Use of both short musculoskeletal function assessment questionnaire and short form-36 among tibial-fracture patients was redundant

Abstract Objective To compare the Short Musculoskeletal Function Assessment Dysfunction Index (SMFA DI) and the Short Form-36 Physical Component Summary (SF-36 PCS) scores among patients undergoing operative management of tibial fractures. Study Design and Setting Between July 2000 and September 200...

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Veröffentlicht in:Journal of clinical epidemiology 2009-11, Vol.62 (11), p.1210-1217
Hauptverfasser: Busse, Jason W, Bhandari, Mohit, Guyatt, Gordon H, Heels-Ansdell, Diane, Mandel, Scott, Sanders, David, Schemitsch, Emil, Swiontkowski, Marc, Tornetta, Paul, Wai, Eugene, Walter, Stephen D
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container_end_page 1217
container_issue 11
container_start_page 1210
container_title Journal of clinical epidemiology
container_volume 62
creator Busse, Jason W
Bhandari, Mohit
Guyatt, Gordon H
Heels-Ansdell, Diane
Mandel, Scott
Sanders, David
Schemitsch, Emil
Swiontkowski, Marc
Tornetta, Paul
Wai, Eugene
Walter, Stephen D
description Abstract Objective To compare the Short Musculoskeletal Function Assessment Dysfunction Index (SMFA DI) and the Short Form-36 Physical Component Summary (SF-36 PCS) scores among patients undergoing operative management of tibial fractures. Study Design and Setting Between July 2000 and September 2005, we enrolled 1,319 skeletally mature patients with open or closed fractures of the tibial shaft that were managed with intramedullary nailing. Patients were asked to complete the SMFA Questionnaire and SF-36 at discharge and 3, 6, and 12 months post–surgical fixation. Results The SMFA DI and SF-36 PCS scores were highly correlated at 3, 6, and 12 months post–surgical fixation. The difference in the mean standardized change scores for SMFA DI and SF-36 PCS, from 3 to 12 months post–surgical fixation, was not statistically significant. Both the SMFA DI and SF-36 PCS scores were able to discriminate between healed and nonhealed tibial fractures at 3, 6, and 12 months postsurgery. Conclusion In patients with tibial-shaft fractures, the SMFA DI offered no significant advantages over the SF-36 PCS score. These results, along with the usefulness of SF-36 for comparing populations, recommend the SF-36 for assessing physical function in studies of patients with tibial fractures.
doi_str_mv 10.1016/j.jclinepi.2009.01.014
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Study Design and Setting Between July 2000 and September 2005, we enrolled 1,319 skeletally mature patients with open or closed fractures of the tibial shaft that were managed with intramedullary nailing. Patients were asked to complete the SMFA Questionnaire and SF-36 at discharge and 3, 6, and 12 months post–surgical fixation. Results The SMFA DI and SF-36 PCS scores were highly correlated at 3, 6, and 12 months post–surgical fixation. The difference in the mean standardized change scores for SMFA DI and SF-36 PCS, from 3 to 12 months post–surgical fixation, was not statistically significant. Both the SMFA DI and SF-36 PCS scores were able to discriminate between healed and nonhealed tibial fractures at 3, 6, and 12 months postsurgery. Conclusion In patients with tibial-shaft fractures, the SMFA DI offered no significant advantages over the SF-36 PCS score. These results, along with the usefulness of SF-36 for comparing populations, recommend the SF-36 for assessing physical function in studies of patients with tibial fractures.</description><identifier>ISSN: 0895-4356</identifier><identifier>EISSN: 1878-5921</identifier><identifier>DOI: 10.1016/j.jclinepi.2009.01.014</identifier><identifier>PMID: 19364637</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Epidemiology ; Female ; Follow-Up Studies ; Fracture ; Fracture Fixation, Intramedullary - methods ; Fracture Fixation, Intramedullary - rehabilitation ; Fracture Healing ; Fractures, Closed - physiopathology ; Fractures, Closed - surgery ; Fractures, Open - physiopathology ; Fractures, Open - surgery ; Fractures, Ununited - diagnosis ; Health Status Indicators ; Humans ; Injuries of the limb. Injuries of the spine ; Internal Medicine ; Male ; Medical sciences ; Middle Aged ; Open fractures ; Quality of Life ; Randomized controlled trial ; Recovery of Function ; Short Form-36 ; Short Musculoskeletal Function Assessment Questionnaire ; Tibia ; Tibial Fractures - physiopathology ; Tibial Fractures - surgery ; Trauma ; Traumas. Diseases due to physical agents ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of clinical epidemiology, 2009-11, Vol.62 (11), p.1210-1217</ispartof><rights>Elsevier Inc.</rights><rights>2009 Elsevier Inc.</rights><rights>2009 INIST-CNRS</rights><rights>2009 Elsevier Inc. All rights reserved. 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c583t-bdae05742d7fece2a50218ca3de37baf42da1e23b340cc4d512486ce881b7b423</citedby><cites>FETCH-LOGICAL-c583t-bdae05742d7fece2a50218ca3de37baf42da1e23b340cc4d512486ce881b7b423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1033195169?