Patient-Physician Agreement Using Summary Outcome Determination Scores

Shukla, Dave R.; Vaichinger, Anthony M.; Shields, Maegan N.; Lee, Jung Hwa; Gupta, Shabnum; Fitzsimmons, James S.; O’Driscoll, Shawn W.

doi:10.1016/j.mayocp.2017.10.008

Cited by 6 publications

(3 citation statements)

References 39 publications

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“…The primary clinical determinants for these patients were the Summary Outcome Determination (SOD) scores 6 , 41 and the subjective portion of the Timmerman-Andrews score. 1 , 16 These outcome scores were considered most applicable and relevant to the average nonelite patient.…”

Section: Methodsmentioning

confidence: 99%

“…The Timmerman-Andrews score (0-100) focuses on the primary components that affect functionality for routine activities: pain, swelling, locking/catching, and activity level. 41 , 42 While the Conway-Jobe rating score was also performed for some patients, it was deemed invalid for the majority of our patients, many of whom were simply aiming to relieve pain and return to a functional level for recreation and work. 13 Secondary outcomes included rates of complication and reoperation for recurrent instability.…”

Section: Methodsmentioning

confidence: 99%

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Is Allograft Reconstruction of the Medial Ulnar Collateral Ligament of the Elbow a Viable Option for Nonelite Athletes? Outcomes at a Mean of 8 Years

Kennon

Marigi

Songy

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: The rate of elbow medial ulnar collateral ligament (MUCL) injury and surgery continues to rise steadily. While authors have failed to reach a consensus on the optimal graft or anchor configuration for MUCL reconstruction, the vast majority of the literature is focused on the young, elite athlete population utilizing autograft. These studies may not be as applicable for the “weekend warrior” type of patient or for young kids playing on high school leagues or recreationally without the intent or aspiration to participate at an elite level. Purpose: To investigate the clinical outcomes and complication rates of MUCL reconstruction utilizing only allograft sources in nonelite athletes. Study Design: Case series; Level of evidence, 4. Methods: Patient records were retrospectively analyzed for individuals who underwent allograft MUCL reconstruction at a single institution between 2000 and 2016. A total of 25 patients met inclusion criteria as laborers or nonelite (not collegiate or professional) athletes with a minimum of 2 years of postoperative follow-up. A review of the medical records for the included patients was performed to determine survivorship free of reoperation, complications, and clinical outcomes with use of the Summary Outcome Determination (SOD) and Timmerman-Andrews scores. Statistical analysis included a Wilcoxon rank-sum test to compare continuous variables between groups with an alpha level set at .05 for significance. Subgroup analysis included comparing outcome scores based on the allograft type used. Results: Twenty-five patients met all inclusion and exclusion criteria. The mean time to follow-up was 91 months (range, 25-195 months), and the mean age at the time of surgery was 25 years (range, 12-65 years). There were no revision operations for recurrent instability. The mean SOD score was 9 (range, 5-10) at the most recent follow-up, and the Timmerman-Andrews scores averaged 97 (range, 80-100). Three patients underwent subsequent surgical procedures for ulnar neuropathy (n = 2) and contracture (n = 1), and 1 patient underwent surgical intervention for combined ulnar neuropathy and contracture. Conclusion: Allograft MUCL reconstruction in nonelite athletes demonstrates comparable functional scores with many previously reported autograft outcomes in elite athletes. These results may be informative for elbow surgeons who wish to avoid autograft morbidity in common laborers and nonelite athletes with MUCL incompetency.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Is Allograft Reconstruction of the Medial Ulnar Collateral Ligament of the Elbow a Viable Option for Nonelite Athletes? Outcomes at a Mean of 8 Years

Kennon

Marigi

Songy

et al. 2020

Orthopaedic Journal of Sports Medicine

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“…ROM is an important objective parameter to assess after treating many elbow conditions or conducting research. Shukla et al 20 showed that patient-reported outcomes following elbow and shoulder surgery can be obtained using a Summary Outcome Determination score, which has extremely high agreement between orthopedic providers and the patient. Therefore, follow-up after elbow surgery may be performed effectively by correspondence by having the patient send in a simple questionnaire, ROM photographs, and X-rays taken near home.…”

Section: Discussionmentioning

confidence: 99%

Smartphone “Selfies”—A reliable and accurate tool for measuring elbow range of motion

Shields¹,

Vaichinger²,

O’Driscoll

2019

Shoulder & Elbow

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Background To determine if self-taken photographs (“selfies”), performed independently after instruction by video or illustrated handout, would be an accurate and reliable tool for capturing elbow range of motion in patients with elbow contractures. Methods Fifty patients presenting with elbow contractures participated in the study. After completion of the selfie, the senior author clinically measured flexion and extension with a goniometer. The angles from the photographs were measured and analyzed. Results The agreement between goniometer and “selfie” measurements correlated closely (R2 = 0.98) and agreement was excellent in both extension and in flexion with intra-class correlation coefficients of 0.95 (95% CI 0.92 to 0.97) in extension with a mean difference of 2° (95% CI −3° to 7°), and 0.93 (95% CI 0.89 to 0.96) in flexion with a mean difference of 4° (95% CI 0° to 8°). Systematic errors were low in extension, 0° (95% CI, ±11°) and in flexion −3° (95% CI, ±10°). Six patients demonstrated ≥10° difference between clinical and selfie measurements. Ability to take a usable selfie was inversely correlated with age (R2 = 0.97). Discussion Self-taken flexion–extension photographs are a reliable and accurate tool for measuring elbow range of motion. Errors in the selfie technique are well tolerated and appear to have a negligible effect upon measurements of motion. This important parameter of elbow function can therefore be obtained outside a normal clinic visit, thereby improving frequency of follow-up assessments (and minimizing loss to follow-up) necessary for quality control and research.

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Medial Ulnar Collateral Ligament Reconstruction With Allograft Provides Excellent Clinical Outcomes, High Rates of Return to Play, and a Low Incidence of Postoperative Complications: A Systematic Review

Peebles,

Blackwood,

Verma

et al. 2024

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Patient-Physician Agreement Using Summary Outcome Determination Scores

Cited by 6 publications

References 39 publications

Is Allograft Reconstruction of the Medial Ulnar Collateral Ligament of the Elbow a Viable Option for Nonelite Athletes? Outcomes at a Mean of 8 Years

Is Allograft Reconstruction of the Medial Ulnar Collateral Ligament of the Elbow a Viable Option for Nonelite Athletes? Outcomes at a Mean of 8 Years

Smartphone “Selfies”—A reliable and accurate tool for measuring elbow range of motion

Medial Ulnar Collateral Ligament Reconstruction With Allograft Provides Excellent Clinical Outcomes, High Rates of Return to Play, and a Low Incidence of Postoperative Complications: A Systematic Review

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