Psychometric properties of the shortened disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) and Numeric Pain Rating Scale in patients with shoulder pain

Mintken, Paul E.; Glynn, Paul; Cleland, Joshua A.

doi:10.1016/j.jse.2008.12.015

Cited by 482 publications

(359 citation statements)

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“…Results of one study indicated that shoulder disability scores reached a steady state 1 year postoperatively [19]. After 1 year, the improvement in shoulder disability scores of patients treated surgically was less than 10 and 8 points, which are the minimal numbers for a clinically important difference for the DASH and QuickDASH, respectively [8,13,19].…”

Section: Discussionmentioning

confidence: 99%

High Irritation and Removal Rates After Plate or Nail Fixation in Patients With Displaced Midshaft Clavicle Fractures

Hulsmans

Heijl

Houwert³

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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Background Studies comparing plate with intramedullary nail fixation of displaced midshaft clavicle fractures show faster recovery in the plate group and implant-related complications in both groups after short-term followup (6 or 12 months). Knowledge of disability, complications, and removal rates beyond the first postoperative year will help surgeons in making a decision regarding optimal implant choice. However, comparative studies with followup beyond the first year or two are scarce. Questions/purposes We asked: (1) Does plate fixation or intramedullary nail fixation for displaced midshaft clavicle fractures result in less disability? (2) Which type of fixation, plate or intramedullary, is more frequently associated with implant-related irritation and implant removal? (3) Is plate or intramedullary fixation associated with postoperative complications beyond the first postoperative year?Methods Between January 2011 and August 2012, patients with displaced midshaft clavicle fractures were enrolled and randomized to plate or intramedullary nail fixation. A total of 58 patients with plate and 62 patients with intramedullary nails initially were enrolled. Minimum followup was 30 months (mean, 39 months; range, 30-51 months). Two patients (3%) with plate fixation and two patients (3%) with intramedullary nails were lost to followup. The QuickDASH was obtained at final followup and compared between patients who had plate fixation and those who had intramedullary nail fixation. Postoperative complications measured include infection, implant-related irritation, implant failure, nonunion, and refracture after implant removal. Indications for implant removal included implant-related irritation, implant failure, nonunion, patient's wish, or surgeon's preference. Results Between patients with plate versus intramedullary nail fixation, there were no differences in QuickDASH The institution of one or more of the authors (FJW, RMH, EJV) has received, during the study period, funding from the AO Foundation ((Dübendorf, Switzerland). All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. Conclusions After a mean followup of 39 months, disability scores were excellent. Major complications did not occur after the 1-year followup. A frequent and bothersome problem after both surgical treatments is implant-related irritation, resulting in high rates of implant removal, after 1 year. Future research could focus on analyzing risk factors for implant irritation or removal. Level of Evidence Level II, therapeutic study.

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Section: Discussionmentioning

confidence: 99%

High Irritation and Removal Rates After Plate or Nail Fixation in Patients With Displaced Midshaft Clavicle Fractures

Hulsmans

Heijl

Houwert³

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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“…Items are answered on 5-point Likert scales. The overall score is scaled to range from 0 (no disability) to 100 (most severe disability) with a score of 11 points reflecting the mean score for the general US population [3,18,29].…”

Section: Outcome Measuresmentioning

confidence: 99%

The PROMIS Physical Function Correlates With the QuickDASH in Patients With Upper Extremity Illness

Overbeek

Nota

Jayakumar

et al. 2015

Clinical Orthopaedics &Amp; Related Research

132

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Background To assess disability more efficiently with less burden on the patient, the National Institutes of Health has developed the Patient Reported Outcomes Measurement Information System (PROMIS) Physical Functionan instrument based on item response theory and using computer adaptive testing (CAT). Initially, upper and lower extremity disabilities were not separated and we were curious if the PROMIS Physical Function CAT could measure upper extremity disability and the Quick Disability of Arm, Shoulder and Hand (QuickDASH). Questions/purposes We aimed to find correlation between the PROMIS Physical Function and the Quick-DASH questionnaires in patients with upper extremity illness. Secondarily, we addressed whether the PROMIS Physical Function and QuickDASH correlate with the PROMIS Depression CAT and PROMIS Pain Interference CAT instruments. Finally, we assessed factors associated with QuickDASH and PROMIS Physical Function in multivariable analysis.

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“…There are no normative data for the Swedish population. A difference of 8 between the preoperative and the postoperative score is considered the minimal clinically important difference [12]. Thus, we present our data as the proportion of patients with a postoperative QuickDASH score > 10 and a total change in QuickDASH score of < 8.…”

Section: Study Design and Participantsmentioning

confidence: 99%

Outcome after carpal tunnel release: impact of factors related to metabolic syndrome

Zimmerman

Dahlin

Thomsen

et al. 2016

Journal of Plastic Surgery and Hand Surgery

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165-171. DOI: 10.1080165-171. DOI: 10. /2000656X.2016 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. In a retrospective observational study, we evaluated outcome after open carpal tunnel release focusing on factors related to the metabolic syndrome: diabetes, hypertension, obesity (BMI ≥ 30) and statin treatment. MethodsResults from 493 out of 962 patients (531/1044 hands) operated for CTS during 18 months that had filled in QuickDASH questionnaires before and one year after surgery were included in the study. ResultsPatients with diabetes (n=76) p<0.05). The odds of having a change in QuickDASH score <8 was 2.6 times higher in patients with polyneuropathy than in patients without polyneuropathy.Patients with hypertension, obesity or statin treatment had a similar improvement after surgery as patients without these factors. ConclusionsPatients with diabetes without neuropathy, as well as patients with hypertension, obesity or statin treatment, and CTS can expect the same effects of open carpal tunnel release as otherwise healthy patients. Patients with diabetic neuropathy and CTS did not experience the 3 same improvement as otherwise healthy patients and should be informed about the risk of an unsatisfactory outcome.Word count abstract: 242

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Psychometric properties of the shortened disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) and Numeric Pain Rating Scale in patients with shoulder pain

Cited by 482 publications

References 32 publications

High Irritation and Removal Rates After Plate or Nail Fixation in Patients With Displaced Midshaft Clavicle Fractures

High Irritation and Removal Rates After Plate or Nail Fixation in Patients With Displaced Midshaft Clavicle Fractures

The PROMIS Physical Function Correlates With the QuickDASH in Patients With Upper Extremity Illness

Outcome after carpal tunnel release: impact of factors related to metabolic syndrome

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