No existing studies report the minimal clinically important difference (MCID) of WOOS, but the MCID of the OSS was investigated and found to be 6 points or 12.5% of a maximum score . The Oxford Hip Score (OHS) The Oxford Hip Score (OHS) is a short 12-item patient-reported PRO specifically designed and developed to assess function and pain with patients undergoing hip replacement surgery. Looking at the self-reported outcomes, participants improved above the minimal clinically important difference (MCID) in WOSI total score (51%; MCID 10.4â14% [59, 60]), which will be the primary outcome to evaluate the treatment effectiveness in the definitive RCT. âUCLA anatomic total shoulder arthroplasty.â. The overall comparison of the Oxford Shoulder Score demonstrated a consistent trend of the reverse TSA group scoring higher; at 2 years, the mean Oxford Shoulder Score was 40.8 points (95% CI, 38.8 to 42.7 points) for the reverse TSA group compared with 36.5 points (95% CI, 34.0 to 39.0 points) for the ORIF group, a significant mean difference of 4.3 points (95% CI, 1.2 to 7.4 points; p = 0.007). The median pain VAS scores reduced from 26 (13â47) to 20 (11â36), P¼0.002. Aim: To determine the Minimal Clinically Important Difference (MCID) for Constant-Murley score (CMS), University of California Los Angeles (UCLA) shoulder score, and Oxford Shoulder Scores (OSS) after arthroscopic rotator cuff (RC) repairs. 2. Outcome measures: Oxford Shoulder Score (primary), SF-12 (secondary), EuroQol 5D. 5 In this instance, the MCID was calculated by taking the mean change score of everyone who reported changing one increment on the qualitative improvement scale. P = 0.32 Home > The Oxford Shoulder Score (OSS) The Oxford Shoulder Score (OSS) The Oxford Shoulder Score (OSS) is a 12-item patient-reported PRO specifically designed and developed for assessing outcomes of shoulder surgery e.g. 108-111 It was suggested to demonstrate reliability and construct validity for patients following shoulder joint operations, 112 and reliability and responsiveness following shoulder surgery. To determine the Minimal Clinically Important Difference (MCID) for Constant-Murley score (CMS), University of California Los Angeles (UCLA) shoulder score, and Oxford Shoulder Scores (OSS) after arthroscopic rotator cuff (RC) repairs. The maximum score is a 60 indicating most difficulty. Simple Shoulder Test (SST). Good. All three groups were assessed via the Oxford Shoulder Score (OSS) and compared to established criteria for target score change/MCID. Interventions were plate fixation, hemiarthroplasty or IM nailing. 38 ± 10.5. MARX Knee PRO Measure. No rationale has been presented for the weighting scheme of this instru-ment.4 Normative scores range from 92 to 99.5 The time to administer the test is 3 to 5 minutes, and scoring takes approximately 2 minutes.6,7 113,114 In addition, the ⦠/P.T.O PROBLEMS WITH YOUR KNEE During the past 4 weeks.. 9tick one box for every question 1 During the past 4 weeks..... How would you describe the ⦠Reach the small of your back to tuck in your This was a multi-centre RCT in the UK. Oxford shoulder score The OSS was developed in Oxford (UK) by Dawson et al. The Oxford Shoulder Score (OSS) is a validated patient-reported outcome measure (PROM) whose use has seen an increase over the past few years. It contains 12 items related to pain and shoulder function. Daily pain and number of repetitions per exercise during home exercises were rated in the participants' diary. The results of the present study are in accordance with previous studies [8-10]. The primary purpose of this study is to evaluate the radiographic factors associated with glenoid baseplate migration after RSA using a ⦠Oxford Shoulder Score. Interpretation of scores Total pain score: / 50 x 100 = % (Note: If a person does not answer all questions divide by the total possible score, eg. Function. Eccentric. No =15 pts, Mild pain = 10 pts, Moderate = 5 pts, Severe or permanent = 0. This study compared the responsiveness and minimal clinically important differences of the Oxford Instability Shoulder Score (OISS) and Shoulder Rating Questionnaire (SRQ). Oxford Shoulder Scores The Oxford Shoulder Questionnaire relies on the patientâs subjective assessment of pain and ADL impairment to provide the assessment. The Oxford Shoulder Questionnaire has been shown to correlate well with both the Constant Score and the SF36 assessment and to be sensitive to surgical intervention. The mean DASH score (0 best, 100 worst) at 2 years was 18.5 points for the operative have reported the MCID for each of the three domainsâpain, function, and social-psychologicalâfor a group of patients with different pathologies including TEA for osteoarthritis and rheumatoid arthritis. MARX Knee PRO Measure. Psychological symptoms and the MCID of the DASH score in shoulder surgery. In patients with total shoulder arthroplasty [10], shoulder impingement [8] and a variety of upper extremity diagnoses [9], the AUCs were found to be 0.71 (0.60-0.82), 0.79 (0.69-0.89) and 0.67, respectively. Discussion This retrospective, case-control study aims to ascertain whether patients older than 75 years of age with RCT will benefit from ARCR when conservative management has failed. 3 2 1 0 X 12. For the CMS, the mean difference in final score was significantly higher for the US-guided lavage group by 11.7 out of 100 points (95% CI 0.01 to 23.39, p<0.05) at 6 weeks. a 100-points scale composed of a number of individual parameters. 0 is the best possible score, meaning the patient is experiencing no decrease in shoulder related quality of life. Higher score= more disabled MDC= 10.7-12.2 MCID 10.2 Reliability .91-.97 ... Penn Shoulder Score, Questionnaire 4 pain questions, 1 satisfaction question, rated 0-10 no pain or worst possible, ... Oxford shoulder score VAS Pain scale: 0-10 none to worst pain Clinical orthopaedics and related research 155 (1981): 7-20. The purpose of our study was to compare the outcomes of ARCR in patients older than 75 years and younger than 75 years of age. Test-retest reliability (ICC 2,1) was 0.87 (95 % CI 0.53 to 0.97) . MARX focuses on four activity points: running, deceleration, cutting (changing directions while running), and pivoting. There are three pain VAS scores: one each for pain at rest, pain with everyday activities, and pain with strenuous activities. During the past 4 weeks⦠Have you had any trouble dressing yourself because of your shoulder? A CS score with a MCID of 10.4 for rotator cuff repair; adverse findings on post-treatment medical imaging - determined by the reviewing surgeon based on imaging secondary outcomes identified; positive signs of instability, weakness or other primary pathology during clinical follow-up - as determined by the reviewing surgeon based on strength and instability tests identified as secondary outcomes; failure to improve shoulder⦠Our hypothesis was that reverse total shoulder arthroplasty (TSA) yields better clinical results compared with open reduction and internal fixation (ORIF) using an angular stable plate. To assess the responsiveness and minimal change for the Oxford Elbow Score (OES) using anchor- and distribution-based approaches. The outcome developed is a questionnaire that is to be completed by the patient, relative, friend, or ⦠The average change in VAS pain score at each study timepoint meet the MCID value of at least 1.73 cm change on a 10 cm scale (13). lities of the Arm, Shoulder, and Hand), disease-specific (eg, Rotator Cuff Quality of Life, Western Ontario Rotator Cuff Index), or condition-specific (eg, Oxford Shoulder Instability Questionnaire). Poon 2014. Have you had any trouble dressing yourself because of your shoulder? The Oxford Shoulder Score improved in both groups at 6 weeks and 12 months; however, no significant statistical differences between groups were observed (pâ¥0.05). Selection of Shoulder Outcomes Scores and Where From Here to the Future Richard J. Hawkins, M.D. A post hoc power analysis performed using the aforementioned data points found that statistical comparison of the Oxford Shoulder Score at the 24-month follow-up yielded a power of .20. MARX focuses on four activity points: running, deceleration, cutting (changing directions while running), and pivoting. Scores range from 0 to 35 with a score of 0 indicating worse shoulder function and 35 indicating better shoulder function. 1. Minimal clinically important difference (MCID) for patient-reported shoulder outcomes The current utility of the MCID for patient-report shoulder outcome instruments is limited by poor study methodology, inadequate reporting, and a lack of data. 160. Place a soup can (1-2 lbs.) Available psychometric information for the DASH in people with a proximal humeral fracture provides some evidence of convergent validity and longitudinal validity (compared with, for example, Oxford Shoulder Score, Constant Score and EuroQol) [11, 21]. Oxford Shoulder Score (OSS), Shoulder Pain and Disability Index (SPADI), and Constant score were completed at baseline and 6âmonths. Given that the two components have 5 and respectively 8 items, the preliminary results range between 0 to 50 and 0 to 80, the overall result ranging from 0 to 130. Concentric. The validated, patient-reported Oxford shoulder score (OSS) was introduced around 10 years ago, primarily for the assessment of outcomes of shoulder surgery (excluding shoulder stabilisation) in randomised trials. In order to present this in a clinically more meaningful format, the score can be reported as a percentage of normal by subtracting the total from 1900, dividing by 1900 and multiplying by 100. The secondary outcome measures were the Oxford Shoulder Score ⦠Pain score in points / 50 x 100. During the past 4 weeks⦠How would you describe the worst pain you had from your shoulder? 5 Unsatisfactory function (only 'poor' or 'fair' category ) at 1 year Show forest plot. 13, No. The scores from both dimensions are averaged to derive a total score. Minimal Clinical Important Difference (MCID) 10.83-15: 15.91-20: Responsiveness Good responsiveness to self-rated changes before and after most arm, shoulder, and hand diagnoses and surgeries; Comparable responsiveness compared to other joint and disease-specific measures 3 2 1 0 X 13. Constant score Oxford shoulder score. Material and methods: 306 patients were followed up for 24-month. The SDQ is very short but cannot be recommended due to absence of data on or weakness of psychometric properties. Backgroung: Increasing trend of operative intervention for proximal humerus fractures and half are displaced and majority involve the surgical neck. Oxford Shoulder Score (0 to 48 scale, higher = better, reported as mean with range and P value â backâtranslated to SD) Intermediate. The question is whether an ingrowth central cage implant that has undergone early migration can restabilize due to cage ingrowth. Oxford Shoulder Instability Score: OSIS: 2: 0: 48: Patient-Specific Functional Scale: PSFS: 2: 0: 10: Penn Shoulder Score: PSS: 2: 0: 100: Bostrom Shoulder Movement Impairment Scale: Bostrom: 1: 5: 30: Functional Shoulder Scale: FSS: 1: 0: 100: Neer Function Score: Neer: 1: 100: 0: Shoulder Function Index: SFInX: 1: 0: 100: SF-12 Mental Component Score: SF-12 MCS: 1: 0: 100: SF-12 Physical Component Score⦠81 1987 Jan; (214):160-4. link to pubmed. It is short, reproducible, valid and sensitive to clinically important changes. There are five response options for each question, corresponding to a score ranging from 1 (least difficult) to 5 (most difficult). Reverse polarity TSR with eccentric glenosphere position vs concentric position. for assessing the impact on patientsâ quality of life of degenerative conditions such as arthritis and rotator cuff problems. The Constant-Murley Score (CS) is the most commonly used scoring system for evaluation of various disorders of the shoulder.23 It consists of both objective (range of motion and strength) and subjective measurements (pain assessment, workload and leisure time activities), which are summarised in a score between 0 and 100. It contains 12 items related to pain and shoulder function. Postoperatively, female patients had a significantly lower SST score compared with men (8.8 ± 1.9 vs 10.3 ± 1.6; P = .005), but the difference was less than the minimal clinically important difference (MCID) for the SST score after shoulder arthroplasty (2.4 points). Reference for Grading: Fabre T, Piton C, Leclouerec G, Gervais-Delion F, Durandeau A. Entrapment of the suprascapular nerve. 14. Results ⢠Significant improvement over time ⢠Baseline and 6 weeks (p<0.001) ⢠6 week and 6 months (p<0.001) ⢠6 months and 1 year (p<0.001) ⢠Both Constant and Oxford Scores 33. Patients completed the OES and the Disabilities of the Arm, Shoulder and Hand on a shelf at shoulder level without bending elbow. ASES Shoulder Score reported in main analyses. The highest or most symptomatic score is 1900 and the best or asymptomatic score is 0. No difficulty Some difficulty Much difficulty Canât do at all Did not do before injury 1. MARX was developed in 2001 as an patient-reported outcome measure with the goal of finding a patientâs general level of activity. 27. Mean change in score divided by the SD of the change in score. Process: 2 independent and blinded specialists classified the fractures based on the Neer classification. ... (MCID) of 10.4 for the Constant score, 24. The results of ARCR between the cohorts were then compared. Improvements were also observed in other relevant outcomes such as shoulder pain, kinesiophobia, and level of prolonged ⦠... 37, 38), the Oxford Shoulder Questionnaire , the Shoulder Rating Questionnaire , and the University of Pennsylvania Shoulder Scale (41, 42). Its uptake has steadily increased in a number of countries and its use has also been extended. PENN SHOULDER SCORE Part II: Function: Please circle the number that best describes the level of difficulty you might have performing each activity. on a shelf at shoulder level without bending elbow. MCID for the three domains is 19, 9, and 18, respectively . ical treatments. By extrapolating MICD from OSS to WOOS, based on the known MCID for OSS, we estimated the accepted clinically meaningful change (ACMC) of WOOS to 237.5 points (12.5%). [31] for patients with shoulder problems. Risk Ratio (MâH, Fixed, 95% CI) 1.49 [0.75, 2.95] 5.1 Score included pain, motion, and function. 35 ± 10.5. Secondary outcomes included ConstantâMurley score, the visual analogue scale for pain, the quality of life questionnaire 15D, EuroQol Groupâs 5-dimension self-reported questionnaire EQ-5D, the Oxford Shoulder Score, and complica-tions. These scores are added to give a total score of 1900. <11. Oxford Shoulder Score (OSS), a 12-item scale rated on a five-point Likert scale from 0-4 (0=poor function, 4=good function). Place a one gallon container (8-10 lbs.) Aim:whether non-operative man⦠The shoulder activity level metric was developed for use in addition to traditional scores that measure pain and function. There is no MCID defined for the total score of OES, but Dawson et al. 8. The Oxford Shoulder Score was developed specifically for surgical conditions and is often used in the UK. 13.67, MCID 9.5 to o12.8 for acute pain and 15.35 for chronic pain Oxford Elbow Score (35) G for pain, function, psychosoc H with DASH and SF36 for function M with MEPS, DASH, SF36 for pain only L (ES >1.49) overall score, 1.15 for pain and function, 1.13 psychosoc DASH (1415) E Most patients improved their pain score ratings at the se-cond postoperative visit (Table 3). Few studies have evaluated the outcomes of glenoid baseplate migration after reverse shoulder arthroplasty (RSA). Complications recorded. Conclusions: Improvements in Disabilities of the Arm, Shoulder and Hand scores at 6 months (23.92) surpassed MCID criteria for conservatively managed upper-extremity musculoskeletal pathology (10.83)dsuggesting that saline solution A clinical method of functional assessment of the shoulder. 6 They suggested that PROMs can only be used effectively if the background population range is known so that postoperative improvements can be forecast more accurately. 2 year follow up, measures taken at 6, 12 and 24 months. Original Literature: Amstutz, HARLAN C., AL Hoy Sew, and Ian C. Clarke. Excellent. 10, 11 CMS, UCLA, and OSS are also common PROMs used in the assessment of patient outcome after arthroscopic RC repair with good reliability and validity, and ⦠The SPADI score is often presented as a percentage thus the following calculations are performed. 4 October 2018 | Journal of Orthopaedic Surgery and Research, Vol. Oxford Knee Score© Department of Public Health, University of Oxford, Old Road Campus, Oxford OX3 7LF, UK. Mean Difference (IV, Fixed, 95% CI) Totals not selected. However, there is a paucity of literature addressing ARCR and outcomes in patients older than the age of 75 years. 1. ... (MCID) (MIC) Measuring clinical change â(MDC) (SDC) Measuring statistical change. There is no data, which clearly state the MCID for the Constant score. Shoulder and Hand scores showed a statistically signiï¬cant improvement (MD, 23.92; 95% CI, 9.47-38.37). MCID: The smallest change that represents an important difference for the patient (same unit as the original measurement). 3. How would you describe ⦠The Oxford Shoulder Questionnaire has been shown to correlate well with both the Constant Score and the SF36 assessment and to be sensitive to surgical intervention. This study compared the responsiveness and minimal clinically important differences of the Oxford Instability Shoulder Score (OISS) and Shoulder Rating Questionnaire (SRQ). Score interpretation. However, routine clinical practice within the organisations involved would normally consider a change of approximately 15 points to be clinically important. For ASAD, patients are asked for pre and post-operative Oxford shoulder scores (OSS)8 and EQ5D scores (a validated, generic measure of health status) 9. Oxford Shoulder Score â English for the United Kingdom 2 / 3 PROBLEMS WITH YOUR SHOULDER Tick ( ) one box for every question. Outcomes were measured using Visual Analog Scale (VAS), Constant Shoulder Score (CSS), and Oxford Shoulder Score (OSS) recorded at the preoperative, 6- , 12-, and 24-month time points. MCID for CMS, UCLA and OSS were determined using simple linear regression according to ⦠if 1 question missed divide by 40) Total disability score: / 80 x 100 = % None Mild Moderate Severe Unbearable 2. This study compared the responsiveness and minimal clinically important differences of the Oxford Instability Shoulder Score (OISS) and Shoulder Rating Questionnaire (SRQ). The pennsylvania shoulder score (PSS) is a 100-point shoulder specific scale comprised of pain (30%), satisfaction (10%), and function (60%). Results ⢠Short Form - 36 ⢠Significant improvements in bodily pain (p=0.011) mental health (p=0.009) and social function (p<0.001) ⢠No other significant differences between groups or over time At 2-week, 66% of patients reported a change in VAS pain that exceeds the MCID change of 1.7/10. Reference for Score: Constant CR, Murley AH. The OSS was developed in Oxford (UK) by Dawson et al. Reach a shelf above your head without bending your elbow. 4 Oxford Shoulder Score (0 (worst function) to 48 (best function)) Show forest plot. OUT-PATIENT CLINIC SHOULDER UNIT CONSTANT SCORE Patientâs Details Operation/Diagnosis: Date: Side: R L Examination: Pre-op 3 months 6months 1 year 2 years ___ years A.- Pain (/15): Average (1 + 2) A 1. MCID = minimal clinically important difference, pienin kliinisesti merkittävä ero CS ConstantâMurley score «Constant CR. The attractive properties of the OES have meant it has been widely adopted. It is very short, but there is a lack of psychometric testing data. The concept of MCID has been gaining increasing attention in the recent years and used in various literatures measuring patient outcomes to quantify the observed change in PROMs.4, 5 Various MCID specific to each Orthopaedic procedure has also been developed and reported in recent literatures.6, 7, 8, 9, 10, 11 The Oxford Shoulder Score (OSS), Constant-Murley score (CMS), and ⦠Patient satisfaction is determined from 0-10 on numeric rating scale. 34 The recurrence rate was not significantly different between female and male patients (13.3% vs 14.8%; P ⥠.999; risk ratio, ⦠change for the Oxford Elbow Score (OES) using anchor-and distribution-based approaches. The stiff group underwent manipulation under anesthesia (MUA) prior to ARCR being performed. Functional outcomes assessment in shoulder surgery Table 1 General shoulder measures Measure Description Validity Reliability Responsiveness MCID The constant 10 items: Criterion validity with WORC, Penn, Very good Excellent 10.4 score [36,39,74,75] Physical Examination (4 motion, 1 SST, Oxford, and others. Ninety-three patients referred to physiotherapy with shoulder instability (100 shoulders) completed the questionnaires at the initial appointment and at 1 and 9 months later. The ASES was found to have test-retest reliability; construct and discriminant validity; and responsiveness to clinical change for patients with various