The Oxford Elbow Score demonstrated good measurement properties when used with a shortened 7-day recall period
Background: The Oxford Elbow Score (OES) is a well-validated, elbow-specific, patient-reported outcome measure (PROM), originally assigned a 4-week recall period. For PROMs, short recall periods could have some advantages, such as optimizing validity by minimizing the negative effects of inaccurate...
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Elsevier
2023-05-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638323000245 |
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| author | Eythor Ö. Jonsson, MD Johan Wänström, MD Hanna Björnsson Hallgren, MD, PhD Lars Adolfsson, MD, PhD |
| author_facet | Eythor Ö. Jonsson, MD Johan Wänström, MD Hanna Björnsson Hallgren, MD, PhD Lars Adolfsson, MD, PhD |
| author_sort | Eythor Ö. Jonsson, MD |
| collection | DOAJ |
| description | Background: The Oxford Elbow Score (OES) is a well-validated, elbow-specific, patient-reported outcome measure (PROM), originally assigned a 4-week recall period. For PROMs, short recall periods could have some advantages, such as optimizing validity by minimizing the negative effects of inaccurate recollection and temporal trends (increase or decrease) in symptoms over the course of the recall period. Temporal trends in elbow function can, for example, be expected to occur over 4 weeks in patients recovering from an injury or surgery. The purpose of this study was to evaluate the measurement properties of the OES using a shortened, 7-day, recall period (OES-7d). Methods: The inclusion criteria were fracture, tendon rupture or dislocation affecting the elbow, and age ≥18 years. Patients with Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores of ≥10 points preinjury (pre-existing upper extremity condition) or concurrent upper extremity injuries were excluded. Patients completed the OES-7d, QuickDASH, and Single Assessment Numeric Evaluation-Function for the last 7 days preinjury (T1), the first 7 days postinjury (T2) and a 7-day period 3-5 months postinjury (T3). Correlations were assessed with Spearman’s rho. Analyses of construct validity (correlation between scores) and internal consistency (Cronbach’s alpha) were based on T3 data. Responsiveness was assessed by correlating changes in scores (change scores) between time points. Intra-rater reliability was assessed by calculating intraclass correlation coefficients based on 2 administrations (1- to 3-week interval) of PROMs in a separate group of patients who had sustained an elbow injury 1-2 years previously. Results: Seventy-five patients (45 women) were included between May 2020 and July 2021. Their mean age was 51.7 years. At T3, Spearman’s rho was −0.91 for the correlation between OES total and QuickDASH scores and 0.76 for the correlation between OES total scores and Single Assessment Numeric Evaluation-Function values (construct validity). Spearman’s rho for correlation between OES total and QuickDASH change scores from T2 to T3 (T3 minus T2) was −0.85 (responsiveness for improvement) and −0.88 for change scores from T1 to T2 (T2 minus T1, responsiveness for deterioration). For the OES domains, Cronbach’s alpha was 0.83 for elbow function, 0.91 for pain and 0.90 for social-psychological domains. The intraclass correlation coefficient for the OES total score was 0.96. Conclusion: The OES demonstrated good measurement properties when used with a 7-day recall period (OES-7d). These results further establish the OES as a well-validated, elbow-specific PROM and support using a 7-day recall period. |
| first_indexed | 2024-04-09T15:29:43Z |
| format | Article |
| id | doaj.art-0c9fddc93c2a49f9a532640f7e751f74 |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-04-09T15:29:43Z |
| publishDate | 2023-05-01 |
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| series | JSES International |
