One question might be capable of replacing the Shoulder Pain and Disability Index (SPADI) when measuring disability: a prospective cohort study

Graaf, Marloes Thoomes-de; Scholten-Peeters, Gwendolyne G M; Karel, Yasmaine; Verwoerd, Annemieke; Koes, Bart W.; Verhagen, Arianne P.

doi:10.1007/s11136-017-1698-y

Cited by 4 publications

(5 citation statements)

References 42 publications

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“…We used self‐identification as gold standard to define responder status. Similar single questions have been demonstrated as valid replacement for disability scales as screening instrument in both neuropathic, 16 and non‐neuropathic 25 disorders. In the current study, our results indicate that in the overwhelming majority of self‐identifying treatment responders, MID‐defined change may be observed on at least one of the three common outcome measures used.…”

Section: Discussionmentioning

confidence: 93%

Minimal important differences and self‐identifying treatment response in chronic inflammatory demyelinating polyneuropathy

2021

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Introduction/Aim: The use of outcome measures is recommended for chronic inflammatory demyelinating polyneuropathy (CIDP). Implications of minimal important differences (MID) to ascertain responder status are unknown. The reliability of patient-reported treatment-response in relation to clinically relevant change is also unknown.Methods: We retrospectively studied 72 subjects with "definite" or "probable" CIDP evaluated at pre-specified time-intervals pre-and post-treatment. We derived MID and the minimum detectable change with 95% confidence intervals (MDC 95 ) for four scales. Scale sensitivities were determined with applicable MID-defined cutoffs (aMIDc), to detect subjects with self-identifying treatment response through a single question.Results: The use of MID was not valid for the Medical Research Council Sum Score, as MDC 95 > MID. The aMIDc for the Overall Neuropathy Limitation Score (ONLS) was 1 (sensitivity: 84.7%). The aMIDc for the centile Inflammatory Rasch-built Overall Disability Scale (cI-RODS) was 8 (sensitivity: 62.3%). The aMIDc for grip strength was 4 kg (sensitivity: 79.1%). MID-defined amelioration of any one scale among ONLS, cI-RODS, or grip strength, significantly improved sensitivity to detect treatment-responders compared with the ONLS alone

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Section: Discussionmentioning

confidence: 93%

Minimal important differences and self‐identifying treatment response in chronic inflammatory demyelinating polyneuropathy

2021

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“…A month later I completed the DASH and was surprised to see how much the score had improved, going down from 39 before surgery to 21. Using the disabilities of the arm, shoulder and hand for self-management during recovery I had learned that the DASH has been widely used [17][18][19][20].…”

Section: Self-managementmentioning

confidence: 99%

“…I had learned that the DASH has been widely used [ 17 – 20 ]. From what I read it appeared that the DASH was reliable and measured what it was supposed to measure.…”

Section: Introductionmentioning

confidence: 99%

Patient-led use of patient-reported outcome measure in self-Management of a Rotator Cuff Injury

Santana

Tomkins

2021

J Patient Rep Outcomes

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Introduction The patient is the person who experiences both the processes and the outcomes of care. Information held by the patient is vital for clinical and self-management, improving health outcomes, delivery of care, organization of health systems, and formulation of health policies. Patient-reported outcome measures (PROMs) play an important role in supporting patient’s self-management. This narrative describes a patient-led use of a PROM to self-manage after a rotator cuff injury. Methods This is a narrative of a patient who tore the supraspinatus tendon in her right shoulder in an accident. The Disabilities of the Arm, Shoulder and Hand, the DASH questionnaire, was used to monitor and self-manage recovery after the accident. The DASH questionnaire is a self-reported questionnaire that measures the difficulty in performing upper extremity activities and pain in the arm, shoulder or hand. It has been widely used in research studies, but here the patient initiated its use for self-management while waiting for and after rotator cuff surgery. The patient created separate sub-scale scores for function and for pain to answer questions from healthcare providers about her recovery. Results There was noticeable improvement over 3 months of conservative treatment, from a high level of disability of 56 to 39 (score changed 17); however, the scores were nowhere near the general population normative score of 10.1. Surgery improved the score from 39 pre-surgery to 28. Post-surgical interventions included physiotherapy, pain management and platelet-riched plasma treatment (PRP). The score was 14 4 weeks post-PRP. Conclusions The patient found the DASH useful in monitoring recovery from a rotator cuff injury (before and after surgery). The DASH contributed to communication with healthcare professionals and supported the clinical management. The DASH questionnaire was able to capture the patient’s experience with the injury and surgical recovery, corroborating an improvement in function while there was persistent post-surgical pain.

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“… 57 Several researchers have started to validate shortened or abbreviated versions of existing PROMs. 58–62 The PSFS 2.0 is an example of a PROM which is easy to complete, takes little time to complete, and is simple for clinicians to analyze and interpret.…”

Section: Discussionmentioning

confidence: 99%

Reliability, Measurement Error, Responsiveness, and Minimal Important Change of the Patient-Specific Functional Scale 2.0 for Patients With Nonspecific Neck Pain

Thoomes,

Cleland,

Falla

et al. 2023

Physical Therapy

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Objective The Patient-Specific Functional Scale (PSFS) is a patient-reported outcome measure used to assess functional limitations. Recently, the PSFS 2.0 was proposed; this instrument includes an inverse numeric rating scale and an additional list of activities that patients can choose. The aim of this study was to assess the test–retest reliability, measurement error, responsiveness, and minimal important change of the PSFS 2.0 when used by patients with nonspecific neck pain. Methods Patients with nonspecific neck pain completed a numeric rating scale, the PSFS 2.0, and the Neck Disability Index at baseline and again after 12 weeks. The Global Perceived Effect (GPE) was also collected at 12 weeks and used as an anchor. Test–retest measurement was assessed by completion of a second PSFS 2.0 after 1 week. Measurement error was calculated using a Bland–Altman plot. The receiver operating characteristic method with the anchor (GPE) functions as the reference standard was used for calculating the minimal important change. Results One hundred patients were included, with 5 lost at follow-up. No floor and ceiling effects were reported. In the test–retest analysis, the mean difference was 0.15 (4.70 at first test and 4.50 at second test). The ICC (mixed models) was 0.95, indicating high agreement (95% CI = 0.92–0.97). For measurement error, the upper and lower limits of agreement were 0.95 and − 1.25 points, respectively, with a smallest detectable change of 1.10. The minimal important change was determined to be 2.67 points. The PSFS 2.0 showed satisfactory responsiveness, with an area under the curve of 0.82 (95% CI = 0.70–0.93). There were substantial to high correlations between the change scores of the PSFS 2.0 and the Neck Disability Index and GPE (0.60 and 0.52, respectively; P < .001). Conclusions The PSFS 2.0 is a reliable and responsive patient-reported outcome measure for use by patients with neck pain.

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One question might be capable of replacing the Shoulder Pain and Disability Index (SPADI) when measuring disability: a prospective cohort study

Cited by 4 publications

References 42 publications

Minimal important differences and self‐identifying treatment response in chronic inflammatory demyelinating polyneuropathy

Minimal important differences and self‐identifying treatment response in chronic inflammatory demyelinating polyneuropathy

Patient-led use of patient-reported outcome measure in self-Management of a Rotator Cuff Injury

Reliability, Measurement Error, Responsiveness, and Minimal Important Change of the Patient-Specific Functional Scale 2.0 for Patients With Nonspecific Neck Pain

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