A systematic review and meta-analysis of Patient-Rated Wrist (and Hand) Evaluation (PRWE/PRWHE) measurement properties, translation, and/ or cross-cultural adaptation

Shafiee, Erfan; MacDermid, Joy C.; Farzad, Maryam; Karbalaei, Mahdieh

doi:10.1080/09638288.2021.1970250

Cited by 14 publications

(16 citation statements)

References 57 publications

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“…The PRWE also showed excellent agreement for the total score and the subscales (Kappa coefficients 0.93-0.94). This is in accordance with a previous systematic review evaluating test-retest reliability for PRWE in 24 studies of various types of wrist and hand injuries [7] that reported ICCs of 0.91-0.93 [7]. Taken together, the NRS, DASH and PRWE can be considered reliable PROMs in wrist OA; thus, they produce similar results under consistent conditions.…”

Section: Discussionsupporting

confidence: 91%

“…The NRS, DASH and PRWE are rated in ordinal scales, therefore, retest reliability was analysed with Kappa statistics as recommended [27]. In a systematic review by Shafiee et al [7], the intraclass correlation coefficient (ICC) was included when evaluating test-retest reliability, which should actually be used when evaluating agreement for parametric data [33]. Thus, the retest reliability results of the current study are not fully comparable even though a quadratic kappa gives about the same result as an ICC [34].…”

Section: Discussionmentioning

confidence: 99%

“…Excellent agreement according to the kappa-coefficient was found for the NRS (0.83-0.92). Earlier studies have mainly used a visual analogue scale (VAS) score evaluating general pain intensity for the wrist, but also with excellent test-retest agreement (ICC 0.84) [7,35]. Although high test-retest agreement of NRS has been reported [36], it is not as thoroughly investigated as VAS [22].…”

Section: Discussionmentioning

confidence: 99%

“…The maximum total score of PRWE is 100 and represents the worst disability, whereas 0 represents no disability. The PRWE has mainly been found to be valid and reliable in patients with distal radius fractures, but also in a variety of other hand and wrist-related injuries and disorders [7]. In the current study, the validated Swedish version of PRWE by Wilcke et al was used [26].…”

Section: Outcome Measuresmentioning

confidence: 96%

“…In wrist and hand OA, commonly used PROMs are pain rating scales, such as the Visual analogue Scale (VAS) and the Numerical Rating Scale (NRS) [7][8][9][10] for measuring pain intensity, the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire [8,[11][12][13], and the Patient-Rated Wrist Evaluation (PRWE) questionnaire [14,15]. The DASH measures self-reported upper extremity physical function and symptoms taking the whole upper extremity into account, irrespective of which hand or if both hands are used and is the most commonly used PROM in clinical trials for patients with wrist OA [8].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Psychometric properties of patient-reported outcome measures (PROMs) in wrist osteoarthritis: test–retest reliability and construct validity

