Psychological symptoms and the MCID of the DASH score in shoulder surgery
Abstract Background Psychological symptoms are frequently present in patients scheduled for shoulder surgery. The perception of functional disability, activity level and pain in the shoulder is negatively influenced by psychological symptoms, which leads to higher scores of the Disabilities of the A...
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| Format: | Article |
| Language: | English |
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BMC
2018-10-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-018-0949-0 |
| _version_ | 1798024365430800384 |
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| author | Rinco C T Koorevaar Ydo V Kleinlugtenbelt Ellie B M Landman Esther van ‘t Riet Sjoerd K Bulstra |
| author_facet | Rinco C T Koorevaar Ydo V Kleinlugtenbelt Ellie B M Landman Esther van ‘t Riet Sjoerd K Bulstra |
| author_sort | Rinco C T Koorevaar |
| collection | DOAJ |
| description | Abstract Background Psychological symptoms are frequently present in patients scheduled for shoulder surgery. The perception of functional disability, activity level and pain in the shoulder is negatively influenced by psychological symptoms, which leads to higher scores of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. The aim of this study was to determine the influence of psychological symptoms on the minimal clinically important difference (MCID) of the DASH score in patients after shoulder surgery. Methods In this prospective longitudinal cohort study, 176 patients were included. Group 1 (32 patients) had symptoms of psychological disorders before and after surgery; group 2 had no symptoms of psychological disorders (110 patients). In the remaining patients (34 patients), psychological disorders changed after surgery. Clinical outcome was measured with the change of DASH score and anchor questions for perceived improvement of pain and function after surgery. Symptoms of psychological disorders were identified with the Four-Dimensional Symptom Questionnaire. An anchor-based mean change score technique was used to determine the MCID of the DASH score. Results DASH scores before and 12 months after shoulder surgery were significantly higher in patients with symptoms of psychological disorders; change of DASH score was not different between the two groups. The MCID of the DASH score was 13.0 [SD 20.7] in the group with symptoms of psychological disorders and 12.7 [SD 17.6] in the group with no symptoms of psychological disorders. We observed no difference (p = 0.559) in the MCID between the group with and the group without symptoms of psychological disorders. Conclusion Symptoms of psychological disorders had a negative effect on the DASH score but no influence on the MCID of the DASH score. The DASH score could be used in future studies to assess the influence of psychological factors on the clinical outcome of treatment. |
| first_indexed | 2024-04-11T18:02:22Z |
| format | Article |
| id | doaj.art-b77bd9f519454ccea2925a7c901b232d |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T18:02:22Z |
| publishDate | 2018-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-b77bd9f519454ccea2925a7c901b232d2022-12-22T04:10:27ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-10-011311710.1186/s13018-018-0949-0Psychological symptoms and the MCID of the DASH score in shoulder surgeryRinco C T Koorevaar0Ydo V Kleinlugtenbelt1Ellie B M Landman2Esther van ‘t Riet3Sjoerd K Bulstra4Department of Orthopedics, Deventer HospitalDepartment of Orthopedics, Deventer HospitalDepartment of Orthopedics, Deventer HospitalTeaching Hospital/Research Department, Deventer HospitalDepartment of Orthopedics, University Medical Center Groningen, University of GroningenAbstract Background Psychological symptoms are frequently present in patients scheduled for shoulder surgery. The perception of functional disability, activity level and pain in the shoulder is negatively influenced by psychological symptoms, which leads to higher scores of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. The aim of this study was to determine the influence of psychological symptoms on the minimal clinically important difference (MCID) of the DASH score in patients after shoulder surgery. Methods In this prospective longitudinal cohort study, 176 patients were included. Group 1 (32 patients) had symptoms of psychological disorders before and after surgery; group 2 had no symptoms of psychological disorders (110 patients). In the remaining patients (34 patients), psychological disorders changed after surgery. Clinical outcome was measured with the change of DASH score and anchor questions for perceived improvement of pain and function after surgery. Symptoms of psychological disorders were identified with the Four-Dimensional Symptom Questionnaire. An anchor-based mean change score technique was used to determine the MCID of the DASH score. Results DASH scores before and 12 months after shoulder surgery were significantly higher in patients with symptoms of psychological disorders; change of DASH score was not different between the two groups. The MCID of the DASH score was 13.0 [SD 20.7] in the group with symptoms of psychological disorders and 12.7 [SD 17.6] in the group with no symptoms of psychological disorders. We observed no difference (p = 0.559) in the MCID between the group with and the group without symptoms of psychological disorders. Conclusion Symptoms of psychological disorders had a negative effect on the DASH score but no influence on the MCID of the DASH score. The DASH score could be used in future studies to assess the influence of psychological factors on the clinical outcome of treatment.http://link.springer.com/article/10.1186/s13018-018-0949-0Psychological symptoms MCIDDASH shoulder surgery |
| spellingShingle | Rinco C T Koorevaar Ydo V Kleinlugtenbelt Ellie B M Landman Esther van ‘t Riet Sjoerd K Bulstra Psychological symptoms and the MCID of the DASH score in shoulder surgery Journal of Orthopaedic Surgery and Research Psychological symptoms MCID DASH shoulder surgery |
| title | Psychological symptoms and the MCID of the DASH score in shoulder surgery |
| title_full | Psychological symptoms and the MCID of the DASH score in shoulder surgery |
| title_fullStr | Psychological symptoms and the MCID of the DASH score in shoulder surgery |
| title_full_unstemmed | Psychological symptoms and the MCID of the DASH score in shoulder surgery |
| title_short | Psychological symptoms and the MCID of the DASH score in shoulder surgery |
| title_sort | psychological symptoms and the mcid of the dash score in shoulder surgery |
| topic | Psychological symptoms MCID DASH shoulder surgery |
| url | http://link.springer.com/article/10.1186/s13018-018-0949-0 |
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