Outcome measures and their measurement properties for trapeziometacarpal osteoarthritis: a systematic literature review

Abstract

The objective was to identify all outcome measures used in studies on trapeziometacarpal osteoarthritis (TMC OA) and evaluate their measurement properties. In a two-step systematic literature review, we first identified studies including TMC OA patients and extracted all outcome measures. They were categorized according to the Outcome Measures in Rheumatology (OMERACT) core set for OA including five dimensions: pain, physical function, global assessment, imaging, and quality of life (QoL). Secondly, we retrieved articles on the measurement properties of the identified outcome measures for TMC OA patients. First, 316 articles including 101 different outcome measures were identified, addressing the OMERACT pain and function domains most frequently but under-representing QoL. Second, 12 articles investigating measurement properties of 12 outcome measures were identified. The methodological quality of these studies was poor to fair, implying that based on the literature no recommendations to use any of the outcome measures can yet be made.

The Follow-up of Trapeziometacarpal Arthrodesis Using V-shaped Osteotomy for Osteoarthritis of The First Carpometacarpal Joint

“…9 Thus, we used a combination of multiple sources of subjective and objective data, with the goal of achieving the most clinically relevant and significant results. This includes use of the Recall DASH which is a novel technique first published by Reynolds and Thirkannad in 2013 10 that allows a retrospective recall of preoperative conditions; and then comparing them to current Quick DASH results.…”

Application of WHO recommendations in outcome assessment of clinical series published in hand surgery journals with five years interval

“…Since it was adopted in 2001 by the World Health Organization (WHO), it helps to understand and improve outcome measurement [2]. ICF is now used in clinical practice [3] including hand conditions [4,5]. It is composed of three main domains of outcome called body ''functions and structures'', activities and participation.…”

“…Impairments in BF and BS are measured by clinical examination or imaging [5]. Typical criteria of BF in hand surgery are strength, stability or pain.…”

Measurement Properties of the German Michigan Hand Outcomes Questionnaire in Patients With Trapeziometacarpal Osteoarthritis

“…In recent years, subjective evaluations based on the patient's self‐assessment of function, activities of daily living (ADL), and quality of life, as well as on patient satisfaction, have emerged as increasingly important outcome measures for musculoskeletal conditions in general. Various questionnaires are available to assess subjective aspects in patients experiencing TMC joint OA, with the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire () being the one used most frequently (). However, the validity and responsiveness of this tool in these particular patients remain questionable as the score is also influenced by function/dysfunction of the elbow and shoulder.…”

“…However, the validity and responsiveness of this tool in these particular patients remain questionable as the score is also influenced by function/dysfunction of the elbow and shoulder. For this reason, it might be more appropriate to administer a hand‐specific questionnaire (). The Michigan Hand Outcomes Questionnaire (MHQ), developed by Chung et al (), is one such hand‐specific questionnaire.…”