Evaluation of a Swedish version of the patient-rated wrist evaluation outcome questionnaire: Good responsiveness, validity, and reliability, in 99 patients recovering from a fracture of the distal radius

Abstract

The patient-rated wrist evaluation (PRWE) form is an established outcome questionnaire designed to measure wrist pain and disabilities in activities of daily living. We translated and validated this score for use in Sweden. The original PRWE score was translated forwards and backwards, and then the responsiveness, validity, and reliability of the Swedish version were tested in 99 patients who were recovering from a fracture of the distal radius. The patients completed the PRWE questionnaire 7 weeks and 4 to 6 months after the injury. Responsiveness was assessed by Standard Response Mean and Effect Size. Content validity was evaluated by examining the proportion of best and worse possible scores. Construct validity was assessed by comparing scores twice after the injury and by comparing patients with fractures of different severity. Criterion validity was evaluated by correlating the PRWE with another upper extremity score: the disability of the arm, shoulder, and hand (DASH) score. Reliability was evaluated with a test-retest and by internal consistency. Responsiveness was excellent (SRM = 1.4-1.7, ES = 1.3). Five patients reported the best possible result after 4 to 6 months but none at 7 weeks, and no patient reported the worst score at any time. The PRWE score corresponded well with improvement and showed good correlation with severity of fracture. The PRWE showed a strong correlation with DASH score (Spearman's rank coefficient = 0.86). Intraobserver reliability of the test-retest and internal consistency was good (Kendall W coefficient = 0.79, Spearman's rank coefficient = 0.99, Cronbach's alpha = 0.94-0.97). We found this Swedish version of the PRWE to be responsive, valid, and reliable for evaluating the patient-rated outcome after a fracture of the distal radius.

Measuring Outcome after Wrist Injury: Translation and Validation of the Swedish Version of the Patient-Rated Wrist Evaluation (PRWE-Swe)

“…It was interesting to note that the same question was also modified by Wilcke et al [21]. Their choice of Swedish translation was "open a tight or new jar", which is also an item in the DASH-questionnaire [2] (both in the original and the validated Swedish version [5]).…”

Wrist function recovers more rapidly after volar locked plating than after external fixation but the outcomes are similar after 1 year

“…The validated Swedish versions of the DASH score (Hudak et al 1996, Atroshi et al 2000) and the Patient-Rated Wrist Evaluation (PRWE) outcome questionnaire (MacDermid et al 1998, Wilcke et al 2009) were used to assess the patient-rated functional result. Both questionnaires yield a score from 0 to 100, where higher scores represent more disability.…”

Self-efficacy corresponds to wrist function after combined plating of distal radius fractures

“…The psychometrics of the PRWE questionnaire are well described. [16][17][18][19] It is a 15-item questionnaire rating pain and disability in functional activities. A score of 100 is calculated where 0 represents no pain or disability.…”