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Clinical Outcome Measures in Arthroscopic Meniscectomy: Clinician versus Patient Completed Knee Scores

Objective  The aim of the present study was to investigate the difference between clinician-completed and patient-completed outcome scores in detecting improvement following arthroscopic meniscectomy in patients with meniscal tears of the knee. Methods  Thirty-four patients with meniscal tears were...

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Autores principales: Al-Dadah, Oday, Shepstone, Lee, Donell, Simon T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9757960/
https://www.ncbi.nlm.nih.gov/pubmed/36540730
http://dx.doi.org/10.1055/s-0041-1740470
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author Al-Dadah, Oday
Shepstone, Lee
Donell, Simon T.
author_facet Al-Dadah, Oday
Shepstone, Lee
Donell, Simon T.
author_sort Al-Dadah, Oday
collection PubMed
description Objective  The aim of the present study was to investigate the difference between clinician-completed and patient-completed outcome scores in detecting improvement following arthroscopic meniscectomy in patients with meniscal tears of the knee. Methods  Thirty-four patients with meniscal tears were prospectively assessed using 9 clinical outcome measures. The five clinician-completed knee scores included the Tegner Activity Score, the Lysholm Knee Score, the Cincinnati Knee Score, the International Knee Documentation Committee (IKDC) Examination Knee Score, and the Tapper and Hoover Meniscal Grading Score. The four patient-completed knee scores included the IKDC Subjective Knee Score, the Knee Outcome Survey – Activities of Daily Living Scale (KOS-ADLS), the Short Form-12 Item Health Survey (SF-12), and the Knee Injury and Osteoarthritis Outcome Score (KOOS). Twenty-nine of the 34 patients underwent an arthroscopic meniscectomy and were reassessed with all 9 outcome scores upon their follow-up review. Results  A significant longitudinal improvement was observed in 4 of the 5 clinician-completed scores (Tegner [ p  < 0.001], Lysholm [ p  = 0.004], Cincinnati [p = 0.002] and Tapper and Hoover [ p  < 0.001], but not in the IKDC Examination [ p  = 0.332]. However, the IKDC Subjective score ( p  = 0.021) was the only patient-completed score to demonstrate significant improvement postoperatively. Conclusion  Overall, clinician-completed scoring systems were found to be inconsistent with those of patient-completed instruments. The mode of administering outcome measures can have a significant influence on the outcome results both for research and for clinical practice. A combination of both a clinician-completed with a patient-completed instrument may be a more balanced approach to assessing and quantifying meniscus tears and the outcome following arthroscopic meniscectomy.
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spelling pubmed-97579602022-12-19 Clinical Outcome Measures in Arthroscopic Meniscectomy: Clinician versus Patient Completed Knee Scores Al-Dadah, Oday Shepstone, Lee Donell, Simon T. Rev Bras Ortop (Sao Paulo) Objective  The aim of the present study was to investigate the difference between clinician-completed and patient-completed outcome scores in detecting improvement following arthroscopic meniscectomy in patients with meniscal tears of the knee. Methods  Thirty-four patients with meniscal tears were prospectively assessed using 9 clinical outcome measures. The five clinician-completed knee scores included the Tegner Activity Score, the Lysholm Knee Score, the Cincinnati Knee Score, the International Knee Documentation Committee (IKDC) Examination Knee Score, and the Tapper and Hoover Meniscal Grading Score. The four patient-completed knee scores included the IKDC Subjective Knee Score, the Knee Outcome Survey – Activities of Daily Living Scale (KOS-ADLS), the Short Form-12 Item Health Survey (SF-12), and the Knee Injury and Osteoarthritis Outcome Score (KOOS). Twenty-nine of the 34 patients underwent an arthroscopic meniscectomy and were reassessed with all 9 outcome scores upon their follow-up review. Results  A significant longitudinal improvement was observed in 4 of the 5 clinician-completed scores (Tegner [ p  < 0.001], Lysholm [ p  = 0.004], Cincinnati [p = 0.002] and Tapper and Hoover [ p  < 0.001], but not in the IKDC Examination [ p  = 0.332]. However, the IKDC Subjective score ( p  = 0.021) was the only patient-completed score to demonstrate significant improvement postoperatively. Conclusion  Overall, clinician-completed scoring systems were found to be inconsistent with those of patient-completed instruments. The mode of administering outcome measures can have a significant influence on the outcome results both for research and for clinical practice. A combination of both a clinician-completed with a patient-completed instrument may be a more balanced approach to assessing and quantifying meniscus tears and the outcome following arthroscopic meniscectomy. Thieme Revinter Publicações Ltda. 2022-01-21 /pmc/articles/PMC9757960/ /pubmed/36540730 http://dx.doi.org/10.1055/s-0041-1740470 Text en Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Al-Dadah, Oday
Shepstone, Lee
Donell, Simon T.
Clinical Outcome Measures in Arthroscopic Meniscectomy: Clinician versus Patient Completed Knee Scores
title Clinical Outcome Measures in Arthroscopic Meniscectomy: Clinician versus Patient Completed Knee Scores
title_full Clinical Outcome Measures in Arthroscopic Meniscectomy: Clinician versus Patient Completed Knee Scores
title_fullStr Clinical Outcome Measures in Arthroscopic Meniscectomy: Clinician versus Patient Completed Knee Scores
title_full_unstemmed Clinical Outcome Measures in Arthroscopic Meniscectomy: Clinician versus Patient Completed Knee Scores
title_short Clinical Outcome Measures in Arthroscopic Meniscectomy: Clinician versus Patient Completed Knee Scores
title_sort clinical outcome measures in arthroscopic meniscectomy: clinician versus patient completed knee scores
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9757960/
https://www.ncbi.nlm.nih.gov/pubmed/36540730
http://dx.doi.org/10.1055/s-0041-1740470
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