The MOXFQ patient-reported questionnaire: Assessment of data quality, reliability and validity in relation to foot and ankle surgery

Dawson, Jill; Boller, Irene; Doll, Helen; Lavis, Grahame; Sharp, Robert; Cooke, Paul; Jenkinson, Crispin

doi:10.1016/j.foot.2011.02.002

Cited by 90 publications

(79 citation statements)

References 21 publications

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“…Depending on the surgeon, either a transverse or a longitudinal incision was utilized and all patients underwent a partial release from the medial attachment; however, data regarding the extent of release were incomplete. All of these subjects were then contacted by mail and invited to complete 2 patient-reported outcome questionnaires: the Manchester Oxford Foot Questionnaire (MOXFQ) [8][9][10] and the Visual Analog Scale-Foot and Ankle (VAS-FA). 27,34 Both of these are validated scores for various foot and ankle conditions, and both of these scores are split into 3 separate components as well as a combined overall score.…”

Section: Methodsmentioning

confidence: 99%

Long-Term Outcome of Open Plantar Fascia Release

MacInnes

Roberts

Kimpton³

et al. 2015

Foot Ankle Int.

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Background: Plantar fasciitis is thought to be a self-limiting condition best treated by conservative measures, but despite this many patients have a prolonged duration of symptoms and surgery may be indicated. Partial plantar fascial release is reported to have a short-term success rate of up to 80%, but anecdotally this was not thought to represent our local experience. Methods: An audit of long-term patient-reported outcomes following open partial plantar fascia release was performed. A total of 30 patients (33 feet) were identified over a 10-year period and case notes were reviewed. Patients were contacted by letter and invited to complete 2 validated patient-reported outcome score questionnaires (Visual Analog Scale-Foot and Ankle [VAS-FA] and Manchester Oxford Foot Questionnaire [MOXFQ]). Responses were received from 24 patients (26 feet). The average ages were 42.4 (range 24-61) for male and 46.2 (range 33-60) for female patients, with a female/male ratio of 2.7:1. The average duration of treatment prior to operative intervention was 3.1 years (range 1-5). Preoperatively, our cohort underwent a range of conservative measures. All patients were reviewed postoperatively, and average time from surgery to completion of questionnaires was 80 months (range 14-130). Results: The outcomes were worse in patients who had received preoperative steroid injections and this was found to be statistically significant. The mean MOXFQ score was 33.6 ± 3.9 (0-64). Mean VAS-FA score was 57.8 ± 4.9 (24-100). Conclusion: This study found a negative correlation between duration of follow-up and outcome, in both MOXFQ and VAS-FA, showing that patients continued to improve many years postoperatively. The authors also found worse outcomes with preoperative steroid injections, better outcomes in older patients, and a weak gender bias, suggesting results in men were better than those in women. A prolonged recovery period and generally poor outcomes leads the authors to suggest that open plantar fascia release is of questionable clinical value and that patients may improve in the natural course of the disease, in spite of surgery. Level of Evidence: Level III, comparative study.

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Section: Methodsmentioning

confidence: 99%

Long-Term Outcome of Open Plantar Fascia Release

MacInnes

Roberts

Kimpton³

et al. 2015

Foot Ankle Int.

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“…The MOXFQ has already been configured to a summary score (MOXFQ-index) [41]. This score has been validated specifically for hallux valgus surgery, and has good reliability and responsiveness [3,23,31,32,41,42]. The MCID was demonstrated by Dawson et al, for each different domain [23].…”

Section: Disease-specific Outcome Measuresmentioning

confidence: 99%

“…This score is more sensitive than general health measures for quantifying hallux valgus surgery. There were no floor and ceiling effects in patients undergoing foot or ankle surgery (31.3% of this group underwent a non-specified method of hallux surgery) [ Table 1] [42].…”

Section: Disease-specific Outcome Measuresmentioning

confidence: 99%

Patient-reported outcome measures in hallux valgus surgery. A review of literature

Schrier¹,

Palmen

Verheyen

et al. 2015

Foot and Ankle Surgery

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“…They used the Manchester foot and disability questionnaire (MFDQ) as their reference for patients with hallux valgus, which resulted in developing the MOXFQ (3). After that, they enrolled 671 patients with different foot conditions seeking for surgical treatment and developed three domains of pain, walking/standing, and social interaction within this instrument (4)(5)(6). MOXFQ proved to be a reliable and valid patient-reported instrument with acceptable responsiveness in patients with foot and ankle conditions (5).…”

Section: Introductionmentioning

confidence: 99%