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,315,782,786,887,3552,27931,27932,46002,64392,64394,64396,72476</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22024243$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19364637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Busse, Jason W</creatorcontrib><creatorcontrib>Bhandari, Mohit</creatorcontrib><creatorcontrib>Guyatt, Gordon H</creatorcontrib><creatorcontrib>Heels-Ansdell, Diane</creatorcontrib><creatorcontrib>Mandel, Scott</creatorcontrib><creatorcontrib>Sanders, David</creatorcontrib><creatorcontrib>Schemitsch, Emil</creatorcontrib><creatorcontrib>Swiontkowski, Marc</creatorcontrib><creatorcontrib>Tornetta, Paul</creatorcontrib><creatorcontrib>Wai, Eugene</creatorcontrib><creatorcontrib>Walter, Stephen D</creatorcontrib><creatorcontrib>The SPRINT Investigators</creatorcontrib><creatorcontrib>SPRINT Investigators</creatorcontrib><title>Use of both short musculoskeletal function assessment questionnaire and short form-36 among tibial-fracture patients was redundant</title><title>Journal of clinical epidemiology</title><addtitle>J Clin Epidemiol</addtitle><description>Abstract Objective To compare the Short Musculoskeletal Function Assessment Dysfunction Index (SMFA DI) and the Short Form-36 Physical Component Summary (SF-36 PCS) scores among patients undergoing operative management of tibial fractures. Study Design and Setting Between July 2000 and September 2005, we enrolled 1,319 skeletally mature patients with open or closed fractures of the tibial shaft that were managed with intramedullary nailing. Patients were asked to complete the SMFA Questionnaire and SF-36 at discharge and 3, 6, and 12 months post–surgical fixation. Results The SMFA DI and SF-36 PCS scores were highly correlated at 3, 6, and 12 months post–surgical fixation. The difference in the mean standardized change scores for SMFA DI and SF-36 PCS, from 3 to 12 months post–surgical fixation, was not statistically significant. Both the SMFA DI and SF-36 PCS scores were able to discriminate between healed and nonhealed tibial fractures at 3, 6, and 12 months postsurgery. Conclusion In patients with tibial-shaft fractures, the SMFA DI offered no significant advantages over the SF-36 PCS score. These results, along with the usefulness of SF-36 for comparing populations, recommend the SF-36 for assessing physical function in studies of patients with tibial fractures.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture</subject><subject>Fracture Fixation, Intramedullary - methods</subject><subject>Fracture Fixation, Intramedullary - rehabilitation</subject><subject>Fracture Healing</subject><subject>Fractures, Closed - physiopathology</subject><subject>Fractures, Closed - surgery</subject><subject>Fractures, Open - physiopathology</subject><subject>Fractures, Open - surgery</subject><subject>Fractures, Ununited - diagnosis</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Open fractures</subject><subject>Quality of Life</subject><subject>Randomized controlled trial</subject><subject>Recovery of Function</subject><subject>Short Form-36</subject><subject>Short Musculoskeletal Function Assessment Questionnaire</subject><subject>Tibia</subject><subject>Tibial Fractures - physiopathology</subject><subject>Tibial Fractures - surgery</subject><subject>Trauma</subject><subject>Traumas. 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Study Design and Setting Between July 2000 and September 2005, we enrolled 1,319 skeletally mature patients with open or closed fractures of the tibial shaft that were managed with intramedullary nailing. Patients were asked to complete the SMFA Questionnaire and SF-36 at discharge and 3, 6, and 12 months post–surgical fixation. Results The SMFA DI and SF-36 PCS scores were highly correlated at 3, 6, and 12 months post–surgical fixation. The difference in the mean standardized change scores for SMFA DI and SF-36 PCS, from 3 to 12 months post–surgical fixation, was not statistically significant. Both the SMFA DI and SF-36 PCS scores were able to discriminate between healed and nonhealed tibial fractures at 3, 6, and 12 months postsurgery. Conclusion In patients with tibial-shaft fractures, the SMFA DI offered no significant advantages over the SF-36 PCS score. These results, along with the usefulness of SF-36 for comparing populations, recommend the SF-36 for assessing physical function in studies of patients with tibial fractures.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19364637</pmid><doi>10.1016/j.jclinepi.2009.01.014</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Biological and medical sciences
Epidemiology
Female
Follow-Up Studies
Fracture
Fracture Fixation, Intramedullary - methods
Fracture Fixation, Intramedullary - rehabilitation
Fracture Healing
Fractures, Closed - physiopathology
Fractures, Closed - surgery
Fractures, Open - physiopathology
Fractures, Open - surgery
Fractures, Ununited - diagnosis
Health Status Indicators
Humans
Injuries of the limb. Injuries of the spine
Internal Medicine
Male
Medical sciences
Middle Aged
Open fractures
Quality of Life
Randomized controlled trial
Recovery of Function
Short Form-36
Short Musculoskeletal Function Assessment Questionnaire
Tibia
Tibial Fractures - physiopathology
Tibial Fractures - surgery
Trauma
Traumas. Diseases due to physical agents
Treatment Outcome
Young Adult
title Use of both short musculoskeletal function assessment questionnaire and short form-36 among tibial-fracture patients was redundant
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