The QuickDASH Score: A Patient-reported Outcome Measure for Dupuytren’s Surgery

Budd, Henry; Larson, Debbie; Chojnowski, Adrian; Shepstone, Lee

doi:10.1016/j.jht.2010.08.006

Cited by 45 publications

(35 citation statements)

References 14 publications

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“…Measurements of grip strength or pinch grip were presented in 11 studies but only 3 reported pre- and post-intervention data [23,25,29] and 3 gave a descriptor of post-treatment outcomes, for example ‘no significant change or deterioration’ [20,48,66]. Follow-up times ranged from a median of 81 days [66] to a mean of 3.5 years [28].…”

Section: Resultsmentioning

confidence: 99%

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Optimal functional outcome measures for assessing treatment for Dupuytren’s disease: a systematic review and recommendations for future practice

Ball

Pratt

Nanchahal

2013

BMC Musculoskelet Disord

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BackgroundDupuytren's disease of the hand is a common condition affecting the palmar fascia, resulting in progressive flexion deformities of the digits and hence limitation of hand function. The optimal treatment remains unclear as outcomes studies have used a variety of measures for assessment.MethodsA literature search was performed for all publications describing surgical treatment, percutaneous needle aponeurotomy or collagenase injection for primary or recurrent Dupuytren’s disease where outcomes had been monitored using functional measures.ResultsNinety-one studies met the inclusion criteria. Twenty-two studies reported outcomes using patient reported outcome measures (PROMs) ranging from validated questionnaires to self-reported measures for return to work and self-rated disability. The Disability of Arm, Shoulder and Hand (DASH) score was the most utilised patient-reported function measure (n=11). Patient satisfaction was reported by eighteen studies but no single method was used consistently. Range of movement was the most frequent physical measure and was reported in all 91 studies. However, the methods of measurement and reporting varied, with seventeen different techniques being used. Other physical measures included grip and pinch strength and sensibility, again with variations in measurement protocols. The mean follow-up time ranged from 2 weeks to 17 years.ConclusionsThere is little consistency in the reporting of outcomes for interventions in patients with Dupuytren’s disease, making it impossible to compare the efficacy of different treatment modalities. Although there are limitations to the existing generic patient reported outcomes measures, a combination of these together with a disease-specific questionnaire, and physical measures of active and passive individual joint Range of movement (ROM), grip and sensibility using standardised protocols should be used for future outcomes studies. As Dupuytren’s disease tends to recur following treatment as well as extend to involve other areas of the hand, follow-up times should be standardised and designed to capture both short and long term outcomes.

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Section: Resultsmentioning

confidence: 99%

“…Short versions of the DASH and MHQ have recently become available. The Quick-DASH was used by one study [66] but it is not clear if it is prone to a flooring effect when used for DD. The use of the short MHQ has not yet been reported in outcomes studies for DD.…”

Section: Discussionmentioning

confidence: 99%

Optimal functional outcome measures for assessing treatment for Dupuytren’s disease: a systematic review and recommendations for future practice

Ball

Pratt

Nanchahal

2013

BMC Musculoskelet Disord

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“…Again, there was no correlation in change in QuickDASH score with change in range of movement in any of the fingers. 5) The only studies that found a correlation between deformity and hand function were those using the clinician-rated Sollerman Hand Function test, which requires the patient to undertake 20 tasks under observation and timed conditions using a range of prescribed handgrips. Sinha et al reported a negative correlation between preoperative total flexion deformity and the Sollerman score and a positive correlation of the score with an improvement in deformity.…”

Section: Discussionmentioning

confidence: 99%

“…The ranges of angles were chosen to include those in the BSSH guidelines and in previous studies investigating hand function and DC deformity. [1][2][3][4][5][6][7] They were fastened with elastic Velcro strapping around the palm and proximal phalanx to the right hand of the participants to allow for flexion of the digit. Adhesive felt padding was applied to its inner surface to allow improved fit among participants.…”

Section: Methodsmentioning

confidence: 99%

Critical Angles of Deformity in Dupuytren’s Contracture of the Little and Ring Fingers

2015

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“…This may explain the greater degree of correlation with the radial sided digits in Dupuytren's, and absence of correlation with the little finger[18]. The same research group has also found no correlation of extension deficit with the Quick DASH score, an abbreviated version of the DASH[21]. Recommendation: The DASH score cannot be used as a reliable comparator between trials on Dupuytren's due to its weak or absent correlation with objective measures of flexion contracture.…”

mentioning

confidence: 99%

Current concepts in Dupuytren’s disease

2012

Curr Rev Musculoskelet Med

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The last few years have seen a number of significant studies in Dupuytren's disease that may result in a paradigm shift in the management of this condition. This review article assesses recent therapeutic studies from January 2010 to August 2012. These were rated for levels of evidence, trial quality using the Jadad and Detsky scales, and graded by strength of recommendation. Significant studies include the success of Phase III trials of injectable collagenase (CORD I and II), that may radically alter the practice of Dupuytren's. Other highlights include randomized controlled trials that address the ongoing debate on needle fasciotomy vs limited fasciectomy, and also the utility of night-time post-operative splinting. Furthermore, the concept of "clinically important differences" in Dupuytren's outcomes research is considered in the context of the CORD I trial. The implications of these studies for current practice and future research are discussed.

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The QuickDASH Score: A Patient-reported Outcome Measure for Dupuytren’s Surgery

Cited by 45 publications

References 14 publications

Optimal functional outcome measures for assessing treatment for Dupuytren’s disease: a systematic review and recommendations for future practice

Optimal functional outcome measures for assessing treatment for Dupuytren’s disease: a systematic review and recommendations for future practice

Critical Angles of Deformity in Dupuytren’s Contracture of the Little and Ring Fingers

Current concepts in Dupuytren’s disease

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