Measurement properties of the EuroQoL EQ-5D-5L to assess quality of life in patients undergoing carpal tunnel release

Marti, Christof; Hensler, Stefanie; Herren, Daniel; Niedermann, Karin; Marks, Miriam

doi:10.1177/1753193416659404

Cited by 40 publications

(34 citation statements)

References 37 publications

(55 reference statements)

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“…It is important to note that the EQ-5D-5L is a measure of overall HRQoL and may be influenced by other comorbidities unrelated to CTS. It is therefore not possible to directly compare the results from this study with the results from the study by Marti et al. (2016).…”

Section: Discussionmentioning

confidence: 83%

“…An overall improvement in HRQoL was also observed, although this did not reach statistical significance. Marti and colleagues (2016) investigated HRQoL after primary CTD in 60 cases, and reported an improvement in EQ-5D-5L from 0.81 to 0.87, with a MCID of 0.09. By comparison, this study found a lower preoperative and postoperative EQ-5D-5L after revision surgery, although the overall improvement in HRQoL was greater than the MCID.…”

Section: Discussionmentioning

confidence: 99%

“…This generates an index between −1.0 (a state worse than death) and 1.0 (a perfect health state). The minimum clinically important difference (MCID) values of 20 points for QuickDASH change and 0.09 points for EQ-5D-5L change were accepted (Clement et al., 2016; Marti et al., 2016). Patient satisfaction was determined by asking: ‘How satisfied are you with your operated hand?’ Responses were scored using a 100-point visual analogue scale (VAS).…”

Section: Methodsmentioning

confidence: 99%

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Decompression for recurrent carpal tunnel syndrome provides significant functional improvement and patient satisfaction

Stirling

Yeoman

Duckworth

et al. 2019

J Hand Surg Eur Vol

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This prospective single-centre study describes the functional outcomes, satisfaction and health-related quality of life after open revision carpal tunnel decompression for recurrent carpal tunnel syndrome. The QuickDASH, patient satisfaction and EuroQol-5 dimensions questionnaires were collected preoperatively and postoperatively over a 5-year period (2013–2018). The median time to revision was 13.3 years (range 3.9–35.4 years; interquartile range 7.2–15.9 years). Outcomes were available for 14 hands in 13 patients at a mean of 20 months after revision surgery. The mean preoperative and postoperative QuickDASH scores were 55 and 29, respectively, and the mean improvement in QuickDASH was 26. The mean improvement in EuroQol-5 dimensions score was 0.1, and 13 of the 14 patients were satisfied. The net promoter score was 85. This study confirms that patients undergoing revision open carpal tunnel decompression for recurrent carpal tunnel syndrome experience a significant improvement in function and health-related quality of life. Level of evidence: IV

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Decompression for recurrent carpal tunnel syndrome provides significant functional improvement and patient satisfaction

Stirling

Yeoman

Duckworth

et al. 2019

J Hand Surg Eur Vol

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“…A recent systematic review demonstrated good reliability and validity and moderate responsiveness [3]. Two studies using cohorts of patients being treated for carpal tunnel syndrome found excellent reliability [4], strong validity and minimal bias for age and gender [5]. The properties of the EQ-5D have also been tested in musculoskeletal healthspecific contexts such as proximal humeral fractures [6], adolescent idiopathic scoliosis [7], rheumatoid arthritis [8][9][10], lower back surgery [11] and knee osteoarthritis [12,13] with similar outcomes reported.…”

Section: Introductionmentioning

confidence: 99%

Is retrospective assessment of health-related quality of life valid?

