The minimal important difference and smallest detectable change of the Oxford elbow score, Quick disabilities of the arm shoulder and hand and single assessment numeric evaluation used for elbow trauma

© 2024 The Author(s).

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 8(2024), 4 vom: 04. Juli, Seite 897-902
1. Verfasser: Wänström, Johan (VerfasserIn)
Weitere Verfasser: Jonsson, Eythor Ö, Björnsson Hallgren, Hanna, Jorméus, Albin, Adolfsson, Lars
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2024
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Elbow Minimal important difference Oxford elbow score Patient-reported outcome measures Quick disabilities of the arm shoulder and hand Single assessment numeric evaluation Smallest detectable change TRAUMA
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520 |a Background: The Minimal Important Difference (MID) and Smallest Detectable Change (SDC) are methods used to identify the smallest changes in Patient-Reported Outcome Measures (PROMs) that are of relevance to the patients. Data on these parameters is, however, limited for elbow conditions including traumatic injuries. The aim of this study was, therefore, to estimate the MID and SDC for three commonly used PROMs after elbow trauma; the Oxford Elbow Score (OES), Quick Disabilities of the Arm Shoulder and Hand (QuickDASH) and Single Assessment Numeric Evaluation (SANE) 
520 |a Methods: One hundred patients, 67 females, aged ≥18 years (mean age 52.4 years (standard deviation, 18.2)), who had sustained a fracture, tendon rupture or dislocation affecting the elbow, completed the OES, QuickDASH, and SANE 3-5 months after injury (T1) and again after a minimum of 3 weeks (T2). A transition item with a 7-level scale, enquiring about the situation with the elbow, was also completed at T1 and T2. The difference in scores between T1 and T2 was calculated (change scores). The MID was assessed using the mean change method; a response of "slightly better" or "slightly worse" was defined as being a clinically significant change. The SDC was estimated by calculating the standard error of measurement based on 2 administrations (1- to 3-week interval) of PROMs in a separate group of patients who had sustained an elbow injury 1- 2 years previously 
520 |a Results: The most common diagnosis was fracture of the proximal radius (n = 33). Eighteen patients responded slightly better and 5 slightly worse on the transition item and had mean change scores of 7.9 (9.3) for the OES and -7.4 (11.4) for the QuickDASH. Assessment of SDC was based on 56 patients having sustained an elbow injury between September 2019 and October 2020. The SDC was: 12.1 for the OES, 11.4 for the QuickDASH, and 1.94 for the SANE 
520 |a Conclusion: Change scores need to exceed 12.1 points for the OES, 11.4 points for the QuickDASH, and 1.94 points for the SANE in order to measure change with clinical relevance and not due to measurement errors 
650 4 |a Journal Article 
650 4 |a Elbow 
650 4 |a Minimal important difference 
650 4 |a Oxford elbow score 
650 4 |a Patient-reported outcome measures 
650 4 |a Quick disabilities of the arm shoulder and hand 
650 4 |a Single assessment numeric evaluation 
650 4 |a Smallest detectable change 
650 4 |a TRAUMA 
700 1 |a Jonsson, Eythor Ö  |e verfasserin  |4 aut 
700 1 |a Björnsson Hallgren, Hanna  |e verfasserin  |4 aut 
700 1 |a Jorméus, Albin  |e verfasserin  |4 aut 
700 1 |a Adolfsson, Lars  |e verfasserin  |4 aut 
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