Gupta Sanjay, Halai Mansur, Al-Maiyah Mohammed, Muller Scott
Acta Orthop Belg. 2014 Mar;80(1):116-8.
The Disability of the Arm, Shoulder and Hand (DASH) and the Patient-Rated Wrist Evaluation (PRWE) scores appear most frequently in the literature when assessing functional outcome after distal radius fracture. We aimed to evaluate if the two questionnaires correlate. We reviewed 258 cases of adults who sustained a distal radius fracture over a one year period. At mean follow-up of 17 months the disability of the arm, shoulder and hand (DASH) and the patient-rated wrist evaluation (PRWE) scores were recorded. The outcome scores for each group were not statistically different (DASH p = 0.86, PRWE p = 0.80). The results of both questionnaires correlated strongly (Spearman's coefficient = 0.90). As the DASH score is potentially influenced by concomitant upper limb problems we suggest that the specific patient rated wrist evaluation (PRWE) be the sole instrument for assessing the functional outcome of distal radius fractures. This will reduce questionnaire fatigue and standardise the literature.
在评估桡骨远端骨折后的功能结局时，手臂、肩部和手部功能障碍（DASH）评分及患者自评腕关节评估（PRWE）评分在文献中出现得最为频繁。我们旨在评估这两份问卷是否具有相关性。我们回顾了在一年时间内发生桡骨远端骨折的258例成人病例。在平均17个月的随访时，记录了手臂、肩部和手部功能障碍（DASH）评分及患者自评腕关节评估（PRWE）评分。每组的结局评分无统计学差异（DASH评分p = 0.86，PRWE评分p = 0.80）。两份问卷的结果具有很强的相关性（斯皮尔曼系数 = 0.90）。由于DASH评分可能受到上肢伴随问题的影响，我们建议将特定的患者自评腕关节评估（PRWE）作为评估桡骨远端骨折功能结局的唯一工具。这将减少问卷疲劳并使文献标准化。
