How sharp is the short QuickDASH? A refined content and validity analysis of the short form of the disabilities of the shoulder, arm and hand questionnaire in the strata of symptoms and function and specific joint conditions

Angst, Felix; Goldhahn, Jörg; Drerup, Susann; Flury, Manuel; Schwyzer, Hans‐Kaspar; Simmen, Beat R.

doi:10.1007/s11136-009-9529-4

Cited by 67 publications

(53 citation statements)

References 24 publications

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“…Previous studies across a variety of musculoskeletal problems, including shoulder disorders, suggest that different PRO measures have moderate to high correlation with each other. 4,12 Though the correlations found in the present study were consistent with relationships reported in the literature, more important to the purpose of the study was that the correlations were very consistent, regardless of whether the DASH or QuickDASH was the correlate. That the correlations obtained were similar across a spectrum of self-reported and physical impairment measures supports the conclusion that the DASH and Quick-DASH provide equivalent construct validity.…”

Section: Discussionsupporting

confidence: 89%

“…4,27,39 Our data agreed in terms of the direction of this bias (QuickDASH giving higher scores), but suggested that the potential bias was relatively small (1-3 points). The frequency distribution graph of difference between the QuickDASH and DASH indicates that score differences usually are less than 5 points, although our limits of agreement illustrated that it was a sizable difference in some patients.…”

Section: Discussionsupporting

confidence: 56%

“…There has been debate about the factor structure of the DASH, 20 and some have analyzed it as having 2 factors. 4 Although it is not a purpose of this study to address factor structure, we note that the QuickDASH, like its parent, is a mixture of symptom and function questions.…”

Section: Discussionmentioning

confidence: 99%

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Validity of the QuickDASH in Patients With Shoulder-Related Disorders Undergoing Surgery

MacDermid

Khadilkar²,

Birmingham³

et al. 2015

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Validity study. Objective To determine the validity of the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH) in comparison to the full DASH in patients undergoing total shoulder arthroplasty (TSA) and rotator cuff repair (RCR). Background The QuickDASH is a shorter version of the DASH that may reduce respondent burden while retaining similar measurement properties. Methods One hundred thirty-two patients undergoing TSA or RCR were assessed at baseline and at 3 and 6 months postoperatively. The patients completed the DASH, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form self-report section, and the Western Ontario Rotator Cuff index, and were tested to determine their shoulder range of motion and isometric strength. The differences between scores on the DASH and QuickDASH across the scale range were evaluated using the Bland-Altman technique. Item difficulty, correlations with other patient-reported outcome measures, and physical impairments were used to assess validity. Known group validity was assessed by examining differentiation of work status. Responsiveness was assessed through standardized response means. Results QuickDASH scores were slightly higher than DASH scores, with a mean difference of 1 to 1.3 points for the TSA group and 1 to 3 points for the RCR group tested preoperatively, and at 3 months and 6 months postoperatively, although limits of agreement were wide (ranging from −10 to 13 across all estimates). The QuickDASH items were distributed across the full DASH, when ranked by item difficulty, for both patient groups. The correlation between the QuickDASH and DASH was almost perfect (r>0.92). Correlations between the DASH/QuickDASH and other patient-reported outcome measures ranged from moderate to very large (American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form self-report section, r = 0.47–0.85; Western Ontario Rotator Cuff index, r = 0.83–0.91), whereas correlations to impairments were small to moderate. Correlation estimates varied by less than 0.07, depending on whether the DASH or QuickDASH was used, suggesting equivalent construct validity. Both the DASH and QuickDASH discriminated between working and nonworking patients, with similar group differences and statistical significance (P<.01). The QuickDASH and DASH showed similar responsiveness between presurgery and 6-month follow-up (standardized response mean, 1.1 following TSA and 0.8 following RCR). Conclusion When substituting the QuickDASH for the full DASH, similar score estimates, discrimination of clinically relevant subgroups, and responsiveness can be expected across patients following TSA and RCR. J Orthop Sports Phys Ther 2015;45(1):25–36. Epub 13 Nov 2014. doi:10.2519/jospt.2015.5033

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 56%

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Validity of the QuickDASH in Patients With Shoulder-Related Disorders Undergoing Surgery

MacDermid

Khadilkar²,

Birmingham³

et al. 2015

Journal of Orthopaedic & Sports Physical Therapy

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“…[8][9][10][11][12][13][14][15][16] In this study, we used the QuickDASH questionnaire, 17 which has 11 items with the same scoring range. Although studies have shown that the full-length questionnaire provides more specific and accurate results, 18 numerous reports also indicate that the QuickDASH instrument can be used instead of the DASH questionnaire, with similar precision in upper extremity disorders. 16,[19][20][21] Additional studies have shown the independent responsiveness, validity, and reliability of the QuickDASH 22-26 for various upper extremity disorders.…”

Section: Methodsmentioning

confidence: 99%

The Usefulness of Patient-Reported Measures for Clinical Practice

Vliet

Maradey²,

Homa³

et al. 2013

Plastic and Reconstructive Surgery

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“…The Quick-DASH score is a validated patient-oriented rating scale that analyzes 11 factors involved in activities of daily living, followed by optional questions. 2 The SF-12 is a valid measure of health status in patients with a variety of upper extremity disorders. 40 Passive and active elbow ROM was measured using a goniometer and arm and forearm circumferences were measured.…”

Section: Patient Evaluationmentioning

confidence: 99%

Progressive osteolysis of the radius after distal biceps tendon repair with the bioabsorbable screw

Potapov

Laflamme

Gagnon

et al. 2011

Journal of Shoulder and Elbow Surgery

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How sharp is the short QuickDASH? A refined content and validity analysis of the short form of the disabilities of the shoulder, arm and hand questionnaire in the strata of symptoms and function and specific joint conditions

Cited by 67 publications

References 24 publications

Validity of the QuickDASH in Patients With Shoulder-Related Disorders Undergoing Surgery

Validity of the QuickDASH in Patients With Shoulder-Related Disorders Undergoing Surgery

The Usefulness of Patient-Reported Measures for Clinical Practice

Progressive osteolysis of the radius after distal biceps tendon repair with the bioabsorbable screw

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