School of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, Canada; Roth-McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada; Lifemark Health Corp., Toronto, Ontario, Canada.
University of Western Ontario, School of Physical Therapy, London, Ontario, Canada; Roth-McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada.
J Hand Ther. 2019 Apr-Jun;32(2):222-232. doi: 10.1016/j.jht.2018.07.004. Epub 2018 Dec 23.
Systematic review.
The Patient-Rated Elbow Evaluation (PREE) and the self-report section of the American Shoulder and Elbow Surgeons-elbow form (pASES-e) are 2 patient-reported outcome measures (PROMs) commonly used to assess pain and disability arising from elbow disorders.
To systematically review and summarize the quality and content of the evidence that is available on the psychometric properties of the PREE and pASES-e.
We systematically searched the online databases PubMed, EMBASE, ProQuest, Scopus, Cumulative Index to Nursing and Allied Health Literature, UptoDate, ProQuest Dissertations & Theses, and Google Scholar. Ninety-one articles were retrieved, and after screening, 9 were included in the final analysis. Data extraction and quality appraisal was performed by 2 independent raters. Descriptive synthesis of the reviewed studies was completed.
Seven of the 9 studies had a quality score of 75% or higher. Agreement between the raters was good (kappa, 0.81). Both the PROMs did not demonstrate any floor and ceiling effects except for the satisfaction subscale of the pASES-e. Factor analysis revealed multidimensionality in the function subscale for both the PROMs. Construct validity was good with correlations above 0.70. Both were highly reliable with interclass correlation coefficient of >0.90. They were also highly responsive with an effect size and standardized response mean above 1. The minimal clinical important difference was not estimated for either measures.
This study concluded that strong clinical measurement properties exist for both the PREE and the pASES-e. We identified gaps in the current evidence for both the ASES-e and the PREE. Future studies need to calculate clinically important estimates like MCID, SEM, and others; and provide clear and specific conclusions.
The PREE and pASES-e have been established to be valid, reliable, and sensitive to change in both clinical and research settings based on high-quality evidence.
系统评价。
患者自评肘部评估（PREE）和美国肩肘外科医师协会肘部表单的自评部分（pASES-e）是两种常用于评估肘部疾病引起的疼痛和残疾的患者报告结局测量（PROM）。
系统回顾和总结有关 PREE 和 pASES-e 心理测量特性的现有证据的质量和内容。
我们系统地检索了在线数据库 PubMed、EMBASE、ProQuest、Scopus、护理与联合健康文献累积索引、UpToDate、ProQuest 论文与学位数据库和 Google Scholar。检索到 91 篇文章，经过筛选，最终有 9 篇纳入分析。两名独立评估者进行了数据提取和质量评估。对综述研究进行了描述性综合。
9 篇研究中有 7 篇的质量评分为 75%或更高。评估者之间的一致性较好（kappa 值为 0.81）。除了 pASES-e 的满意度子量表外，两种 PROM 均未显示出任何地板和天花板效应。因子分析显示，两种 PROM 的功能子量表均具有多维性。构念效度良好，相关性大于 0.70。两种 PROM 的内部一致性系数均大于 0.90，可靠性高。它们也具有高度的反应性，效应量和标准化反应均值均大于 1。两种 PROM 均未估计最小临床重要差异。
本研究得出结论，PREE 和 pASES-e 具有良好的临床测量特性。我们发现 ASES-e 和 PREE 的当前证据存在差距。未来的研究需要计算临床上重要的估计值，如 MCID、SEM 等，并提供明确和具体的结论。
基于高质量证据，PREE 和 pASES-e 已被证明在临床和研究环境中具有有效性、可靠性和对变化的敏感性。