| spelling | doaj.art-0c9fddc93c2a49f9a532640f7e751f742023-04-28T08:56:30ZengElsevierJSES International2666-63832023-05-0173499505The Oxford Elbow Score demonstrated good measurement properties when used with a shortened 7-day recall periodEythor Ö. Jonsson, MD0Johan Wänström, MD1Hanna Björnsson Hallgren, MD, PhD2Lars Adolfsson, MD, PhD3Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Orthopaedics, Sahlgrenska University Hospital, Mölndal, Sweden; Corresponding author: Eythor Ö. Jonsson, MD, Sahlgrenska Universitetssjukhuset Område 3 Ortopedi SE-431 80, Mölndal, Sweden.Division of Orthopaedic Surgery, Department of Biomedical and Clinical Sciences, Linkoping University, Linkoping, SwedenDivision of Orthopaedic Surgery, Department of Biomedical and Clinical Sciences, Linkoping University, Linkoping, SwedenDivision of Orthopaedic Surgery, Department of Biomedical and Clinical Sciences, Linkoping University, Linkoping, SwedenBackground: The Oxford Elbow Score (OES) is a well-validated, elbow-specific, patient-reported outcome measure (PROM), originally assigned a 4-week recall period. For PROMs, short recall periods could have some advantages, such as optimizing validity by minimizing the negative effects of inaccurate recollection and temporal trends (increase or decrease) in symptoms over the course of the recall period. Temporal trends in elbow function can, for example, be expected to occur over 4 weeks in patients recovering from an injury or surgery. The purpose of this study was to evaluate the measurement properties of the OES using a shortened, 7-day, recall period (OES-7d). Methods: The inclusion criteria were fracture, tendon rupture or dislocation affecting the elbow, and age ≥18 years. Patients with Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores of ≥10 points preinjury (pre-existing upper extremity condition) or concurrent upper extremity injuries were excluded. Patients completed the OES-7d, QuickDASH, and Single Assessment Numeric Evaluation-Function for the last 7 days preinjury (T1), the first 7 days postinjury (T2) and a 7-day period 3-5 months postinjury (T3). Correlations were assessed with Spearman’s rho. Analyses of construct validity (correlation between scores) and internal consistency (Cronbach’s alpha) were based on T3 data. Responsiveness was assessed by correlating changes in scores (change scores) between time points. Intra-rater reliability was assessed by calculating intraclass correlation coefficients based on 2 administrations (1- to 3-week interval) of PROMs in a separate group of patients who had sustained an elbow injury 1-2 years previously. Results: Seventy-five patients (45 women) were included between May 2020 and July 2021. Their mean age was 51.7 years. At T3, Spearman’s rho was −0.91 for the correlation between OES total and QuickDASH scores and 0.76 for the correlation between OES total scores and Single Assessment Numeric Evaluation-Function values (construct validity). Spearman’s rho for correlation between OES total and QuickDASH change scores from T2 to T3 (T3 minus T2) was −0.85 (responsiveness for improvement) and −0.88 for change scores from T1 to T2 (T2 minus T1, responsiveness for deterioration). For the OES domains, Cronbach’s alpha was 0.83 for elbow function, 0.91 for pain and 0.90 for social-psychological domains. The intraclass correlation coefficient for the OES total score was 0.96. Conclusion: The OES demonstrated good measurement properties when used with a 7-day recall period (OES-7d). These results further establish the OES as a well-validated, elbow-specific PROM and support using a 7-day recall period.http://www.sciencedirect.com/science/article/pii/S2666638323000245Recall periodOxford elbow scoreValidationMeasurement propertiesElbowPatient-reported outcome measures |
| spellingShingle | Eythor Ö. Jonsson, MD Johan Wänström, MD Hanna Björnsson Hallgren, MD, PhD Lars Adolfsson, MD, PhD The Oxford Elbow Score demonstrated good measurement properties when used with a shortened 7-day recall period JSES International Recall period Oxford elbow score Validation Measurement properties Elbow Patient-reported outcome measures |
| title | The Oxford Elbow Score demonstrated good measurement properties when used with a shortened 7-day recall period |
| title_full | The Oxford Elbow Score demonstrated good measurement properties when used with a shortened 7-day recall period |
| title_fullStr | The Oxford Elbow Score demonstrated good measurement properties when used with a shortened 7-day recall period |
| title_full_unstemmed | The Oxford Elbow Score demonstrated good measurement properties when used with a shortened 7-day recall period |
| title_short | The Oxford Elbow Score demonstrated good measurement properties when used with a shortened 7-day recall period |
| title_sort | oxford elbow score demonstrated good measurement properties when used with a shortened 7 day recall period |
| topic | Recall period Oxford elbow score Validation Measurement properties Elbow Patient-reported outcome measures |
| url | http://www.sciencedirect.com/science/article/pii/S2666638323000245 |
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