Evaluation of the Validity of the AOFAS Clinical Rating Systems by Correlation to the SF-36
This study evaluates the validity of the AOFAS Clinical Rating Systems by examining their level of correlation to the Medical Outcomes Study Short Form-36 (SF-36) in patients with foot and ankle complaints. The SF-36 is an extensively validated outcomes tool that has been used as a benchmark in exam...
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Veröffentlicht in: | Foot & ankle international 2003-01, Vol.24 (1), p.50-55 |
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description | This study evaluates the validity of the AOFAS Clinical Rating Systems by examining their level of correlation to the Medical Outcomes Study Short Form-36 (SF-36) in patients with foot and ankle complaints. The SF-36 is an extensively validated outcomes tool that has been used as a benchmark in examining the validity of outcomes instruments designed for the upper extremity, knee, shoulder, and general orthopaedic conditions. The study sample was 91 patients seen at the foot and ankle clinic of a university-based orthopaedic practice. Patients were administered both the AOFAS Clinical Rating Systems and SF-36 instruments. Pearson correlation coefficients of the AOFAS scores to the SF-36 sub-scales ranged from 0.02 to 0.36 in the overall study population. Correlation was higher for the sub-set of patients with ankle-hindfoot disorders (0.11 to 0.53) than patients with forefoot disorders (−0.05 to 0.25). The low levels of correlation seen in this study suggest poor construct validity of the AOFAS Clinical Rating Systems. |
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The SF-36 is an extensively validated outcomes tool that has been used as a benchmark in examining the validity of outcomes instruments designed for the upper extremity, knee, shoulder, and general orthopaedic conditions. The study sample was 91 patients seen at the foot and ankle clinic of a university-based orthopaedic practice. Patients were administered both the AOFAS Clinical Rating Systems and SF-36 instruments. Pearson correlation coefficients of the AOFAS scores to the SF-36 sub-scales ranged from 0.02 to 0.36 in the overall study population. Correlation was higher for the sub-set of patients with ankle-hindfoot disorders (0.11 to 0.53) than patients with forefoot disorders (−0.05 to 0.25). 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The SF-36 is an extensively validated outcomes tool that has been used as a benchmark in examining the validity of outcomes instruments designed for the upper extremity, knee, shoulder, and general orthopaedic conditions. The study sample was 91 patients seen at the foot and ankle clinic of a university-based orthopaedic practice. Patients were administered both the AOFAS Clinical Rating Systems and SF-36 instruments. Pearson correlation coefficients of the AOFAS scores to the SF-36 sub-scales ranged from 0.02 to 0.36 in the overall study population. Correlation was higher for the sub-set of patients with ankle-hindfoot disorders (0.11 to 0.53) than patients with forefoot disorders (−0.05 to 0.25). The low levels of correlation seen in this study suggest poor construct validity of the AOFAS Clinical Rating Systems.</description><subject>Foot Diseases - therapy</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Orthopedics</subject><subject>Outcome Assessment (Health Care) - standards</subject><subject>Societies, Medical</subject><subject>Surveys and Questionnaires - standards</subject><subject>United States</subject><issn>1071-1007</issn><issn>1944-7876</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLw0AUhQdRbK3-ARcyK3ex80puZllKq0KhYNWNizCZTGrKJKmZRMi_d2oqLgRX98F3DpyD0DUld5QCTCkBSgkBwgkThFASn6AxlUIEEEN06ncPBAdihC6c23kEOJXnaERZ6AUxG6O3xaeynWqLusJ1jtt3g1-VLbKi7X_u2Xo52-C5LapCK4ufPFxt8aZ3rSkdTns8r5vG2MGjrb81m2XAo0t0livrzNVxTtDLcvE8fwhW6_vH-WwVaM5lG0QhF8CJAEEjwmKhdWgkJ1luVMZJ5HMxbQBAgzQhGBYykJyLVNLUPxnwCbodfPdN_dEZ1yZl4bSxVlWm7lwCTEJImfQgG0Dd1M41Jk_2TVGqpk8oSQ6VJn8r9aKbo3uXlib7lRw79MB0AJzammRXd03l0_5n-QXpFHrO</recordid><startdate>200301</startdate><enddate>200301</enddate><creator>SooHoo, Nelson Fong</creator><creator>Shuler, Michael</creator><creator>Fleming, Lamar L.</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>200301</creationdate><title>Evaluation of the Validity of the AOFAS Clinical Rating Systems by Correlation to the SF-36</title><author>SooHoo, Nelson Fong ; Shuler, Michael ; Fleming, Lamar L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-6534730474160284cc5e930dfead3060102ce777c79e57e25279334b91b77c273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Foot Diseases - therapy</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Orthopedics</topic><topic>Outcome Assessment (Health Care) - standards</topic><topic>Societies, Medical</topic><topic>Surveys and Questionnaires - standards</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SooHoo, Nelson Fong</creatorcontrib><creatorcontrib>Shuler, Michael</creatorcontrib><creatorcontrib>Fleming, Lamar L.</creatorcontrib><creatorcontrib>American Orthopaedic Foot and Ankle Society</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Foot & ankle international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SooHoo, Nelson Fong</au><au>Shuler, Michael</au><au>Fleming, Lamar L.</au><aucorp>American Orthopaedic Foot and Ankle Society</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of the Validity of the AOFAS Clinical Rating Systems by Correlation to the SF-36</atitle><jtitle>Foot & ankle international</jtitle><addtitle>Foot Ankle Int</addtitle><date>2003-01</date><risdate>2003</risdate><volume>24</volume><issue>1</issue><spage>50</spage><epage>55</epage><pages>50-55</pages><issn>1071-1007</issn><eissn>1944-7876</eissn><abstract>This study evaluates the validity of the AOFAS Clinical Rating Systems by examining their level of correlation to the Medical Outcomes Study Short Form-36 (SF-36) in patients with foot and ankle complaints. 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subjects | Foot Diseases - therapy Health Status Indicators Humans Orthopedics Outcome Assessment (Health Care) - standards Societies, Medical Surveys and Questionnaires - standards United States |
title | Evaluation of the Validity of the AOFAS Clinical Rating Systems by Correlation to the SF-36 |
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