Lauren L Nowak1,2, Aileen M Davis1,2,3,4, Muhammad Mamdani5, Dorcas Beaton3,4,6, Carol Kennedy7, Emil H Schemitsch1,8. 1. Institute of Medical Science, University of Toronto, Toronto, ON, Canada. 2. Health Care and Outcomes Research, Krembil Research Institute, University Health Network, Toronto, ON, Canada. 3. Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada. 4. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. 5. Li Ka Shing Centre for Healthcare Analytics Research and Training, St. Michael's Hospital, Toronto, ON, Canada. 6. Musculoskeletal Health and Outcomes Research, Institute for Work Health, Toronto, ON, Canada. 7. Quality Standards, Health Quality Ontario, Toronto, ON, Canada. 8. Division of Orthopaedic Surgery, London Health Sciences Centre, London, ON, Canada.
Abstract
OBJECTIVES: To summarize and appraise any patient-reported or clinician-measured outcome measures based on their measurement properties in proximal humerus fracture patients. DATA SOURCES AND STUDY SELECTION: MEDLINE, EMBASE, and CINAHL were searched from January 2000 to August 2018 to identify all studies of proximal humerus fracture patients that reported a measurement property evaluation of an outcome measure. DATA EXTRACTION AND SYNTHESIS: Quality appraisal of each measure was completed using the Evaluating the Measurement of Patient-Reported Outcomes (EMPRO) tool. The EMPRO takes into account all studies of each measure, and the overall score is transformed linearly to a range of 0 (lowest) to 100 (best). RESULTS: Eleven instruments were identified. Intended concepts of the instruments included clinician-measured shoulder function, patient-reported function or disability, and patient-reported general health state. Only the Disabilities of the Arm, Shoulder and Hand (DASH), Oxford Shoulder Score, Constant Score, University of California, Los Angeles Shoulder Score, and EuroQol 5 Dimension (EQ5D) were evaluated in more than 1 study. The Shoulder Function Index (SFINX), DASH, and EQ5D had the highest EMPRO scores (80, 66, and 58, respectively). The SFINX and DASH consistently scored among the top 3 instruments for each attribute. CONCLUSIONS: Evidence on the measurement properties of outcome measures for proximal humerus fracture patients is limited. With the available evidence, the SFINX is recommended as a clinician-measured functional outcome measure, the DASH as a patient-reported functional outcome measure, and the EQ5D as a general health status measure.
OBJECTIVES: To summarize and appraise any patient-reported or clinician-measured outcome measures based on their measurement properties in proximal humerus fracturepatients. DATA SOURCES AND STUDY SELECTION: MEDLINE, EMBASE, and CINAHL were searched from January 2000 to August 2018 to identify all studies of proximal humerus fracturepatients that reported a measurement property evaluation of an outcome measure. DATA EXTRACTION AND SYNTHESIS: Quality appraisal of each measure was completed using the Evaluating the Measurement of Patient-Reported Outcomes (EMPRO) tool. The EMPRO takes into account all studies of each measure, and the overall score is transformed linearly to a range of 0 (lowest) to 100 (best). RESULTS: Eleven instruments were identified. Intended concepts of the instruments included clinician-measured shoulder function, patient-reported function or disability, and patient-reported general health state. Only the Disabilities of the Arm, Shoulder and Hand (DASH), Oxford Shoulder Score, Constant Score, University of California, Los Angeles Shoulder Score, and EuroQol 5 Dimension (EQ5D) were evaluated in more than 1 study. The Shoulder Function Index (SFINX), DASH, and EQ5D had the highest EMPRO scores (80, 66, and 58, respectively). The SFINX and DASH consistently scored among the top 3 instruments for each attribute. CONCLUSIONS: Evidence on the measurement properties of outcome measures for proximal humerus fracturepatients is limited. With the available evidence, the SFINX is recommended as a clinician-measured functional outcome measure, the DASH as a patient-reported functional outcome measure, and the EQ5D as a general health status measure.
Authors: Sascha Halvachizadeh; Till Berk; Thomas Rauer; Christian Hierholzer; Roman Pfeifer; Hans-Christoph Pape; Florin Allemann Journal: PLoS One Date: 2020-04-09 Impact factor: 3.240