shoulder pathologies; and a MCID of 6.4. The distribution-based estimates of the MCID for the VAS score ⦠Professor Rangan et al; published in JAMA (Journal of American Medical Association). A prospective observational study of 104 patients undergoing elbow surgery at a specialist orthopaedic hospital was carried out. This is the smallest difference in a score which the patient perceives as being beneficial. MCID for American Shoulder and Elbow Surgeon Score (ASES), Simple Shoulder Test Score (SST), and Disabilities of the Arm, Shoulder, and Hand outcome measure (DASH) has been developed and validated in the literature. Itâs a shoulder-specific instrument designed to assess the outcome of all shoulder surgeries (with the exception of instability surgery). The MCID is defined as the minimal change in the score that is considered to be worthwhile or important, 26 and is traditionally difficult to calculate. The Oxford Shoulder Instability Score; validation in Dutch and first-time assessment of its smallest detectable change Determination and comparison of the smallest detectable change (SDC) and the minimal important change (MIC) of four-shoulder patient-reported outcome measures (PROMs) Methods A prospective observational study of 104 patients undergoing elbow surgery at a specialist ortho-paedic hospital was carried out. MCID values for RSA used in this study were as follows: ASES score, 10.3; Constant score, -0.3; UCLA score, 7.0; SST score, 1.4; SPADI score, 20.0; Active shoulder abduction, -1.9; active FF, -2.9; active shoulder ER, -5.3. al shoulder surgery followâup care uses âvirtual clinicâ model: ts report their outcomes online âpre and 3 & 12 months post surgery ation informs clinicianâs judgement re need for 2nd & 3rd faceâtoâface followâup OP appointment(s) Measures used in shoulder pathway: â¢EQ-5D ⢠Oxford Shoulder Score The Oxford Shoulder Questionnaire has been shown to correlate well with both the Constant Score and the SF36 assessment and to be sensitive to surgical intervention. The minimum score is a 12 indicating least difficulty. Ninety-three patients referred to physiotherapy with shoulder instability (100 shoulders) completed the questionnaires at the initial appointment and at 1 and 9 months later. Do you have pain in your s houlder (normal activities)? 11-20. sive surgery tended to have higher VAS scores (Table 2). 23. Patients completed the OES and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaires (both scored on a 0 ⦠Clinical outcomes, including the ROM, visual analog score (VAS) for pain, Constant shoulder score (CSS), Oxford shoulder score, and University of California Los Angeles (UCLA) shoulder score, were collected by independent personnel preoperatively and at 3, 6, and 12 months after surgery. Accordingly, we chose the MCID to be 15. 1. Identification of Shoulder-specific Patient Acceptable Symptom State in Patients with Rheumatic Diseases Undergoing Shoulder Surgery Anne Christie, Hanne Dagfinrud, Andrew M. Garratt, Hanne Ringen Osnes, Kåre Birger Hagen 20 The MCID of the OSS has only recently been defined as >4.5 points for elective shoulder surgery. There are five response options for each question, corresponding to a score ranging from 1 (least difficult) to 5 (most difficult). Clin Orthop Relat Res. Nevertheless, Younis et al reported asymptomatic Oxford shoulder scores as significantly different from the presumed perfect score of 48. 3 This was derived from the distribution method of half a SD. The MCID change scores varied in relation to the baseline level of function. MARX was developed in 2001 as an patient-reported outcome measure with the goal of finding a patientâs general level of activity. 3 2 1 0 X Place a soup can (1-2 lbs.) Questionnaire issued to patients (couldnât find any administration instructions). Shoulder MRI was performed at baseline and 6âmonths to assess fat fraction and Goutallier classification pre- and post- treatment. It consists of five activities: carrying objects weighing â¥8 lb by hand, handling objects overhead, weight lifting or weight training with the arms, executing a swinging motion (swinging a baseball bat or golf club), and lifting objects weighing â¥25 lb.
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