Constant-Murley Score: systematic review and standardized evaluation in different shoulder pathologies

Purpose The objective of this study was to evaluate the psychometric properties of the Constant–Murley Score (CMS) in various shoulder pathologies, based on a systematic review and expert standardized evaluations. Methods A systematic review was performed in MEDLINE and EMBASE databases. Titles and...

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Veröffentlicht in:Quality of life research 2018-09, Vol.27 (9), p.2217-2226
Hauptverfasser: Vrotsou, Kalliopi, Ávila, Mónica, Machón, Mónica, Mateo-Abad, Maider, Pardo, Yolanda, Garin, Olatz, Zaror, Carlos, González, Nerea, Escobar, Antonio, Cuéllar, Ricardo
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container_end_page 2226
container_issue 9
container_start_page 2217
container_title Quality of life research
container_volume 27
creator Vrotsou, Kalliopi
Ávila, Mónica
Machón, Mónica
Mateo-Abad, Maider
Pardo, Yolanda
Garin, Olatz
Zaror, Carlos
González, Nerea
Escobar, Antonio
Cuéllar, Ricardo
description Purpose The objective of this study was to evaluate the psychometric properties of the Constant–Murley Score (CMS) in various shoulder pathologies, based on a systematic review and expert standardized evaluations. Methods A systematic review was performed in MEDLINE and EMBASE databases. Titles and abstracts were reviewed and finally the included articles were grouped according to patients' pathologies. Two expert evaluators independently assessed the CMS properties of reliability, validity, responsiveness to change, interpretability and burden score in each group, using the EMPRO (Evaluating Measures of Patient Reported Outcomes) tool. The CMS properties were assessed per attribute and overall for each considered group. Only the concept and measurement model was assessed globally. Results Five individual pathologies (i.e. subacromial, fractures, arthritis, instability and frozen shoulder) and two additional groups (i.e. various pathologies and healthy subjects) were considered. Overall EMPRO scores ranged from 58.6 for subacromial to 30.6 points for instability. Responsiveness to change was the only quality to obtain at least 50 points across all groups, but for frozen shoulder. Insufficient information was obtained in relation to the concept and measurement model and great variability was seen in the other evaluated attributes. Conclusions The current evidence does not support the CMS as a gold standard in shoulder evaluation. Its use is advisable for subacromial pathology; but data are inconclusive for other shoulder conditions. Prospective studies exploring the psychometric properties of the scale, particularly for fractures, arthritis, instability and frozen shoulder are needed. Level of evidence Systematic review.
doi_str_mv 10.1007/s11136-018-1875-7
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Methods A systematic review was performed in MEDLINE and EMBASE databases. Titles and abstracts were reviewed and finally the included articles were grouped according to patients' pathologies. Two expert evaluators independently assessed the CMS properties of reliability, validity, responsiveness to change, interpretability and burden score in each group, using the EMPRO (Evaluating Measures of Patient Reported Outcomes) tool. The CMS properties were assessed per attribute and overall for each considered group. Only the concept and measurement model was assessed globally. Results Five individual pathologies (i.e. subacromial, fractures, arthritis, instability and frozen shoulder) and two additional groups (i.e. various pathologies and healthy subjects) were considered. Overall EMPRO scores ranged from 58.6 for subacromial to 30.6 points for instability. Responsiveness to change was the only quality to obtain at least 50 points across all groups, but for frozen shoulder. Insufficient information was obtained in relation to the concept and measurement model and great variability was seen in the other evaluated attributes. Conclusions The current evidence does not support the CMS as a gold standard in shoulder evaluation. Its use is advisable for subacromial pathology; but data are inconclusive for other shoulder conditions. Prospective studies exploring the psychometric properties of the scale, particularly for fractures, arthritis, instability and frozen shoulder are needed. 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All Rights Reserved. © 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>info:eu-repo/semantics/openAccess Copyright © The Author(s) 2018. Open Access. 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Insufficient information was obtained in relation to the concept and measurement model and great variability was seen in the other evaluated attributes. Conclusions The current evidence does not support the CMS as a gold standard in shoulder evaluation. Its use is advisable for subacromial pathology; but data are inconclusive for other shoulder conditions. Prospective studies exploring the psychometric properties of the scale, particularly for fractures, arthritis, instability and frozen shoulder are needed. 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Ávila, Mónica ; Machón, Mónica ; Mateo-Abad, Maider ; Pardo, Yolanda ; Garin, Olatz ; Zaror, Carlos ; González, Nerea ; Escobar, Antonio ; Cuéllar, Ricardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c534t-debbcfe9797e182e8085835c25675004e47a7a733bbff68718ced4433c16f2dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Arthritis</topic><topic>Constant–Murley score</topic><topic>EMPRO tool</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Psychometric properties</topic><topic>Psychometrics - methods</topic><topic>Public Health</topic><topic>Quality of Life - psychology</topic><topic>Quality of Life Research</topic><topic>Quantitative psychology</topic><topic>Reproducibility of Results</topic><topic>REVIEW</topic><topic>Shoulder - pathology</topic><topic>Shoulder pathologies</topic><topic>Sociology</topic><topic>Standardized evaluation</topic><topic>Surveys and Questionnaires</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vrotsou, Kalliopi</creatorcontrib><creatorcontrib>Ávila, Mónica</creatorcontrib><creatorcontrib>Machón, Mónica</creatorcontrib><creatorcontrib>Mateo-Abad, Maider</creatorcontrib><creatorcontrib>Pardo, Yolanda</creatorcontrib><creatorcontrib>Garin, Olatz</creatorcontrib><creatorcontrib>Zaror, Carlos</creatorcontrib><creatorcontrib>González, Nerea</creatorcontrib><creatorcontrib>Escobar, Antonio</creatorcontrib><creatorcontrib>Cuéllar, Ricardo</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Methods A systematic review was performed in MEDLINE and EMBASE databases. Titles and abstracts were reviewed and finally the included articles were grouped according to patients' pathologies. Two expert evaluators independently assessed the CMS properties of reliability, validity, responsiveness to change, interpretability and burden score in each group, using the EMPRO (Evaluating Measures of Patient Reported Outcomes) tool. The CMS properties were assessed per attribute and overall for each considered group. Only the concept and measurement model was assessed globally. Results Five individual pathologies (i.e. subacromial, fractures, arthritis, instability and frozen shoulder) and two additional groups (i.e. various pathologies and healthy subjects) were considered. Overall EMPRO scores ranged from 58.6 for subacromial to 30.6 points for instability. Responsiveness to change was the only quality to obtain at least 50 points across all groups, but for frozen shoulder. Insufficient information was obtained in relation to the concept and measurement model and great variability was seen in the other evaluated attributes. Conclusions The current evidence does not support the CMS as a gold standard in shoulder evaluation. Its use is advisable for subacromial pathology; but data are inconclusive for other shoulder conditions. Prospective studies exploring the psychometric properties of the scale, particularly for fractures, arthritis, instability and frozen shoulder are needed. Level of evidence Systematic review.</abstract><cop>Cham</cop><pub>Springer</pub><pmid>29748823</pmid><doi>10.1007/s11136-018-1875-7</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-3296-3923</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Arthritis
Constant–Murley score
EMPRO tool
Female
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Prospective Studies
Psychometric properties
Psychometrics - methods
Public Health
Quality of Life - psychology
Quality of Life Research
Quantitative psychology
Reproducibility of Results
REVIEW
Shoulder - pathology
Shoulder pathologies
Sociology
Standardized evaluation
Surveys and Questionnaires
Systematic review
title Constant-Murley Score: systematic review and standardized evaluation in different shoulder pathologies
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