Orthopedics, 26(8), 783–788.PubMed
29.
Sanders, D. W., Busam, M., Hattwick, E., Edwards, J. R., McAndrew, M. P., & Johnson, K. D. (2004). Functional outcomes following displaced talar neck fractures. Journal of Orthopaedic Trauma, 18(5), 265–270.PubMedCrossRef
30.
Agel, J., Coetzee, J. C., Sangeorzan, B. J., Roberts, M. M., & Hansen, S. T., Jr. (2005). Functional limitations of patients with end-stage ankle arthrosis. Foot and Ankle International, 26(7), 537–539.PubMed
31.
Kreder, H. J., Hanel, D. P., Agel, J., McKee, M., Schemitsch, E. H., Trumble, T. E., et al. (2005). Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius: A randomised, controlled trial. Journal of Bone and Joint Surgery; British volume, 87(6), 829–836.PubMedCrossRef
32.
Egol, K. A., Tejwani, N. C., Walsh, M. G., Capla, E. L., & Koval, K. J. (2006). Predictors of short-term functional outcome following ankle fracture surgery. Journal of Bone and Joint Surgery; American volume, 88(5), 974–979.CrossRef
33.
Borrelli, J., Jr., Ricci, W. M., Anglen, J. O., Gregush, R., & Engsberg, J. (2006). Muscle strength recovery and its effects on outcome after open reduction and internal fixation of acetabular fractures. Journal of Orthopaedic Trauma, 20(6), 388–395.PubMedCrossRef
34.
Barei, D. P., Agel, J., & Swiontkowski, M. F. (2007). Current utilization, interpretation, and recommendations: The musculoskeletal function assessments (MFA/SMFA). Journal of Orthopaedic Trauma, 21(10), 738–742.PubMedCrossRef
35.
Lomita, C. (2002). A comparison of control populations in Qubec using the short musculoskeletal function assessment. McGill Journal of Medicine, 6, 94–99.
36.
MacKenzie, E. J., Cushing, B. M., Jurkovich, G. J., Morris, J. A., Burgess, A. R., deLateur, B. J., et al. (1993). Physical impairment and functional outcomes six months after severe lower extremity fractures. Journal of Trauma, 34(4), 528–538. discussion 538–529.PubMedCrossRef
37.
Tidermark, J., & Bergström, G. (2007). Responsiveness of the EuroQol (EQ-5D) and the Nottingham Health Profile (NHP) in elderly patients with femoral neck fractures. Quality of Life Research, 16(2), 321–330.PubMedCrossRef
38.
Tidermark, J., Bergström, G., Svensson, O., Törnkvist, H., & Ponzer, S. (2003). Responsiveness of the EuroQol (EQ 5-D) and the SF-36 in elderly patients with displaced femoral neck fractures. Quality of Life Research, 12(8), 1069–1079.PubMedCrossRef
39.
Dolan, P., Gudex, C., Kind, P., & Williams, A. (1996). The time trade-off method: Results from a general population study. Health Economics, 5(2), 141–154.PubMedCrossRef
40.
Burström, K., Johannesson, M., & Diderichsen, F. (2001). Swedish population health-related quality of life results using the EQ- 5D. Quality of Life Research, 10(7), 621–635.PubMedCrossRef
41.
Marsh, J., Bryant, D., & MacDonald, S. J. (2009). Older patients can accurately recall their preoperative health status six weeks following total hip arthroplasty. Journal of Bone and Joint Surgery; American volume, 91(12), 2827–2837.CrossRef
42.
Narayan, B., Kalyan, R. V., & Marsch, D. R. (2004). Tibial and femoral shafts. In Outcome measures in orthopaedics and orthopaedic trauma. London: Oxford University Press.
43.
Peskun, C., McKee, M., Kreder, H., Stephen, D., McConnell, A., & Schemitsch, E. H. (2008). Functional outcome of ipsilateral intertrochanteric and femoral shaft fractures. Journal of Orthopaedic Trauma, 22(2), 102–106.PubMedCrossRef
44.
Hays, R. D., & Woolley, J. M. (2000). The concept of clinically meaningful difference in health-related quality-of-life research. How meaningful is it? Pharmacoeconomics, 18(5), 419–423.PubMedCrossRef
45.
Fitzpatrick, R., Davey, C., Buxton, M. J., & Jones, D. R. (1998). Evaluating patient-based outcome measures for use in clinical trials. Health Technology Assessment, 2(14), 1–74.PubMed
46.
Brazier, J. E., Walters, S. J., Nicholl, J. P., & Kohler, B. (1996). Using the SF-36 and Euroqol on an elderly population. Quality of Life Research, 5(2), 195–204.PubMedCrossRef
47.
Coast, J., Peters, T. J., Richards, S. H., & Gunnell, D. J. (1998). Use of the EuroQoL among elderly acute care patients. Quality of Life Research, 7(1), 1–10.PubMedCrossRef
Metagegevens
Titel
Responsiveness of the short musculoskeletal function assessment (SMFA) in patients with femoral neck fractures
Auteurs
Carl Johan Hedbeck
Jan Tidermark
Sari Ponzer
Richard Blomfeldt
Gunnar Bergström
Publicatiedatum
01-05-2011
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 4/2011
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9784-4

Andere artikelen Uitgave 4/2011

Quality of Life Research 4/2011 Naar de uitgave

Brief Communication

Validation of pediatric Functional Assessment of Cancer Therapy: patient version 2 of “brain tumor survivor” for grade school patients aged 7–12 years

OriginalPaper

Depression and QOL in patients with ALS: how do self-ratings and ratings by relatives differ?

OriginalPaper

Risk of malnutrition and health-related quality of life in community-living elderly men and women: The Tromsø study

OriginalPaper

Quality of life and related variables in patients with ankylosing spondylitis

BriefCommunication

A cross-sectional validation study of EQ-5D among the Malaysian adult population

OriginalPaper

Applying area-under-the-curve analysis to enhance interpretation of response profiles: an application to sleep quality scores in patients with fibromyalgia