用于Dupuytren病时，手臂、肩部和手部患者报告结局量表（DASH）及快速DASH的效度。
Validity of the Disabilities of the Arm, Shoulder and Hand patient-reported outcome measure (DASH) and the Quickdash when used in Dupuytren's disease.
作者信息
Rodrigues J, Zhang W, Scammell B, Russell P, Chakrabarti I, Fullilove S, Davidson D, Davis T
机构信息
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Botnar Research Centre, Nuffield Orthopaedic Centre, Oxford, UK
Division of Rheumatology, Orthopaedics and Dermatology, University of Nottingham & Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham, UK.
出版信息
J Hand Surg Eur Vol. 2016 Jul;41(6):589-99. doi: 10.1177/1753193415601350. Epub 2015 Aug 25.
UNLABELLED
This study investigated aspects of the validity and reliability of the 30-item Disabilities of the Arm, Shoulder and Hand patient-reported outcome measure (DASH) and its relationship with the shorter 11-item QuickDASH in patients with Dupuytren's disease.Seven hundred and fifty-nine DASH questionnaires were studied, covering pre- and postoperative patients undergoing different treatments for Dupuytren's disease. Items related to pain rose early after treatment before returning to baseline, suggesting that studying pain is relevant during postoperative recovery. Across all 759 sets of responses, the QuickDASH agreed closely with the DASH. In exploratory factor analysis, the DASH was not unidimensional, questioning the validity of the DASH summary score in Dupuytren's disease.Further validation of existing PROMs for use in Dupuytren's disease is needed. These data suggest that pain is a relevant symptom to study during postoperative recovery following treatment for Dupuytren's disease.
LEVEL OF EVIDENCE
III.
未标注
本研究调查了30项上肢、肩部和手部功能障碍患者报告结局量表（DASH）的有效性和可靠性方面，及其与患有掌腱膜挛缩症患者的较短的11项快速DASH量表的关系。研究了759份DASH问卷，涵盖接受不同掌腱膜挛缩症治疗的术前和术后患者。与疼痛相关的项目在治疗后早期上升，然后恢复到基线水平，这表明在术后恢复期间研究疼痛是有意义的。在所有759组回答中，快速DASH量表与DASH量表高度一致。在探索性因素分析中，DASH量表不是单维的，这对掌腱膜挛缩症中DASH量表总分的有效性提出了质疑。需要对现有的用于掌腱膜挛缩症的患者报告结局量表进行进一步验证。这些数据表明，疼痛是掌腱膜挛缩症治疗后术后恢复期间需要研究的一个相关症状。
证据级别
III级。
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