Larsson

Brogren

Dahlin

et al. 2022

BMC Musculoskelet Disord

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Background Patient-reported outcome measures (PROMs) are frequently used to assess the effects of treatments in patients with wrist osteoarthritis (OA), but their psychometric properties have not been evaluated in this group of patients. Our aim was to evaluate the psychometric properties of the Numeric Rating Scale (NRS pain at rest, pain on motion without load, and pain on load), the Disabilities of the Arm, Shoulder and Hand (DASH) and the Patient Rated Wrist Evaluation (PRWE) questionnaires in patients with wrist OA regarding test–retest reliability and construct validity. Methods The NRS, DASH and PRWE were self-administered by 50 patients (40 men and 10 women, mean age 66 years) in a postal survey on two occasions, two weeks apart. Test–retest reliability was evaluated by Kappa statistics and the Spearman rank correlation coefficients (rho) were calculated to evaluate construct validity. Results The Kappa coefficients for DASH, PRWE and NRS pain on motion without load and NRS pain on load were > 0.90, 95% CI ranging from 0.84 to 0.98, while NRS pain at rest was 0.83, 95% CI 0.73–0.92. The construct validity of the PROMs was confirmed by three formulated hypotheses: a higher correlation between PRWE and NRS (rho 0.80–0.91, p < 0.001) was found, compared to DASH and NRS (rho 0.68–0.80, p < 0.001); the NRS pain on motion without load and NRS pain on load correlated more strongly to PRWE and DASH (rho 0.71–0.91, p < 0.001) compared to NRS pain at rest (rho 0.68–0.80) and a high correlation between PRWE and DASH was found (rho 0.86, p < 0.001). Conclusions The NRS, DASH and PRWE demonstrate excellent test–retest reliability and moderate to high construct validity in patients with wrist OA. These PROMs are highly related, but they also differ. Therefore, they complement each other in ensuring a comprehensive evaluation of perceived disability in wrist OA. As PRWE showed the highest test–retest reliability and the highest relation to the other PROMs, the sole use of the PRWE can be recommended in clinical practice.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Outcome Measuresmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Psychometric properties of patient-reported outcome measures (PROMs) in wrist osteoarthritis: test–retest reliability and construct validity

Larsson

Brogren

Dahlin

et al. 2022

BMC Musculoskelet Disord

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Bringing Patient-Reported Outcome Measures (PROMs) Into Practice: A Review of the Latest Developments in PROM Use in the Evaluation and Treatment of Carpal Tunnel Syndrome

Chaudhury,

Bernstein,

Harper

et al. 2023

Journal of Hand Surgery Global Online

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Surgical treatment of distal radius fractures: impact on forearm rotation in non-elderly patients

Kong,

Li,

Bai

et al. 2024

Sci Rep

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Forearm rotation restriction (FRR) is common after surgery for distal radius fractures (DRFs). The aim of the current study was to investigate the effect of DRFs on forearm rotation. This retrospective study reviewed patients with DRFs who underwent surgical treatment from January 2019 to December 2021. The patients' basic data and radiographic parameters were analyzed. Forearm rotation, including pronation and supination, was assessed using a standard goniometer. The Patient-Rated Wrist Evaluation (PRWE) score was evaluated, and the incidence of FRR at the 6-month follow-up was recorded. Univariate and multivariate logistic regression analyses were performed to identify risk factors correlated with FRR. A total of 127 patients with DRFs were included in this study. After surgery, 46 cases were considered to have FRR, with a rate of 36.2%, while the remaining 81 cases (63.8%) did not have FRR. The PRWE scores were 22.8 ± 5.2 and 17.9 ± 4.2 in the FRR group and non-FRR group, respectively, and the difference was statistically significant (P < 0.05). Multivariate analysis showed that the involvement of the sigmoid notch (OR, 2.88; 95% CI 1.49–5.56), post-operative volar tilt < 0° (OR, 2.16; 95% CI 1.34–3.50), and post-operative ulnar variance > 0 mm (OR, 1.37; 95% CI 1.06–1.78) were independently associated with the incidence of FRR. The FRR is associated with an increased PRWE score and may have had some impact on the patient's daily life. Fractures involving the sigmoid notch, dorsal angulation, and radial shortening deformity were found to be correlated with the incidence of FRR. Preoperative risk notification and intraoperative preventive measures are necessary for these patients.

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A systematic review and meta-analysis of Patient-Rated Wrist (and Hand) Evaluation (PRWE/PRWHE) measurement properties, translation, and/ or cross-cultural adaptation

Cited by 14 publications

References 57 publications

Psychometric properties of patient-reported outcome measures (PROMs) in wrist osteoarthritis: test–retest reliability and construct validity

Psychometric properties of patient-reported outcome measures (PROMs) in wrist osteoarthritis: test–retest reliability and construct validity

Bringing Patient-Reported Outcome Measures (PROMs) Into Practice: A Review of the Latest Developments in PROM Use in the Evaluation and Treatment of Carpal Tunnel Syndrome

Surgical treatment of distal radius fractures: impact on forearm rotation in non-elderly patients

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