术前记录的手臂、肩部和手部快速功能障碍（QuickDASH）评分。
Remembered preoperative Quick disabilities of the arm, shoulder and hand (QuickDASH) scores.
作者信息
Wormdal A H, Tallaksen S H, Hagen Ø, Foss O A, Finsen V
机构信息
1 Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.
2 Department of Orthopaedic Surgery, Martina Hansen's Hospital, Sandvika, Norway.
出版信息
J Hand Surg Eur Vol. 2017 Jan;42(1):78-83. doi: 10.1177/1753193416665299. Epub 2016 Sep 28.
UNLABELLED
The Quick disabilities of the arm, shoulder and hand (QuickDASH) patient-reported outcome measure is frequently used to assess disabilities and symptoms of the upper extremity. This study compares real preoperative QuickDASH scores and remembered preoperative QuickDASH scores. Remembered preoperative QuickDASH scores were obtained 45 months (39-67) after surgery. Patient material consisted of 160 patients operated for Dupuytren's contracture, carpal tunnel syndrome, thumb basal joint arthrosis, and shoulder pain. All patients had completed QuickDASH questionnaires before surgery. Paired T-tests, linear mixed models, and limits of agreement were used for analyses. There was a significant difference between remembered and real preoperative scores (mean 7.6, SD 15.6; SEM 1.2). Neither diagnosis, age, gender, nor time between surgery and review influenced the difference significantly. A linear mixed model was constructed to investigate the ability to retrospectively predict preoperative QuickDASH scores. Remembered preoperative QuickDASH cannot be used in individual patients because of the high inaccuracy.
LEVEL OF EVIDENCE
III.
未标注
手臂、肩部和手部快速残疾评定量表（QuickDASH）是一种常用的患者报告结局指标，用于评估上肢的残疾和症状。本研究比较了术前实际的QuickDASH评分和回忆的术前QuickDASH评分。回忆的术前QuickDASH评分在术后45个月（39 - 67个月）获得。患者材料包括160例因掌腱膜挛缩症、腕管综合征、拇指掌指关节骨关节炎和肩部疼痛接受手术的患者。所有患者在手术前均完成了QuickDASH问卷。采用配对t检验、线性混合模型和一致性界限进行分析。回忆的术前评分与实际术前评分之间存在显著差异（均值7.6，标准差15.6；标准误1.2）。诊断、年龄、性别以及手术与复查之间的时间间隔均未对该差异产生显著影响。构建了一个线性混合模型来研究回顾性预测术前QuickDASH评分的能力。由于准确性较低，回忆的术前QuickDASH评分不能用于个体患者。
证据级别
III级。
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