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Quality of Life Research

Erschienen in:

01.05.2011

Responsiveness of the short musculoskeletal function assessment (SMFA) in patients with femoral neck fractures

verfasst von: Carl Johan Hedbeck, Jan Tidermark, Sari Ponzer, Richard Blomfeldt, Gunnar Bergström

Erschienen in: Quality of Life Research | Ausgabe 4/2011

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Abstract

Purpose

The aim of this study was to evaluate the internal and external responsiveness of the Short Musculoskeletal Function Assessment (SMFA), i.e. the instrument’s ability to capture clinically important changes, in patients with hip fractures within the context of a randomized controlled trial.

Methods

To evaluate the internal responsiveness of the SMFA, the observed change and the standardized response mean (SRM) in relation to the change in the Dysfunction Index and the Bother Index were calculated. In order to calculate external responsiveness, an external criterion (EC) was constructed by using the Harris hip score. Receiver operating characteristic (ROC) curves and logistic regression analysis were used in the evaluation.

Results

Both the Bother and the Dysfunction SMFA indices displayed good internal responsiveness as expressed by significant change scores and by moderate and large SRMs, 0.76 and 0.96, respectively. The ROC curve and logistic regression analyses showed that both indices had acceptable external responsiveness and were able to discriminate between patients with a less good outcome versus a moderately good or good outcome based on the EC while the ability to differ between patients with moderately good versus a good outcome was limited. The percentage of correctly classified cases was 64% (good/moderately good), 80% (good/less good), and 74% (moderately good/less good) for both the Dysfunction and Bother Indices.

Conclusions

The SMFA had good overall responsiveness in patients with hip fractures and, based on our results, we conclude that the SMFA can be recommended for use as one of the measures to evaluate the outcome after a hip fracture.

Bowling, A. (2001). Measuring disease: A review of disease specific quality of life measurement scales (2nd ed.). Philadephia: Open University Press.

Bowling, A. (2005). Measuring health: A review of quality of life measurement scales (3rd ed.). New York: Open University Press.

Borgström, F., Zethraeus, N., Johnell, O., Lidgren, L., Ponzer, S., Svensson, O., et al. (2006). Costs and quality of life associated with osteoporosis-related fractures in Sweden. Osteoporosis International, 17(5), 637–650.PubMedCrossRef

Bronfort, G., & Bouter, L. M. (1999). Responsiveness of general health status in chronic low back pain: A comparison of the COOP charts and the SF-36. Pain, 83(2), 201–209.PubMedCrossRef

Deyo, R. A., Diehr, P., & Patrick, D. L. (1991). Reproducibility and responsiveness of health status measures. Statistics and strategies for evaluation. Controlled Clinical Trials, 12(Suppl), 142–158.CrossRef

Swiontkowski, M. F., Engelberg, R., Martin, D. P., & Agel, J. (1999). Short musculoskeletal function assessment questionnaire: Validity, reliability, and responsiveness. Journal of Bone and Joint Surgery; American volume, 81(9), 1245–1260.

Ponzer, S., Skoog, A., & Bergström, G. (2003). The Short Musculoskeletal Function Assessment Questionnaire (SMFA): Cross-cultural adaptation, validity, reliability and responsiveness of the Swedish SMFA (SMFA-Swe). Acta Orthopaedica Scandinavica, 74(6), 756–763.PubMedCrossRef

Husted, J. A., Cook, R. J., Farewell, V. T., & Gladman, D. D. (2000). Methods for assessing responsiveness: A critical review and recommendations. Journal of Clinical Epidemiology, 53(5), 459–468.PubMedCrossRef

Garden, R. S. (1961). Low-angle fixation in fractures of the femoral neck. Journal of Bone and Joint Surgery. British Volume, 4, 647–663.

10.

Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23(10), 433–441.PubMed

11.

Ceder, L., Thorngren, K. G., & Wallden, B. (1980). Prognostic indicators and early home rehabilitation in elderly patients with hip fractures. Clinical Orthopaedics and Related research, 152, 173–184.PubMed

12.

Katz, S., Ford, A., Moskowitz, R., Jackson, B., & Jaffe, M. (1963). Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychological function. Journal of the American Medical Association, 185, 94–99.

13.

Harris, W. H. (1969). Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. Journal of Bone and Joint Surgery; American volume, 51(4), 737–755.

14.

