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Responsiveness of five shoulder outcome measures at follow-ups from 3 to 24 months
BACKGROUND: To assess responsiveness of five outcome measures at four different follow-ups in patients with SLAP II lesions of the shoulder. METHODS: 119 patients with symptoms and signs, MRI arthrography and arthroscopic findings were included. The Western Ontario Shoulder Instability Index (WOSI),...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8259445/ https://www.ncbi.nlm.nih.gov/pubmed/34225701 http://dx.doi.org/10.1186/s12891-021-04483-3 |
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author | Skare, Øystein Brox, Jostein Skranes Schrøder, Cecilie Piene Brox, Jens Ivar |
author_facet | Skare, Øystein Brox, Jostein Skranes Schrøder, Cecilie Piene Brox, Jens Ivar |
author_sort | Skare, Øystein |
collection | PubMed |
description | BACKGROUND: To assess responsiveness of five outcome measures at four different follow-ups in patients with SLAP II lesions of the shoulder. METHODS: 119 patients with symptoms and signs, MRI arthrography and arthroscopic findings were included. The Western Ontario Shoulder Instability Index (WOSI), Oxford Instability Shoulder Score (OISS), EuroQol (EQ-5D3L), Rowe Score and Constant-Murley Score (CMS) were assessed at baseline, 3, 6, 12 and 24 months. The analysis contains both anchor-based and distribution-based methods, and hypothesis testing. RESULTS: Confidence intervals for ROC cut-off values, representing MID, for OISS, CMS and EQ-5D3L crossed zero at 3 months. Cut-off values were stable between 6- and 24-months follow-up. At 24-months ROC cut-off values (95% CI) were: Rowe 18 (13 to 24); WOSI 331 (289 to 442); OISS 9 (5 to 14); CMS 11 (9 to 15) and EQ-5D3L 0.123 (0.035 to 0.222). MID(95%limit) estimates were substantially higher than ROC cut-off values and MID(MEAN) at all follow-ups for all instruments. The reliable change proportion (RCP) values in the improved group were highest for WOSI and the Rowe Score (ranging from 68 to 87%) and significantly lower for CMS. EQ-5D3L had the lowest values (13 to 16%). We found a moderate correlation between mean change scores of the outcome measures and the anchor, except for the EQ-5D3L. CONCLUSIONS: In patients with SLAP II-lesions the patient reported OISS and WOSI and the clinical Rowe score had best responsiveness. Our results suggest that 3 months follow-up is too early for outcome evaluation. |
format | Online Article Text |
id | pubmed-8259445 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-82594452021-07-07 Responsiveness of five shoulder outcome measures at follow-ups from 3 to 24 months Skare, Øystein Brox, Jostein Skranes Schrøder, Cecilie Piene Brox, Jens Ivar BMC Musculoskelet Disord Research BACKGROUND: To assess responsiveness of five outcome measures at four different follow-ups in patients with SLAP II lesions of the shoulder. METHODS: 119 patients with symptoms and signs, MRI arthrography and arthroscopic findings were included. The Western Ontario Shoulder Instability Index (WOSI), Oxford Instability Shoulder Score (OISS), EuroQol (EQ-5D3L), Rowe Score and Constant-Murley Score (CMS) were assessed at baseline, 3, 6, 12 and 24 months. The analysis contains both anchor-based and distribution-based methods, and hypothesis testing. RESULTS: Confidence intervals for ROC cut-off values, representing MID, for OISS, CMS and EQ-5D3L crossed zero at 3 months. Cut-off values were stable between 6- and 24-months follow-up. At 24-months ROC cut-off values (95% CI) were: Rowe 18 (13 to 24); WOSI 331 (289 to 442); OISS 9 (5 to 14); CMS 11 (9 to 15) and EQ-5D3L 0.123 (0.035 to 0.222). MID(95%limit) estimates were substantially higher than ROC cut-off values and MID(MEAN) at all follow-ups for all instruments. The reliable change proportion (RCP) values in the improved group were highest for WOSI and the Rowe Score (ranging from 68 to 87%) and significantly lower for CMS. EQ-5D3L had the lowest values (13 to 16%). We found a moderate correlation between mean change scores of the outcome measures and the anchor, except for the EQ-5D3L. CONCLUSIONS: In patients with SLAP II-lesions the patient reported OISS and WOSI and the clinical Rowe score had best responsiveness. Our results suggest that 3 months follow-up is too early for outcome evaluation. BioMed Central 2021-07-05 /pmc/articles/PMC8259445/ /pubmed/34225701 http://dx.doi.org/10.1186/s12891-021-04483-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Skare, Øystein Brox, Jostein Skranes Schrøder, Cecilie Piene Brox, Jens Ivar Responsiveness of five shoulder outcome measures at follow-ups from 3 to 24 months |
title | Responsiveness of five shoulder outcome measures at follow-ups from 3 to 24 months |
title_full | Responsiveness of five shoulder outcome measures at follow-ups from 3 to 24 months |
title_fullStr | Responsiveness of five shoulder outcome measures at follow-ups from 3 to 24 months |
title_full_unstemmed | Responsiveness of five shoulder outcome measures at follow-ups from 3 to 24 months |
title_short | Responsiveness of five shoulder outcome measures at follow-ups from 3 to 24 months |
title_sort | responsiveness of five shoulder outcome measures at follow-ups from 3 to 24 months |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8259445/ https://www.ncbi.nlm.nih.gov/pubmed/34225701 http://dx.doi.org/10.1186/s12891-021-04483-3 |
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