Arthroscopic Rotator Cuff Repair Metrics: Establishing Face, Content, and Construct Validity in a Cadaveric Model
Autor: | Pat St. Pierre, Ilya Voloshin, Ben Shafer, Anthony G. Gallagher, Richard L. Angelo, Glen Ross, Joe Tauro, Richard K.N. Ryu, Louis F. McIntyre |
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Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Video Recording Delphi method Rotator Cuff Injuries Arthroscopy Rotator Cuff 03 medical and health sciences 0302 clinical medicine Cadaver medicine Content validity Humans Orthopedics and Sports Medicine Rotator cuff 030212 general & internal medicine Diagnostic arthroscopy Face validity medicine.diagnostic_test Shoulder Joint business.industry Reproducibility of Results Construct validity Middle Aged medicine.anatomical_structure 030220 oncology & carcinogenesis Physical therapy Female Cadaveric spasm business |
Zdroj: | Arthroscopy: The Journal of Arthroscopic & Related Surgery. 36:71-79.e1 |
ISSN: | 0749-8063 |
DOI: | 10.1016/j.arthro.2019.07.016 |
Popis: | Purpose To create and determine face validity and content validity of arthroscopic rotator cuff repair (ARCR) performance metrics, to confirm construct validity of the metrics coupled with a cadaveric shoulder, and to establish a performance benchmark for the procedure on a cadaveric shoulder. Methods Five experienced arthroscopic shoulder surgeons created step, error, and sentinel error metrics for an ARCR. Fourteen shoulder arthroscopy faculty members from the Arthroscopy Association of North America formed the modified Delphi panel to assess face and content validity. Eight Arthroscopy Association of North America shoulder arthroscopy faculty members (experienced group) were compared with 9 postgraduate year 4 or 5 orthopaedic residents (novice group) in their ability to perform an ARCR. Instructions were given to perform a diagnostic arthroscopy and a 2-anchor, 4–simple suture repair of a 2-cm supraspinatus tear. The procedure was videotaped in its entirety and independently scored in blinded fashion by trained, paired reviewers. Results Delphi panel consensus for 42 steps and 66 potential errors was obtained. Overall performance assessment showed a mean inter-rater reliability of 0.93. Novice surgeons completed 17% fewer steps (32.1 vs 37.5, P = .001) and enacted 2.5 times more errors than the experienced group (6.21 vs 2.5, P = .012). Fifty percent of the experienced group members and none of the novice group members achieved the proficiency benchmark of a minimum of 37 steps completed with 3 or fewer errors. Conclusions Face validity and content validity for the ARCR metrics, along with construct validity for the metrics and cadaveric shoulder, were verified. A proficiency benchmark was established based on the mean performance of an experienced group of arthroscopic shoulder surgeons. Clinical Relevance Validated procedural metrics combined with the use of a cadaveric shoulder can be used to accurately assess the performance of an ARCR. |
Databáze: | OpenAIRE |
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