Twenty years of patient-reported outcomes measures, and much to discover

      This issue has clinical measurement papers that reflect the changing landscape of clinical measurement in hand therapy and highlights some of the challenges in the field. Should we continue to develop new outcome measures? When new analytical techniques identify problems in existing measures, what should be our threshold for changing an established measure? Can we be confident that if we use a different outcome measure, we could come to the same conclusion? They are challenging issues that go beyond one study or any one analytical method. These are issues that I have spent considerable time thinking about as I have pondered the clinical measurement findings in my own research program, and in the larger hand therapy scientific community.
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        • MacDermid J.C.
        Development of a scale for patient rating of wrist pain and disability.
        J Hand Ther. 1996; 9: 178-183