An evaluation of patient-reported outcome measures in lower limb reconstruction surgery

作者：Burton M^*; Walters S J; Saleh M; Brazier J E

来源：Quality of Life Research, 2012, 21(10): 1731-1743.

DOI：10.1007/s11136-011-0090-6

• Limb reconstruction surgery
• Bone lengthening
• Outcome assessment (health care)

Purpose To assess the measurement properties (acceptability, validity, reliability and responsiveness), of the MOS 36-Item Short-Form Health Survey (SF-36), the EQ-5D, the Short-Form McGill Pain Questionnaire (SF-MPQ) and the Musculoskeletal Functional Assessment Instrument (MFA), in patients who have undergone limb reconstruction surgery (LRS). %26lt;br%26gt;Methods Four instruments measuring patient-reported outcome were completed at baseline and 12 months from surgery. %26lt;br%26gt;Results 101 LRS patients were recruited with 95 responding at baseline and 71 at a 12-month follow-up. Response rates at baseline were over 94%. In three instruments, there was evidence of floor or ceiling effect, the exception being the EQ-5D. Cronbach%26apos;s alpha statistics of internal consistency reliability were acceptable at %26gt;= 0.80 for all dimensions of the MFA, the SF-MPQ PRI(S) and seven of the SF-36 dimensions. When comparing mean changes in scores between baseline and 12 months, the most responsive measure was the SF-36 with an average Standardised Response Mean of 0.48 for those who reported their health as better. Statistically significant differences were observed between the health change groups (%26apos;worse%26apos;, %26apos;better%26apos; and %26apos;same%26apos;) for four dimensions of the SF-36, the two summary scores and the SF-6D. %26lt;br%26gt;Conclusions Variation and poor performance of some of the instruments resulted in a recommendation of using the SF-36 and the SF-6D for LRS patients.

• 出版日期2012-12