Frihagen, F., Grotle, M., Madsen, J. E., Wyller, T. B., Mowinckel, P., & Nordsletten, L. (2008). Outcome after femoral neck fractures: A comparison of Harris Hip Score, Eq-5d and Barthel Index. Injury, 39(10), 1147–1156.PubMedCrossRef

15.

Söderman, P., & Malchau, H. (2001). Is the Harris hip score system useful to study the outcome of total hip replacement? Clinical Orthopaedics and Related research, 384, 189–197.PubMedCrossRef

16.

Blomfeldt, R., Törnkvist, H., Eriksson, K., Söderqvist, A., Ponzer, S., & Tidermark, J. (2007). A randomised controlled trial comparing bipolar hemiarthroplasty with total hip replacement for displaced intracapsular fractures of the femoral neck in elderly patients. Journal of Bone and Joint Surgery; British volume, 89(2), 160–165.PubMedCrossRef

17.

Tidermark, J., Ponzer, S., Svensson, O., Söderqvist, A., & Törnkvist, H. (2003). Internal fixation compared with total hip replacement for displaced femoral neck fractures in the elderly. A randomised, controlled trial. Journal of Bone and Joint Surgery; British volume, 85(3), 380–388.PubMedCrossRef

18.

Rogmark, C., Carlsson, A., Johnell, O., & Sernbo, I. (2002). A prospective randomised trial of internal fixation versus arthroplasty for displaced fractures of the neck of the femur. Functional outcome for 450 patients at two years. Journal of Bone and Joint Surgery; British volume, 84(2), 183–188.PubMedCrossRef

19.

Norman, G. R., Sloan, J. A., & Wyrwich, K. W. (2003). Interpretation of changes in health-related quality of life: The remarkable universality of half a standard deviation. Medical Care, 41(5), 582–592.PubMed

20.

Revicki, D., Hays, R. D., Cella, D., & Sloan, J. (2008). Recommended methods for determining responsiveness and minimally important differences for patient-reported outcomes. Journal of Clinical Epidemiology, 61(2), 102–109.PubMedCrossRef

21.

Norman, G. R., Sloan, J. A., & Wyrwich, K. W. (2004). The truly remarkable universality of half a standard deviation: Confirmation through another look. Expert Review of Pharmacoeconomics and Outcomes Research, 4(5), 581–585.PubMedCrossRef

22.

Norman, G. R., Stratford, P., & Regehr, G. (1997). Methodological problems in the retrospective computation of responsiveness to change: The lesson of Cronbach. Journal of Clinical Epidemiology, 50(8), 869–879.PubMedCrossRef

23.

Beaton, D. E., Hogg-Johnson, S., & Bombardier, C. (1997). Evaluating changes in health status: reliability and responsiveness of five generic health status measures in workers with musculoskeletal disorders. Journal of Clinical Epidemiology, 50(1), 79–93.PubMedCrossRef

24.

Jaglal, S., Lakhani, Z., & Schatzker, J. (2000). Reliability, validity, and responsiveness of the lower extremity measure for patients with a hip fracture. Journal of Bone and Joint Surgery. American Volume, 82-A(7), 955–962.

25.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates.

26.

Hosmer, D. W., & Lemeshow, S. (1989). Applied logistic regression (2nd ed.). New York: Wiley-Interscience Publication.

27.

Guyatt, G. H., Deyo, R. A., Charlson, M., Levine, M. N., & Mitchell, A. (1989). Responsiveness and validity in health status measurement: A clarification. Journal of Clinical Epidemiology, 42(5), 403–408.PubMedCrossRef

28.

Agel, J., Obremsky, W., Kregor, P., Keeve, J., Abbott, P., Buss, D., et al. (2003). Administration of the Short Musculoskeletal Function Assessment: Impact on office routine and physician-patient interaction. Orthopedics, 26(8), 783–788.PubMed

29.

Sanders, D. W., Busam, M., Hattwick, E., Edwards, J. R., McAndrew, M. P., & Johnson, K. D. (2004). Functional outcomes following displaced talar neck fractures. Journal of Orthopaedic Trauma, 18(5), 265–270.PubMedCrossRef

30.

Agel, J., Coetzee, J. C., Sangeorzan, B. J., Roberts, M. M., & Hansen, S. T., Jr. (2005). Functional limitations of patients with end-stage ankle arthrosis. Foot and Ankle International, 26(7), 537–539.PubMed

31.

Kreder, H. J., Hanel, D. P., Agel, J., McKee, M., Schemitsch, E. H., Trumble, T. E., et al. (2005). Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius: A randomised, controlled trial. Journal of Bone and Joint Surgery; British volume, 87(6), 829–836.PubMedCrossRef

32.

