Article

There is currently no validated
patient reported outcome measure (PROM) for Dupuytren's disease. We have
performed a retrospective analysis of QuickDASH scores taken before and after
surgery for Dupuytren's disease to assess the validity and responsiveness of the
QuickDASH and evaluate its suitability to being a PROM for this condition.
PURPOSE : To determine the eligibility of the QuickDASH score as a Patient Reported Outcome Measure for Dupuytren's disease. METHODS: Patients were
identified from the hand therapy database that had surgery performed between
January 2006 and April 2008 who had documented pre- and post-operative QuickDASH
scores. RESULTS: 69 patients were identified with complete datasets with a mean
change in QuickDASH score of -7.14 (p < 0.001) and an improvement of extension
deficit by 68.1 degrees (p < 0.001) at a mean 110 day follow-up. The change in
QuickDASH score did not correlate with the change in extension deficit. The
effect size was 0.545 and the standardised response mean was 0.580. CONCLUSION:
The QuickDASH is an acceptable PROM for Dupuytren's surgery with limitations.
Further research is needed examining PROMs with this common condition. LEVEL OF
EVIDENCE: n/a.
CI - Copyright (c) 2011 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS