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
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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