Psychological symptoms and the MCID of the DASH score in shoulder surgery
Autor: | Ydo V Kleinlugtenbelt, Rinco C.T. Koorevaar, Esther van 't Riet, Sjoerd K. Bulstra, Ellie B M Landman |
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Přispěvatelé: | Restoring Organ Function by Means of Regenerative Medicine (REGENERATE), Public Health Research (PHR) |
Rok vydání: | 2018 |
Předmět: |
Male
lcsh:Diseases of the musculoskeletal system Shoulder surgery medicine.medical_treatment Minimal Clinically Important Difference RESPONSIVENESS Cohort Studies Disability Evaluation Psychological symptoms MCID 0302 clinical medicine lcsh:Orthopedic surgery Quality of life QUALITY-OF-LIFE Orthopedics and Sports Medicine Longitudinal Studies Prospective Studies DASH shoulder surgery 030212 general & internal medicine Pain Measurement CLINICALLY IMPORTANT DIFFERENCE Change score HEALTH-STATUS 030222 orthopedics Minimal clinically important difference Middle Aged humanities Elective Surgical Procedures ARM ROTATOR CUFF REPAIR Dash score Female Research Article Adult musculoskeletal diseases medicine.medical_specialty QUESTIONNAIRE 4DSQ 03 medical and health sciences Shoulder Pain Dash medicine Humans In patient Aged business.industry INSTRUMENTS lcsh:RD701-811 PATIENT-REPORTED OUTCOMES Orthopedic surgery Physical therapy DISABILITIES Surgery lcsh:RC925-935 business human activities |
Zdroj: | Journal of Orthopaedic Surgery and Research, Vol 13, Iss 1, Pp 1-7 (2018) Journal of orthopaedic surgery and research, 13(1):246. BMC Journal of Orthopaedic Surgery and Research |
ISSN: | 1749-799X |
Popis: | BACKGROUND: Psychological symptoms are frequently present in patients scheduled for shoulder surgery. The perception of functional disability, activity level and pain in the shoulder is negatively influenced by psychological symptoms, which leads to higher scores of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. The aim of this study was to determine the influence of psychological symptoms on the minimal clinically important difference (MCID) of the DASH score in patients after shoulder surgery.METHODS: In this prospective longitudinal cohort study, 176 patients were included. Group 1 (32 patients) had symptoms of psychological disorders before and after surgery; group 2 had no symptoms of psychological disorders (110 patients). In the remaining patients (34 patients), psychological disorders changed after surgery. Clinical outcome was measured with the change of DASH score and anchor questions for perceived improvement of pain and function after surgery. Symptoms of psychological disorders were identified with the Four-Dimensional Symptom Questionnaire. An anchor-based mean change score technique was used to determine the MCID of the DASH score.RESULTS: DASH scores before and 12 months after shoulder surgery were significantly higher in patients with symptoms of psychological disorders; change of DASH score was not different between the two groups. The MCID of the DASH score was 13.0 [SD 20.7] in the group with symptoms of psychological disorders and 12.7 [SD 17.6] in the group with no symptoms of psychological disorders. We observed no difference (p = 0.559) in the MCID between the group with and the group without symptoms of psychological disorders.CONCLUSION: Symptoms of psychological disorders had a negative effect on the DASH score but no influence on the MCID of the DASH score. The DASH score could be used in future studies to assess the influence of psychological factors on the clinical outcome of treatment. |
Databáze: | OpenAIRE |
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