Development and validation of the unifying elective orthopaedic score (UnEOS). A pilot study.
Elective surgery
Outcome score
PROM
Patient reported outcomes
Journal
Journal of clinical orthopaedics and trauma
ISSN: 0976-5662
Titre abrégé: J Clin Orthop Trauma
Pays: India
ID NLM: 101559469
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
21
04
2019
revised:
16
06
2019
accepted:
18
06
2019
entrez:
30
1
2020
pubmed:
30
1
2020
medline:
30
1
2020
Statut:
ppublish
Résumé
Patient reported outcome measures (PROMs) are increasingly valued in orthopaedics. There are already many site specific or pathology specific scores. These scores are usually validated for specific pathologies and can be complicated and time consuming to use. The aim of the present pilot study is to develop a new orthopaedic score for elective operations, which measures patient satisfaction simply and quickly, and is not limited to a single site or pathology. The UnEOS questionnaire has 16 questions. Eleven questions relate to the three main dimensions (Symptoms, Function, Mental Status) and can be used both preoperatively and postoperatively. Five questions are added to the questionnaire at the postoperative mode, which form the satisfaction dimension. For this pilot study we enrolled all patients listed for surgery from our foot and ankle clinics. Each patient was asked to complete the UnEOS and FADI questionnaires. A total of 181 questionnaires were collected from patients (aged 56.4 ± 14.8, range 20-85) with a variety of foot and ankle pathologies. Scores were obtained both pre- and post-operatively. The scale reliability was checked with the Cronbach's Alpha score, which was 0.87 for the UnEOS scale. Each subscale had good reliability with 0.73, 0.77 and 0.76 respectively (Symptoms, Function, Mental Status). The validity of the scale was checked using the Spearman's Rho correlation, which was strong between the UnEOS and the FADI score (0.79) and each subscale (0.7, 0.75 and 0.69 respectively). The UnEOS score is a valid and easy to use PROM which is not limited by site or pathology. Further validation with other orthopaedic pathologies will lead to a Unified Elective Orthopaedic score.
Sections du résumé
BACKGROUND
BACKGROUND
Patient reported outcome measures (PROMs) are increasingly valued in orthopaedics. There are already many site specific or pathology specific scores. These scores are usually validated for specific pathologies and can be complicated and time consuming to use. The aim of the present pilot study is to develop a new orthopaedic score for elective operations, which measures patient satisfaction simply and quickly, and is not limited to a single site or pathology.
MATERIALS & METHODS
METHODS
The UnEOS questionnaire has 16 questions. Eleven questions relate to the three main dimensions (Symptoms, Function, Mental Status) and can be used both preoperatively and postoperatively. Five questions are added to the questionnaire at the postoperative mode, which form the satisfaction dimension. For this pilot study we enrolled all patients listed for surgery from our foot and ankle clinics. Each patient was asked to complete the UnEOS and FADI questionnaires.
RESULTS
RESULTS
A total of 181 questionnaires were collected from patients (aged 56.4 ± 14.8, range 20-85) with a variety of foot and ankle pathologies. Scores were obtained both pre- and post-operatively. The scale reliability was checked with the Cronbach's Alpha score, which was 0.87 for the UnEOS scale. Each subscale had good reliability with 0.73, 0.77 and 0.76 respectively (Symptoms, Function, Mental Status). The validity of the scale was checked using the Spearman's Rho correlation, which was strong between the UnEOS and the FADI score (0.79) and each subscale (0.7, 0.75 and 0.69 respectively).
CONCLUSION
CONCLUSIONS
The UnEOS score is a valid and easy to use PROM which is not limited by site or pathology. Further validation with other orthopaedic pathologies will lead to a Unified Elective Orthopaedic score.
Identifiants
pubmed: 31992937
doi: 10.1016/j.jcot.2019.06.016
pii: S0976-5662(19)30312-1
pmc: PMC6977529
doi:
Types de publication
Journal Article
Langues
eng
Pagination
S153-S157Informations de copyright
© 2019 Delhi Orthopedic Association. All rights reserved.
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