The influence of age and unreported symptoms on the Oxford Shoulder Score

Background One potential limitation of interpreting the Oxford Shoulder Score (OSS) in longitudinal studies is that the observed score may be influenced by age and other variables, which may change over time. The purpose of the present study was to investigate the influence of increasing age and unr...

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Veröffentlicht in:Shoulder & elbow 2018-10, Vol.10 (4), p.262-268
Hauptverfasser: Dabis, John, Colaço, Henry B., Hingston, Helen, Arnander, Magnus, Tennent, Duncan, Pearse, Eyiyemi O.
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container_end_page 268
container_issue 4
container_start_page 262
container_title Shoulder & elbow
container_volume 10
creator Dabis, John
Colaço, Henry B.
Hingston, Helen
Arnander, Magnus
Tennent, Duncan
Pearse, Eyiyemi O.
description Background One potential limitation of interpreting the Oxford Shoulder Score (OSS) in longitudinal studies is that the observed score may be influenced by age and other variables, which may change over time. The purpose of the present study was to investigate the influence of increasing age and unreported non-shoulder upper limb and neck symptoms on the OSS. Methods We collected OSS data from a sample of our ethnically diverse local population. All subjects indicated whether they suffered from any neck, shoulder, elbow or wrist symptoms for which they had not sought a medical opinion. Those reporting no symptoms formed the asymptomatic group. Results We found a significant decline in OSS with increasing age in the whole study population, as well as in both the asymptomatic and symptomatic groups with previously unreported symptoms: Spearman correlation coefficient = −0.27, −0.28 and −0.33 respectively (p 
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The purpose of the present study was to investigate the influence of increasing age and unreported non-shoulder upper limb and neck symptoms on the OSS. Methods We collected OSS data from a sample of our ethnically diverse local population. All subjects indicated whether they suffered from any neck, shoulder, elbow or wrist symptoms for which they had not sought a medical opinion. Those reporting no symptoms formed the asymptomatic group. Results We found a significant decline in OSS with increasing age in the whole study population, as well as in both the asymptomatic and symptomatic groups with previously unreported symptoms: Spearman correlation coefficient = −0.27, −0.28 and −0.33 respectively (p &lt; 0.001). The median OSS in the asymptomatic group was 48 [interquartile range (IQR) 48 to 48]. This was significantly higher than the symptomatic group, with a median OSS of 46 (IQR 40 to 47) (p &lt; 0.001). Conclusions We found the OSS to be affected by non-shoulder upper-limb and neck pathology as well as age. Within the limitations of the OSS, the differences we found do not exceed the minimal important change.</description><identifier>ISSN: 1758-5732</identifier><identifier>EISSN: 1758-5740</identifier><identifier>DOI: 10.1177/1758573217738137</identifier><identifier>PMID: 30214492</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Shoulder</subject><ispartof>Shoulder &amp; elbow, 2018-10, Vol.10 (4), p.262-268</ispartof><rights>2017 The British Elbow &amp; Shoulder Society</rights><rights>2017 The British Elbow &amp; Shoulder Society 2017 The British Elbow &amp; Shoulder Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3497-d132831cc09d5eab95d5bbd83e2660ac57bcd643a08b80ade493ead07141bc783</citedby><cites>FETCH-LOGICAL-c3497-d132831cc09d5eab95d5bbd83e2660ac57bcd643a08b80ade493ead07141bc783</cites><orcidid>0000-0002-1283-9669</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134527/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134527/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,21823,27928,27929,43625,43626,53795,53797</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30214492$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dabis, John</creatorcontrib><creatorcontrib>Colaço, Henry B.</creatorcontrib><creatorcontrib>Hingston, Helen</creatorcontrib><creatorcontrib>Arnander, Magnus</creatorcontrib><creatorcontrib>Tennent, Duncan</creatorcontrib><creatorcontrib>Pearse, Eyiyemi O.</creatorcontrib><title>The influence of age and unreported symptoms on the Oxford Shoulder Score</title><title>Shoulder &amp; elbow</title><addtitle>Shoulder Elbow</addtitle><description>Background One potential limitation of interpreting the Oxford Shoulder Score (OSS) in longitudinal studies is that the observed score may be influenced by age and other variables, which may change over time. The purpose of the present study was to investigate the influence of increasing age and unreported non-shoulder upper limb and neck symptoms on the OSS. Methods We collected OSS data from a sample of our ethnically diverse local population. All subjects indicated whether they suffered from any neck, shoulder, elbow or wrist symptoms for which they had not sought a medical opinion. Those reporting no symptoms formed the asymptomatic group. Results We found a significant decline in OSS with increasing age in the whole study population, as well as in both the asymptomatic and symptomatic groups with previously unreported symptoms: Spearman correlation coefficient = −0.27, −0.28 and −0.33 respectively (p &lt; 0.001). The median OSS in the asymptomatic group was 48 [interquartile range (IQR) 48 to 48]. This was significantly higher than the symptomatic group, with a median OSS of 46 (IQR 40 to 47) (p &lt; 0.001). Conclusions We found the OSS to be affected by non-shoulder upper-limb and neck pathology as well as age. 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The purpose of the present study was to investigate the influence of increasing age and unreported non-shoulder upper limb and neck symptoms on the OSS. Methods We collected OSS data from a sample of our ethnically diverse local population. All subjects indicated whether they suffered from any neck, shoulder, elbow or wrist symptoms for which they had not sought a medical opinion. Those reporting no symptoms formed the asymptomatic group. Results We found a significant decline in OSS with increasing age in the whole study population, as well as in both the asymptomatic and symptomatic groups with previously unreported symptoms: Spearman correlation coefficient = −0.27, −0.28 and −0.33 respectively (p &lt; 0.001). The median OSS in the asymptomatic group was 48 [interquartile range (IQR) 48 to 48]. This was significantly higher than the symptomatic group, with a median OSS of 46 (IQR 40 to 47) (p &lt; 0.001). Conclusions We found the OSS to be affected by non-shoulder upper-limb and neck pathology as well as age. Within the limitations of the OSS, the differences we found do not exceed the minimal important change.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>30214492</pmid><doi>10.1177/1758573217738137</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-1283-9669</orcidid><oa>free_for_read</oa></addata></record>
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title The influence of age and unreported symptoms on the Oxford Shoulder Score
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