Development and Validation of a Pediatric Sports Activity Rating Scale

Fabricant, Peter D.; Robles, Alex; Downey-Zayas, Timothy; Hương, Trần Thu; Marx, Robert G.; Widmann, Roger F.; Green, Daniel W.

doi:10.1177/0363546513496548

Cited by 125 publications

(62 citation statements)

References 65 publications

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“… 48 Recently developed pediatric-focused knee and activity PROMs may have a widespread impact if appropriately used for future clinical outcomes assessments in this demographic. 16 , 17 , 26 …”

Section: Discussionmentioning

confidence: 99%

Clinical Outcome Reporting in Youth ACL Literature Is Widely Variable

Brusalis

Lakomkin

Suryavanshi

et al. 2017

Orthopaedic Journal of Sports Medicine

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Background:Advances in anterior cruciate ligament (ACL) reconstruction procedures in pediatric and adolescent patients have resulted in an increase in recent clinical studies on this topic. However, the consistency with which outcome measures are reported in this demographic is unknown.Purpose:To document outcome reporting patterns of youth ACL reconstruction studies in high-impact journals.Study Design:Systematic review; Level of evidence, 4.Methods:All articles published in 5 high-impact orthopaedic journals from 2010 to 2016 were reviewed to identify those reporting clinical outcomes of young patients who underwent ACL reconstruction. Studies that were nonclinical, reported on patients older than 18 years, or included fewer than 10 patients were excluded. Outcome measures used in all included studies were recorded.Results:Seventeen studies encompassing 772 subjects (mean age, 14.3 years; range, 6.3-18.0 years) were analyzed. Eight studies (47%) reported on Tanner stage of subjects, while 1 study reported skeletal age. Ten studies (59%) clearly documented the presence or absence of surgical complications. Range of motion was reported in 65% of studies. Leg-length discrepancy and angular deformity were each reported in 76% of studies, with 12% quantifying results through radiographic measurements. Ligament testing was variably defined by inclusion of instrumented testing (65%), Lachman test (53%), and pivot-shift test (53%). Fourteen studies (82%) explicitly reported on the rate of ACL rerupture, while 71% reported on the rate of revision surgery. Rate of return to preinjury activity was reported in 8 studies (47%), of which 2 defined criteria for return to sport and 3 defined the level of competitive sport. Patient-reported outcome measures (PROMs) were used variably. For the 3 most commonly reported PROMs (Lysholm, International Knee Documentation Committee, and Tegner), 24% of studies reported all 3 PROMs, 35% of studies reported 2 PROMs, and 6% of studies reported 1 PROM in isolation. A pediatric-specific PROM was reported in 1 of the 17 studies.Conclusion:Studies on pediatric ACL reconstruction published in high-impact journals unreliably defined subjects’ skeletal maturity, inconsistently reported on objective outcome measures, and used disparate adult-validated PROMs to assess subjective outcomes. These findings highlight the need for standardized, pediatric-specific outcome measures to be applied in future studies evaluating ACL reconstruction in children and adolescents.

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Section: Discussionmentioning

confidence: 99%

Clinical Outcome Reporting in Youth ACL Literature Is Widely Variable

Brusalis

Lakomkin

Suryavanshi

et al. 2017

Orthopaedic Journal of Sports Medicine

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“…This is consistent with findings from other research-being male has been documented as a risk factor for trauma in many studies, with differences between males and females in involvement in trauma appearing from the first year of life. 7,8 In children under 15 years of age, the mortality rate due to trauma is reportedly 24% higher in boys than girls. 7,8 Differences in behaviour between genders may be one reason for such findings, as well as higher activity levels, greater freedom to play alone and increased involvement in risky sports among males.…”

Section: Discussionmentioning

confidence: 99%

“…7,8 In children under 15 years of age, the mortality rate due to trauma is reportedly 24% higher in boys than girls. 7,8 Differences in behaviour between genders may be one reason for such findings, as well as higher activity levels, greater freedom to play alone and increased involvement in risky sports among males.…”

Section: Discussionmentioning

confidence: 99%

“…13 Although lung contusions were the most common injury, the majority of these were included in the study, although most paediatric trauma series have an upper age limit of 15-19 years old; for this reason, differences in trauma patterns may exist. 8,13,14,17 Secondly, the current study was retrospective and focused only on hospitalised patients admitted to a single trauma centre; as such, the findings may not represent the exact CT scan rate at SQUH or the true number of paediatric blunt torso trauma cases occurring in Oman during the study period. Thirdly, the current study did not describe the precise management algorithms utilised by the ED physicians, if any.…”

Section: Discussionmentioning

confidence: 99%

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Paediatric Blunt Torso Trauma: Injury mechanisms, patterns and outcomes among children requiring hospitalisation at the Sultan Qaboos University Hospital, Oman

Bhatti

Taqi

Al-Harthy

et al. 2016

SQUMJ

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abstract:Objectives: Trauma is the greatest cause of morbidity and mortality in paediatric/adolescent populations worldwide. This study aimed to describe trauma mechanisms, patterns and outcomes among children with blunt torso trauma admitted to the Sultan Qaboos University Hospital (SQUH) in Muscat, Oman. Methods: This retrospective single-centre study involved all children ≤12 years old with blunt torso trauma admitted for paediatric surgical care at SQUH between January 2009 and December 2013. Medical records were analysed to collect demographic and clinical data. Results: A total of 70 children were admitted with blunt torso trauma during the study period, including 39 (55.7%) male patients. The mean age was 5.19 ± 2.66 years. Of the cohort, 35 children (50.0%) received their injuries after having been hit by cars as pedestrians, while 19 (27.1%) were injured by falls, 12 (17.1%) during car accidents as passengers and four (5.7%) by falling heavy objects. According to computed tomography scans, thoracic injuries were most common (65.7%), followed by abdominal injuries (42.9%). The most commonly involved solid organs were the liver (15.7%) and spleen (11.4%). The majority of the patients were managed conservatively (92.9%) with a good outcome (74.3%). The mortality rate was 7.1%. Most deaths were due to multisystem involvement. Conclusion: Among children with blunt torso trauma admitted to SQUH, the main mechanism of injury was motor vehicle accidents. As a result, parental education and enforcement of infant car seat/child seat belt laws are recommended. Conservative management was the most successful approach. Keywords

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“…Third, we need to understand how to apply the pediatric PROMIS domains to our pediatric and adolescent patients, especially in sports medicine that has very few age-appropriate PROMs despite experiencing a large increase in the incidence of youth sports injuries and treatment methods. [17][18][19][20][21][22] Finally, we need to work with our institutions and specialty societies to guide the conversation around how these data will be used by the government and thirdparty payers. As PROMs such as PROMIS become linked to reimbursement, we as a profession want a seat at the table as these policies are being created.…”

Section: See Related Article On Page 1113mentioning

confidence: 99%

Development and Validation of a Pediatric Sports Activity Rating Scale

Cited by 125 publications

References 65 publications

Clinical Outcome Reporting in Youth ACL Literature Is Widely Variable

Clinical Outcome Reporting in Youth ACL Literature Is Widely Variable

Paediatric Blunt Torso Trauma: Injury mechanisms, patterns and outcomes among children requiring hospitalisation at the Sultan Qaboos University Hospital, Oman

Editorial Commentary: We PROMIS…One More Patient-Reported Outcome Questionnaire!

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