Highlights
- •The Disability of Arm, Shoulder and Hand (QuickDASH), Michigan Hand Questionnaire (MHQ), BriefMHQ, and URAM present adequate convergent validity.
- •The MHQ, BriefMHQ, Unité Rhumatologique des Affections de la Main (URAM), Southampton Dupuytren's Scoring Scheme (SDSS), Short Form-36 and the multi-attribute of the Health Utility Index -3 have good test-retest reliability.
- •The MHQ and BriefMHQ are highly responsive.
- •The results of this systematic review support the use of the MHQ and BriefMHQ in individuals with Dupuytren's Disease.
Abstract
Background
Functional impairments related to Dupuytren's disease (DD) can be assessed using patient-reported
outcome measures (PROMs). A systematic review was published in 2013 on outcome measures
for assessing treatment in individuals with DD; however, several articles have since
been published on this matter.
Purpose
To conduct a systematic review to analyze the quality and content of the evidence
on the psychometric properties of PROMs used in individuals with DD.
Study design
Systematic review.
Methods
CINAHL, EBM reviews, Embase, Medline, and Web of Science were searched to identify
studies evaluating the psychometric properties of PROMs used with individuals with
DD. All studies retained were appraised by two independent assessors using two validated
critical appraisal tools.
Results
Fifteen articles on the psychometric properties of 10 PROMs were included. Construct
validity and responsiveness were the most studied. Eighty percent of the studies were
of good to very good methodological quality according to MacDermid's Critical appraisal
checklist for psychometric articles, whereas 67% of the studies comported risks of
bias according to the COSMIN checklist. Of the 10 PROMs, three were specifically developed
for DD but remain mostly under-studied for their psychometric properties (≤ 2 studies
for the SDSS and DIF-CHUM). The QuickDASH, MHQ, BriefMHQ, and URAM present moderate
to good convergent validity. Test-retest reliability was found to be good for the
MHQ, briefMHQ, URAM, SDSS, SF-36, and the multi-attribute of the HUI-3. The MHQ and
BriefMHQ are highly responsive.
Conclusion
There is a need for more psychometric studies on the PROMs used with individuals with
DD. However, to date, the results included in this systematic review support that
the MHQ and briefMHQ are the PROMs with the most acceptable psychometric properties.
Keywords
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JHT Read for Credit
Quiz: # 921
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- # 1.The design of the study is
- a.RCTs
- b.systematic review
- c.qualitative
- d.prospective cohort
- a.
- # 2.The investigators were interested in assessing the
- a.cost of administering a variety of PROMs for Dupuytren's Disease
- b.utilization rates of various PROMs for Dupuytren's Disease
- c.functional outcomes of patients with Dupuytren's Disease
- d.psychometric properties of available PROMs for Dupuytren's Disease
- a.
- # 3.The author's used ___________ critical appraisal checklist in determining acceptable psychometric articles
- a.Amadio's
- b.Feehan's
- c.MacDermid's
- d.Mackin's
- a.
- # 4.The final sample was _________ articles
- a.10
- b.15
- c.20
- d.25
- a.
- # 5.While the MHQ and the briefMHQ are currently considered acceptable for clinical use, the authors feel additional PROMs are needed to better assess outcomes for DD
- a.true
- b.false
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article info
Publication history
Published online: April 14, 2021
Accepted:
April 5,
2021
Received in revised form:
February 16,
2021
Received:
September 14,
2020
Footnotes
Conflict of interest
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
