A Self-Administered Questionnaire for Basal Osteoarthritis of the Thumb

Citron, N.; Hulme, Christopher; Wardle, N

doi:10.1016/j.jhse.2007.03.015

Cited by 31 publications

(31 citation statements)

References 28 publications

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“…The scoring systems used were the QuickDASH, 7 the patient-related wrist evaluation (PRWE) 8 and Nelson base of thumb arthritis scores. 9 QuickDASH is a fully validated hand and wrist score, and the Nelson score is a validated diseasespecific score for base of thumb arthritis. All tightrope suspensionplasty operations were performed by a single surgeon in our department (TS) using the technique described below.…”

Section: Data Collectionmentioning

confidence: 99%

Patient functional outcomes with trapeziectomy alone versus trapeziectomy with TightRope ®

Mohan

Shenouda

Ismail

et al. 2015

Journal of Orthopaedics

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Section: Data Collectionmentioning

confidence: 99%

Patient functional outcomes with trapeziectomy alone versus trapeziectomy with TightRope ®

Mohan

Shenouda

Ismail

et al. 2015

Journal of Orthopaedics

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“…Citron et al also found that their validated Nelson Hospital Score, specifically developed to assess recovery after surgery in patients with TMC arthrosis, poorly correlated with grip strength but moderately correlated with key pinch strength. 12 The TASD questionnaire was expected to show at least a moderate correlation with depression as it did as previous studies showed a correlation between the DASH or QuickDASH and depression in patients with symptomatic TMC arthrosis. 4,25,29,33 In addition, the TASD was expected to show a stronger correlation with self-efficacy than it did as the QuickDASH and pain self-efficacy strongly correlated in patients with other common hand conditions.…”

Section: Discussionmentioning

confidence: 90%

“…The AUSCAN Osteoarthritis Hand Index score is significantly more responsive for patients with TMC arthrosis alone than for patients with additional involvement of other osteoarthritic hand joints. 28 Although Citron et al developed the Nelson Hospital Score, a TMC arthrosisspecific questionnaire, its goal was to assess symptoms and disability after surgery, 12 and has not been validated for use with general TMC arthrosis patients. In addition, the Nelson Hospital Score has poor methodological quality, 31 lacks factor analysis to confirm the number of factors (subscales) and related items, and has rarely been used.…”

mentioning

confidence: 99%

“…In addition, the Nelson Hospital Score has poor methodological quality, 31 lacks factor analysis to confirm the number of factors (subscales) and related items, and has rarely been used. 12,14,15,38 A TMC joint-specific questionnaire might be more responsive (able to detect clinically important change but distinguish it from measurement error) than a hand or upper extremity questionnaire. 31 Furthermore, a TMC joint-specific questionnaire might also help discriminate symptoms and disability related to TMC arthrosis from symptoms and disability due to other hand, arm, or shoulder problems.…”

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confidence: 99%

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The Trapeziometacarpal Arthrosis Symptoms and Disability Questionnaire

Becker

Teunis

Ring

et al. 2016

Hand (New York, N,Y.)