Egol, K. A., Tejwani, N. C., Walsh, M. G., Capla, E. L., & Koval, K. J. (2006). Predictors of short-term functional outcome following ankle fracture surgery. Journal of Bone and Joint Surgery; American volume, 88(5), 974–979.CrossRef

33.

Borrelli, J., Jr., Ricci, W. M., Anglen, J. O., Gregush, R., & Engsberg, J. (2006). Muscle strength recovery and its effects on outcome after open reduction and internal fixation of acetabular fractures. Journal of Orthopaedic Trauma, 20(6), 388–395.PubMedCrossRef

34.

Barei, D. P., Agel, J., & Swiontkowski, M. F. (2007). Current utilization, interpretation, and recommendations: The musculoskeletal function assessments (MFA/SMFA). Journal of Orthopaedic Trauma, 21(10), 738–742.PubMedCrossRef

35.

Lomita, C. (2002). A comparison of control populations in Qubec using the short musculoskeletal function assessment. McGill Journal of Medicine, 6, 94–99.

36.

MacKenzie, E. J., Cushing, B. M., Jurkovich, G. J., Morris, J. A., Burgess, A. R., deLateur, B. J., et al. (1993). Physical impairment and functional outcomes six months after severe lower extremity fractures. Journal of Trauma, 34(4), 528–538. discussion 538–529.PubMedCrossRef

37.

Tidermark, J., & Bergström, G. (2007). Responsiveness of the EuroQol (EQ-5D) and the Nottingham Health Profile (NHP) in elderly patients with femoral neck fractures. Quality of Life Research, 16(2), 321–330.PubMedCrossRef

38.

Tidermark, J., Bergström, G., Svensson, O., Törnkvist, H., & Ponzer, S. (2003). Responsiveness of the EuroQol (EQ 5-D) and the SF-36 in elderly patients with displaced femoral neck fractures. Quality of Life Research, 12(8), 1069–1079.PubMedCrossRef

39.

Dolan, P., Gudex, C., Kind, P., & Williams, A. (1996). The time trade-off method: Results from a general population study. Health Economics, 5(2), 141–154.PubMedCrossRef

40.

Burström, K., Johannesson, M., & Diderichsen, F. (2001). Swedish population health-related quality of life results using the EQ- 5D. Quality of Life Research, 10(7), 621–635.PubMedCrossRef

41.

Marsh, J., Bryant, D., & MacDonald, S. J. (2009). Older patients can accurately recall their preoperative health status six weeks following total hip arthroplasty. Journal of Bone and Joint Surgery; American volume, 91(12), 2827–2837.CrossRef

42.

Narayan, B., Kalyan, R. V., & Marsch, D. R. (2004). Tibial and femoral shafts. In Outcome measures in orthopaedics and orthopaedic trauma. London: Oxford University Press.

43.

Peskun, C., McKee, M., Kreder, H., Stephen, D., McConnell, A., & Schemitsch, E. H. (2008). Functional outcome of ipsilateral intertrochanteric and femoral shaft fractures. Journal of Orthopaedic Trauma, 22(2), 102–106.PubMedCrossRef

44.

Hays, R. D., & Woolley, J. M. (2000). The concept of clinically meaningful difference in health-related quality-of-life research. How meaningful is it? Pharmacoeconomics, 18(5), 419–423.PubMedCrossRef

45.

Fitzpatrick, R., Davey, C., Buxton, M. J., & Jones, D. R. (1998). Evaluating patient-based outcome measures for use in clinical trials. Health Technology Assessment, 2(14), 1–74.PubMed

46.

Brazier, J. E., Walters, S. J., Nicholl, J. P., & Kohler, B. (1996). Using the SF-36 and Euroqol on an elderly population. Quality of Life Research, 5(2), 195–204.PubMedCrossRef

47.

Coast, J., Peters, T. J., Richards, S. H., & Gunnell, D. J. (1998). Use of the EuroQoL among elderly acute care patients. Quality of Life Research, 7(1), 1–10.PubMedCrossRef

Titel: Responsiveness of the short musculoskeletal function assessment (SMFA) in patients with femoral neck fractures
verfasst von: Carl Johan Hedbeck
Jan Tidermark
Sari Ponzer
Richard Blomfeldt
Gunnar Bergström
Publikationsdatum: 01.05.2011
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 4/2011
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-010-9784-4

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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