Evaluation of shoulder-specific patient-reported outcome measures: a systematic and standardized comparison of available evidence

被引:112
|
作者
Schmidt, Stefanie [1 ,2 ,3 ]
Ferrer, Montse [1 ,3 ,4 ]
Gonzalez, Marta [5 ,6 ]
Gonzalez, Nerea [6 ,7 ]
Maria Valderas, Jose [8 ]
Alonso, Jordi [1 ,2 ,3 ]
Escobar, Antonio [5 ,6 ]
Vrotsou, Kalliopi [6 ,9 ]
机构
[1] Hosp Mar Med Res Inst, IMIM, Barcelona 08003, Spain
[2] Univ Pompeu Fabra, Barcelona, Spain
[3] CIBER Epidemiol & Salud Publ, Barcelona, Spain
[4] Univ Autonoma Barcelona, E-08193 Barcelona, Spain
[5] Univ Hosp Basurto, Res Unit, Bilbao, Spain
[6] Hlth Serv Res Chron Patients Network REDISSEC, Barcelona, Spain
[7] Hosp Galdakao Usansolo, Res Unit, Usansolo, Spain
[8] Univ Oxford, Dept Primary Care Hlth Sci, Hlth Serv & Policy Res Grp, Oxford, England
[9] Primary Care Org Integrated Hlth Serv, Res Unit, Gipuzkoa, Spain
关键词
Shoulder pain; disability evaluation; quality of life; questionnaires; outcome assessment; psychometrics; validation studies; QUALITY-OF-LIFE; CULTURAL-ADAPTATION; AMERICAN SHOULDER; FLEXILEVEL SCALE; SCORING SYSTEMS; VALIDITY; PAIN; RELIABILITY; QUESTIONNAIRE; PREVALENCE;
D O I
10.1016/j.jse.2013.09.029
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: The aim of this study was to perform a standardized and systematic evaluation of the available evidence on multi-item shoulder-specific patient-reported outcome measures that are applicable to a wide spectrum of disorders. Materials and methods: A systematic review was conducted in PubMed to identify articles with information regarding the development process, metric properties, and administration issues of shoulder-specific patient-reported outcome measures. Two experts independently reviewed all the articles identified for one instrument and applied the EMPRO (Evaluating Measures of Patient Reported Outcomes) tool, which was designed to assess the quality of attributes in a standardized way. An overall EMPRO score and 6 attribute-specific scores were calculated (range, 0-100) to describe the quality of instrument performance. Results: We identified 11 instruments and 112 articles (2-30 articles per instrument). The American Shoulder and Elbow Surgeons (ASES) shoulder assessment, Simple Shoulder Test (SST), and Oxford Shoulder Score (OSS) were the best rated, with overall scores of 77.4 points, 72.6 points, and 69.7 points, respectively. They have been shown to be valid, reliable, and responsive, with a low administration burden. Acceptable results were also found for the Flexilevel Scale of Shoulder Function, Shoulder Pain and Disability Index, and Dutch Shoulder Disability Questionnaire, but some of their attributes need further evaluation. Conclusions: Current evidence supports the use of the ASES, SST, or OSS. We recommend the SST for longitudinal studies or clinical trials, the Dutch Shoulder Disability Questionnaire for clinical practice to minimize administration burden, and the ASES or OSS to discriminate among patients' or groups' evaluations at one point of time. (C) 2014 Journal of Shoulder and Elbow Surgery Board of Trustees.
引用
收藏
页码:434 / 444
页数:11
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