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IntroductionTrapeziometacarpal (TMC) arthrosis is an expected part of normal human aging. 5,34 Symptoms and disability associated with TMC arthrosis are typically measured with upper extremityspecific disability questionnaires such as the Disabilities of the Arm, Shoulder and Hand (DASH), its shorter version, the QuickDASH, the Patient-Rated Wrist (Hand) Evaluation (PRW(H)E), and the Michigan Hand Questionnaire (MHQ), or with osteoarthritis specific measures such as the Australian/ Canadian (AUSCAN) Osteoarthritis Hand Index. 31 Although widely used and validated for use in patients with TMC arthrosis, 30,31 the aforementioned questionnaires were not developed specifically for TMC arthrosis and face several limitations. For example, the DASH and QuickDASH scores do not discriminate between symptoms/disability associated with TMC arthrosis and other hand, arm or shoulder function/disability concerns. 31 The 15-item PRW(H)E addresses this issue by including 4 items about difficulty with usual activities (personal care, household work, work/ occupation, and recreational activities) during the past week that should be rated in comparison with the time before the wrist problem started; however, a range of other problems that are not TMC arthrosis related could very well affect response to these items. 28 These three questionnaires also reflect both the affected and the non-affected limb, 20 which can confound the total score. In contrast, the MHQ is a handspecific outcomes questionnaire that adjusts for hand dominance, and can distinguish between the left and right hand. 11 AbstractBackground: Symptoms and disability at the trapeziometacarpal (TMC) joint are typically assessed with general measures that may not be able to accurately discriminate between TMC arthrosis-specific versus other hand and arm condition concerns. The objective was to develop and preliminary validate the Trapeziometacarpal Arthrosis Symptoms and Disability (TASD) questionnaire designed to assess symptoms and disability at the TMC joint. Methods: English-speaking patients (50 years or older) were enrolled in 1 of 2 samples (sample 1, 64 patients specifically presented for treatment of TMC arthrosis; sample 2, 64 patients received an incidental diagnosis of previously undiagnosed TMC arthrosis when presenting for treatment of another, not thumb-related condition). Principal component analysis identified the number of subscales (factors) and factor loadings of all items (ie, structural construct validity). Internal consistency was assessed with Cronbach alpha. Convergent, discriminant, and known-groups construct validity of the subscales were assessed with Spearman correlations. Results: The final TASD has 12 items and 2 subscales, as confirmed by principal component analysis: symptoms (7 items) and disability (5 items). The subscales' internal consistency was good to excellent in both samples. The TASD showed good convergent validity as evidenced by moderate to strong correlations between both subscales and upper extremity disability, pain intens...

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“…As yet, widely used tools for the assessment of treatment effects to conservative therapies in thumb base OA are generally not condition specific. Such tools have been developed and tested to assess outcome following hand surgery in order to better detect variations related to treatment while considering the common coexistence of other hand conditions in the same individual . Furthermore, efforts are currently underway to develop new classification criteria for hand OA distinguishing thumb base OA from IP OA in order to reduce heterogeneity in clinical trials.…”

Section: Discussionmentioning

confidence: 99%

Association of Comorbid Interphalangeal Joint Pain and Erosive Osteoarthritis With Worse Hand Function in Individuals With Symptomatic Thumb Base Osteoarthritis

Deveza

Robbins

Duong

et al. 2020

Arthritis Care & Research

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Objective. Hand osteoarthritis (OA) trials often target exclusively the thumb base joint, although concomitant widespread interphalangeal (IP) joint involvement is frequent. We aimed to compare hand strength and function between individuals with isolated thumb base OA and those with coexistent IP joint pain and erosive OA.Methods. Baseline data from a thumb base OA trial were analyzed (n = 204). Participants were age ≥40 years with symptomatic and radiographic thumb base OA. Only the index hand was included. Self-reported IP joint pain (in any proximal, distal, or thumb IP joint), hand function score (Functional Index for Hand Osteoarthritis questionnaire [range 0-30]), and hand grip and tip-pinch strength test results were obtained at baseline. Radiographs were scored for OA severity at each joint (Kellgren/Lawrence grade) and for the presence of erosive OA at the thumb base or IP joints. Multiple linear regression was used adjusting for age, sex, body mass index, and radiographic thumb base OA severity.Results. Compared to individuals with isolated thumb base OA (62%), those with concomitant IP joint pain (17%) and erosive OA (21%) had significantly worse hand function (β = 1.82 [95% confidence interval (95% CI) 0.36, 3.28] and β = 1.47 [95% CI 0.74, 2.88], respectively). In addition, coexistence of erosive OA was independently associated with lower grip and tip-pinch strength ] and β = -0.61 [95% CI -1.05, -0.17], respectively).Conclusion. Concomitant IP joint pain and erosive OA are associated with worse hand function in individuals with thumb base OA. Patient stratification based on these characteristics may improve the design of future thumb base OA trials.

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A Self-Administered Questionnaire for Basal Osteoarthritis of the Thumb

Cited by 31 publications

References 28 publications

Patient functional outcomes with trapeziectomy alone versus trapeziectomy with TightRope ®

Patient functional outcomes with trapeziectomy alone versus trapeziectomy with TightRope ®

The Trapeziometacarpal Arthrosis Symptoms and Disability Questionnaire

Association of Comorbid Interphalangeal Joint Pain and Erosive Osteoarthritis With Worse Hand Function in Individuals With Symptomatic Thumb Base Osteoarthritis

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