Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease
This prospective cohort study investigated the responsiveness and interpretability of the Disabilities of the Arm, Shoulder and Hand (DASH) and Unité Rhumatologique des Affections de la Main (URAM) outcome measures for assessing recovery after fasciectomy and dermofasciectomy for Dupuytren’s disease...
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| Veröffentlicht in: | The Journal of hand surgery, European volume European volume, 2017-03, Vol.42 (3), p.301-309 |
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| container_title | The Journal of hand surgery, European volume |
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| creator | Rodrigues, J. N. Zhang, W. Scammell, B. E. Davidson, D. Fullilove, S. Chakrabarti, I. Russell, P. G. Davis, T. R. C. |
| description | This prospective cohort study investigated the responsiveness and interpretability of the Disabilities of the Arm, Shoulder and Hand (DASH) and Unité Rhumatologique des Affections de la Main (URAM) outcome measures for assessing recovery after fasciectomy and dermofasciectomy for Dupuytren’s disease. DASH outcome scores at 1 year were significantly better than at 6 weeks, suggesting that recovery is not complete by 6 weeks. Of the 101 patients recruited to the DASH cohort, 71 completed preoperative, 6 week and 1 year postoperative DASH scores; 68 of them completed preoperative and 1 year postoperative DASH scores and an external anchor question. In the URAM cohort, 30/44 completed the preoperative and the 1 year postoperative URAM scores and the anchor question. The DASH score exhibited moderate responsiveness but poor interpretability on receiver operating characteristic curve analysis, such that a minimal important change could not be estimated. The URAM score showed acceptable responsiveness, and an MIC of 10.5 on receiver operating characteristic analysis.
Level of evidence: II |
| doi_str_mv | 10.1177/1753193416677712 |
| format | Article |
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Level of evidence: II</description><identifier>ISSN: 1753-1934</identifier><identifier>EISSN: 2043-6289</identifier><identifier>DOI: 10.1177/1753193416677712</identifier><identifier>PMID: 27872343</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Dupuytren Contracture - surgery ; Fasciotomy ; Female ; Humans ; Male ; Middle Aged ; Patient Reported Outcome Measures ; Prospective Studies ; Recovery of Function ; Sensitivity and Specificity ; Surveys and Questionnaires</subject><ispartof>The Journal of hand surgery, European volume, 2017-03, Vol.42 (3), p.301-309</ispartof><rights>The Author(s) 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c445t-2106561ba29ced611bf52d08d40542d8868c4e0809f14f76136f72e487ff0a613</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1753193416677712$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1753193416677712$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27872343$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rodrigues, J. N.</creatorcontrib><creatorcontrib>Zhang, W.</creatorcontrib><creatorcontrib>Scammell, B. E.</creatorcontrib><creatorcontrib>Davidson, D.</creatorcontrib><creatorcontrib>Fullilove, S.</creatorcontrib><creatorcontrib>Chakrabarti, I.</creatorcontrib><creatorcontrib>Russell, P. G.</creatorcontrib><creatorcontrib>Davis, T. R. C.</creatorcontrib><title>Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease</title><title>The Journal of hand surgery, European volume</title><addtitle>J Hand Surg Eur Vol</addtitle><description>This prospective cohort study investigated the responsiveness and interpretability of the Disabilities of the Arm, Shoulder and Hand (DASH) and Unité Rhumatologique des Affections de la Main (URAM) outcome measures for assessing recovery after fasciectomy and dermofasciectomy for Dupuytren’s disease. DASH outcome scores at 1 year were significantly better than at 6 weeks, suggesting that recovery is not complete by 6 weeks. Of the 101 patients recruited to the DASH cohort, 71 completed preoperative, 6 week and 1 year postoperative DASH scores; 68 of them completed preoperative and 1 year postoperative DASH scores and an external anchor question. In the URAM cohort, 30/44 completed the preoperative and the 1 year postoperative URAM scores and the anchor question. The DASH score exhibited moderate responsiveness but poor interpretability on receiver operating characteristic curve analysis, such that a minimal important change could not be estimated. The URAM score showed acceptable responsiveness, and an MIC of 10.5 on receiver operating characteristic analysis.
Level of evidence: II</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Dupuytren Contracture - surgery</subject><subject>Fasciotomy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Reported Outcome Measures</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Sensitivity and Specificity</subject><subject>Surveys and Questionnaires</subject><issn>1753-1934</issn><issn>2043-6289</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE9LwzAYh4Mobk7vniRHD1aTNE3So8y_MBBEzyVr34yOtalJOqgnv4Zfz09ixqYHwdObl_f5PZAfQqeUXFIq5RWVWUrzlFMhpJSU7aExIzxNBFP5PhpvzsnmPkJH3i8JyVROxSEaMakkS3k6Ru_PUNo1uOECO_CdbX29hha8x7qtcN0GcJ2DoOf1qg4DtgZ3OtTQhsRBZ12ACts-lLYB3ID2fZRgbWIKx_cierGxDt_0XT8EB-3Xx6fHVe0jCsfowOiVh5PdnKDXu9uX6UMye7p_nF7PkpLzLCSMEpEJOtcsL6ESlM5NxiqiKk4yziqlhCo5EEVyQ7mRgqbCSAZcSWOIjusEnW-9nbNvPfhQNLUvYbXSLdjeF1RxJmI3jEeUbNHSWe8dmKJzdaPdUFBSbBov_jYeI2c7ez9voPoN_FQcgWQLeL2AYml718bf_i_8Bm0vi5s</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Rodrigues, J. N.</creator><creator>Zhang, W.</creator><creator>Scammell, B. E.</creator><creator>Davidson, D.</creator><creator>Fullilove, S.</creator><creator>Chakrabarti, I.</creator><creator>Russell, P. G.</creator><creator>Davis, T. R. C.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170301</creationdate><title>Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease</title><author>Rodrigues, J. N. ; Zhang, W. ; Scammell, B. E. ; Davidson, D. ; Fullilove, S. ; Chakrabarti, I. ; Russell, P. G. ; Davis, T. R. 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C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease</atitle><jtitle>The Journal of hand surgery, European volume</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>42</volume><issue>3</issue><spage>301</spage><epage>309</epage><pages>301-309</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><abstract>This prospective cohort study investigated the responsiveness and interpretability of the Disabilities of the Arm, Shoulder and Hand (DASH) and Unité Rhumatologique des Affections de la Main (URAM) outcome measures for assessing recovery after fasciectomy and dermofasciectomy for Dupuytren’s disease. DASH outcome scores at 1 year were significantly better than at 6 weeks, suggesting that recovery is not complete by 6 weeks. Of the 101 patients recruited to the DASH cohort, 71 completed preoperative, 6 week and 1 year postoperative DASH scores; 68 of them completed preoperative and 1 year postoperative DASH scores and an external anchor question. In the URAM cohort, 30/44 completed the preoperative and the 1 year postoperative URAM scores and the anchor question. The DASH score exhibited moderate responsiveness but poor interpretability on receiver operating characteristic curve analysis, such that a minimal important change could not be estimated. The URAM score showed acceptable responsiveness, and an MIC of 10.5 on receiver operating characteristic analysis.
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| source | MEDLINE; SAGE Complete A-Z List; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Dupuytren Contracture - surgery Fasciotomy Female Humans Male Middle Aged Patient Reported Outcome Measures Prospective Studies Recovery of Function Sensitivity and Specificity Surveys and Questionnaires |
| title | Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease |
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