Comparison of the Manchester-Oxford Foot Questionnaire (MOXFQ) and the Self-Reported Foot and Ankle Outcome Score (SEFAS) in patients with foot or ankle surgery.


Journal

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647

Informations de publication

Date de publication:
Jun 2019
Historique:
received: 12 10 2017
revised: 22 01 2018
accepted: 30 01 2018
pubmed: 17 10 2018
medline: 24 10 2019
entrez: 17 10 2018
Statut: ppublish

Résumé

Patient-reported outcome measures are a critical tool in evaluating the efficacy of orthopedic procedures. The intention of this study was to compare the psychometric properties of the Manchester-Oxford Foot Questionnaire (MOXFQ) and the Self-Reported Foot and Ankle Outcome Score (SEFAS) in patients with foot or ankle surgery. 177 patients completed both scores and FAOS, Foot and Ankle Outcome Score (FAOS), Short Form 36 (SF-36) and numeric scales for pain and disability (NRS) before and after surgery. Test-Retest reliability, internal consistency, floor and ceiling effects, construct validity, responsiveness and minimal important change were analyzed. The MOXFQ and SEFAS demonstrated excellent test-retest reliability with interclass correlation coefficient values >0.9 Cronbach's alpha (α) values demonstrated strong internal consistency. No floor or ceiling effects were observed for both questionnaires. As hypothesized MOXFQ subscales correlated strongly with corresponding SEFAS, FAOS and SF-36 domains. MOXFQ subscales showed excellent responsiveness between preoperative assessment and postoperative follow-up, whereas SEFAS demonstrated moderate responsiveness. The MOXFQ and SEFAS demonstrated good psychometric properties and proofed to be valid and reliable instruments for use in foot and ankle patients. MOXFQ showed better outcomes in responsiveness.

Sections du résumé

BACKGROUND BACKGROUND
Patient-reported outcome measures are a critical tool in evaluating the efficacy of orthopedic procedures. The intention of this study was to compare the psychometric properties of the Manchester-Oxford Foot Questionnaire (MOXFQ) and the Self-Reported Foot and Ankle Outcome Score (SEFAS) in patients with foot or ankle surgery.
METHODS METHODS
177 patients completed both scores and FAOS, Foot and Ankle Outcome Score (FAOS), Short Form 36 (SF-36) and numeric scales for pain and disability (NRS) before and after surgery. Test-Retest reliability, internal consistency, floor and ceiling effects, construct validity, responsiveness and minimal important change were analyzed.
RESULTS RESULTS
The MOXFQ and SEFAS demonstrated excellent test-retest reliability with interclass correlation coefficient values >0.9 Cronbach's alpha (α) values demonstrated strong internal consistency. No floor or ceiling effects were observed for both questionnaires. As hypothesized MOXFQ subscales correlated strongly with corresponding SEFAS, FAOS and SF-36 domains. MOXFQ subscales showed excellent responsiveness between preoperative assessment and postoperative follow-up, whereas SEFAS demonstrated moderate responsiveness.
CONCLUSIONS CONCLUSIONS
The MOXFQ and SEFAS demonstrated good psychometric properties and proofed to be valid and reliable instruments for use in foot and ankle patients. MOXFQ showed better outcomes in responsiveness.

Identifiants

pubmed: 30321978
pii: S1268-7731(18)30021-3
doi: 10.1016/j.fas.2018.01.003
pii:
doi:

Types de publication

Comparative Study Journal Article Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

361-365

Informations de copyright

Copyright © 2018 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

Auteurs

Dariusch Arbab (D)

Department of Orthopedic Surgery, Klinikum Dortmund, Member Faculty of Health Witten/Herdecke University, Beurhausstraße 40, 44137 Dortmund, Germany. Electronic address: darbab@gmx.de.

Katharina Kuhlmann (K)

Medical University Düsseldorf, Moorenstraße 5, 40225 Düsseldorf, Germany. Electronic address: Katharina-kuhlmann@web.de.

Christoph Schnurr (C)

Department of Orthopedic Surgery, St. Vinzenz Krankenhaus, Schlossstraße 85, 40447 Düsseldorf, Germany. Electronic address: Christoph.Schnurr@vkkd-kliniken.de.

Christian Lüring (C)

Department of Orthopedic Surgery, Klinikum Dortmund, Beurhausstraße 40, 44137 Dortmund, Germany. Electronic address: christian.luering@klinikumdo.de.

Dietmar König (D)

LVR Clinics of Orthopedic Surgery, Horionstraße 2, 41479 Viersen, Germany. Electronic address: DietmarPierre.Koenig@lvr.de.

Bertil Bouillon (B)

Department of Traumatology and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University of Witten/Herdecke, Ostmerheimer Str. 200, 51109 Cologne, Germany. Electronic address: Bouillonb@kliniken-koeln.de.

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