Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren's disease.

Rodrigues JN., Zhang W., Scammell BE., Davidson D., Fullilove S., Chakrabarti I., Russell PG., Davis TRC.

This prospective cohort study investigated the responsiveness and interpretability of the Disabilities of the Arm, Shoulder and Hand (DASH) and Unité Rhumatologique des Affections de la Main (URAM) outcome measures for assessing recovery after fasciectomy and dermofasciectomy for Dupuytren's disease. DASH outcome scores at 1 year were significantly better than at 6 weeks, suggesting that recovery is not complete by 6 weeks. Of the 101 patients recruited to the DASH cohort, 71 completed preoperative, 6 week and 1 year postoperative DASH scores; 68 of them completed preoperative and 1 year postoperative DASH scores and an external anchor question. In the URAM cohort, 30/44 completed the preoperative and the 1 year postoperative URAM scores and the anchor question. The DASH score exhibited moderate responsiveness but poor interpretability on receiver operating characteristic curve analysis, such that a minimal important change could not be estimated. The URAM score showed acceptable responsiveness, and an MIC of 10.5 on receiver operating characteristic analysis. LEVEL OF EVIDENCE: II.

DOI

10.1177/1753193416677712

Type

Journal article

Journal

J hand surg eur vol

Publication Date

03/2017

Volume

42

Pages

301 - 309

Keywords

DASH, Dupuytren’s contracture, Dupuytren’s disease, Patient-reported outcome measures, URAM, interpretability, minimal important change, minimal important difference, responsiveness, Adult, Aged, Aged, 80 and over, Dupuytren Contracture, Fasciotomy, Female, Humans, Male, Middle Aged, Patient Reported Outcome Measures, Prospective Studies, Recovery of Function, Sensitivity and Specificity, Surveys and Questionnaires

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