Lawson

Tan

Naylor

et al. 2020

BMC Musculoskelet Disord

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Background: Health-related quality of life (HRQoL) is a commonly used health outcome. For many acute conditions (e.g. fractures), retrospective measurement of HRQoL is necessary to establish pre-morbid health status. However, the validity of retrospective measurement of HRQoL following an intervening significant health event has not been established. The aim of this study was to test the validity of retrospective measurement (recall) of HRQoL by using a test-retest design to measure reliability and agreement between prospective and retrospective patientreported HRQoL before and after an intervening health event (elective orthopaedic surgery). Method: Participants were recruited from the pre-admission clinic of a metropolitan hospital. Participants were assessed for their HRQoL using the EQ-5D-5L at two time-points; prospectively at 2 weeks prior to their date of surgery and then retrospectively (recalling their pre-operative health) following elective hip or knee joint replacement surgery. Prospective measurements were compared with retrospective measurements for the five domain scores (nominal data) using intra-class correlation and for the EQ-Index score and EQ-Visual Analogue Scale (VAS) score (continuous data), using Pearson's correlation. Agreement was tested in continuous variables using Lin's coefficient of concordance (p c) and Bland-Altman plots. Results: One hundred seventy-four patients consented to participate. Eighty-eight paired prospective and retrospective scores were collected and there was a median between-test period of 15 days. At a group level, the prospective measurements were similar to the retrospective measurements; the modes and means of the five domain scores were not different and the mean differences (MD) between the scores for EQ-Index (MD = 0.02, on a scale of 0-1) and EQ-VAS (MD = 0.53, on a scale of 1-100) were negligible. However, the correlation of paired scores was varied; the range of domain score correlations was 0.52 to 0.74, the concordance was substantial for the EQ-Index scores (p c = 0.76, 95% CI = 0.66, 0.84) and moderate for the EQ-VAS scores (p c = 0.46, 95% CI = 0.28, 0.61). Conclusion: Agreement between prospective and retrospective measurements was high at a group level and moderate to substantial at an individual level. Retrospective measurement of HRQoL using the EQ-5D-5L in an orthopaedic clinical context is a valid alternative to using reference data to estimate baseline or pre-morbid health status.

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“…The questionnaire consists of five dimensions (mobility, self‐care, usual activities, pain, depression) and is used to evaluate perceived health status on a range from 0 (the worst health status) to 100 (the best health status) (Balestroni & Bertolotti, ). This outcome measure has previously been used to evaluate patients with a hip fracture (Tidermark, Bergström, Svensson, Törnkvist, & Ponzer, ) and has been reported to have good internal consistency (Cronbach's α = 0.83) (Marti, Hensler, Herren, Niedermann, & Marks, ).…”

Section: Methodsmentioning

confidence: 99%

A home‐based tele‐rehabilitation protocol for patients with hip fracture called @ctivehip

Ortiz-Piña

Salas-Fariña

Mora‐Traverso

et al. 2018

Research in Nursing & Health

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Home‐based tele‐rehabilitation programs are under development and may be a future option for some patients. The objectives of this non‐randomized clinical trial are to design a home‐based multidisciplinary tele‐rehabilitation protocol for patients with hip fracture, and to compare this protocol versus the home‐based usual outpatient rehabilitation protocol. Seventy patients treated for an acute hip fracture, aged 65 years or older, with a high pre‐fracture functional level (Functional Independence Measure score >90), without severe cognitive impairment, absence of terminal disease, discharged to their own home or a relativés home postoperatively, allowed weight‐bearing, and with signed informed consent, will be allocated into a tele‐rehabilitation group (n = 35) or a control group (n = 35). The inclusion criterion for the intervention group will be to have a caregiver with the ability to access the Internet who is willing to perform exercises and activities with the patient at home. The intervention includes a program of physical exercise and occupational therapy (five weekly sessions during 12 weeks), and recommendations for patients and their caregivers, all delivered through a website. The patient's functional level (Functional Independence Measure), quality of life (Euro‐Qol), physical performance (Timed Up and Go), caregiver burden (Zarit Interview), and other descriptive data will be assessed at hospital discharge, 4 weeks, and 12 weeks. This project will add to the knowledge concerning the feasibility of tele‐rehabilitation as an option to promote recovery of the pre‐fracture functional level for some patients with a hip fracture. http://ClinicalTrials.gov Identifier: NCT02968589NCT.

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Measurement properties of the EuroQoL EQ-5D-5L to assess quality of life in patients undergoing carpal tunnel release

Abstract: I.

Cited by 40 publications

References 37 publications

Decompression for recurrent carpal tunnel syndrome provides significant functional improvement and patient satisfaction

Decompression for recurrent carpal tunnel syndrome provides significant functional improvement and patient satisfaction

Is retrospective assessment of health-related quality of life valid?

A home‐based tele‐rehabilitation protocol for patients with hip fracture called @ctivehip

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