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Article: Assessing results after distal radius fracture treatment: a comparison of objective and subjective tools

TitleAssessing results after distal radius fracture treatment: a comparison of objective and subjective tools
Authors
KeywordsDistal radius fractures
Outcome assessment
Patient self-assessment
Elderly
Issue Date2011
PublisherSage Publications, Inc. The Journal's web site is located at http://gos.sagepub.com/
Citation
Geriatric Orthopaedic Surgery & Rehabilitation, 2011, v. 2 n. 4, p. 155-160 How to Cite?
AbstractObjectives: Functional outcomes following distal radius fractures are directly influenced by the choice of outcome assessment instruments used. Our objective was to compare scoring systems in measuring patient functional outcomes and to determine which scoring system compared most favorably with the widely used Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Methods: In all, 108 patients between May 2004 and November 2006 were treated operatively following distal radius fractures. Follow-up was at 3 months, 6 months, 1 year, and 2 years postsurgery, during which anatomical and functional assessments were performed. Patient outcomes were recorded using DASH, Green and O’Brien system, Gartland and Werley system, and Sarmiento radiological scoring system. Results: There was a stronger correlation between the Green and O’Brien scoring system and DASH (r = −.54) than Gartland and Werley and DASH (r = .44). The Green and O’Brien scoring system was more demanding so patients rated “excellent” or “good” had better functional outcome than those bearing the same grade in the Gartland and Werley system. Nonetheless, the Green and O’Brien score and Gartland and Werley score showed good correlation with each other (r = .66). The Sarmiento radiological score had no significant correlation with any of the other scoring systems. Significant predictors of the DASH score were function (r = .42), power grip (r = .41), pain (r = .37), and range of motion (r = .28). Conclusion: The Green and O’Brien scoring system correlated most strongly with the DASH score. Radiological scoring (reflecting anatomical deformity) was not significantly correlated with functional outcome. While subjective parameters “pain” and “function” are influenced by psychosocial factors and thus highly variable, it is paramount to include subjective tools in outcome assessment in future studies on wrist fractures.
Persistent Identifierhttp://hdl.handle.net/10722/143775
ISSN

 

DC FieldValueLanguage
dc.contributor.authorKwok, IHYen_US
dc.contributor.authorLeung, Fen_US
dc.contributor.authorYuen, Gen_US
dc.date.accessioned2011-12-21T08:54:38Z-
dc.date.available2011-12-21T08:54:38Z-
dc.date.issued2011en_US
dc.identifier.citationGeriatric Orthopaedic Surgery & Rehabilitation, 2011, v. 2 n. 4, p. 155-160en_US
dc.identifier.issn2151-4585-
dc.identifier.urihttp://hdl.handle.net/10722/143775-
dc.description.abstractObjectives: Functional outcomes following distal radius fractures are directly influenced by the choice of outcome assessment instruments used. Our objective was to compare scoring systems in measuring patient functional outcomes and to determine which scoring system compared most favorably with the widely used Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Methods: In all, 108 patients between May 2004 and November 2006 were treated operatively following distal radius fractures. Follow-up was at 3 months, 6 months, 1 year, and 2 years postsurgery, during which anatomical and functional assessments were performed. Patient outcomes were recorded using DASH, Green and O’Brien system, Gartland and Werley system, and Sarmiento radiological scoring system. Results: There was a stronger correlation between the Green and O’Brien scoring system and DASH (r = −.54) than Gartland and Werley and DASH (r = .44). The Green and O’Brien scoring system was more demanding so patients rated “excellent” or “good” had better functional outcome than those bearing the same grade in the Gartland and Werley system. Nonetheless, the Green and O’Brien score and Gartland and Werley score showed good correlation with each other (r = .66). The Sarmiento radiological score had no significant correlation with any of the other scoring systems. Significant predictors of the DASH score were function (r = .42), power grip (r = .41), pain (r = .37), and range of motion (r = .28). Conclusion: The Green and O’Brien scoring system correlated most strongly with the DASH score. Radiological scoring (reflecting anatomical deformity) was not significantly correlated with functional outcome. While subjective parameters “pain” and “function” are influenced by psychosocial factors and thus highly variable, it is paramount to include subjective tools in outcome assessment in future studies on wrist fractures.-
dc.languageengen_US
dc.publisherSage Publications, Inc. The Journal's web site is located at http://gos.sagepub.com/en_US
dc.relation.ispartofGeriatric Orthopaedic Surgery & Rehabilitationen_US
dc.rightsGeriatric Orthopaedic Surgery & Rehabilitation. Copyright © Sage Publications, Inc..-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectDistal radius fractures-
dc.subjectOutcome assessment-
dc.subjectPatient self-assessment-
dc.subjectElderly-
dc.titleAssessing results after distal radius fracture treatment: a comparison of objective and subjective toolsen_US
dc.typeArticleen_US
dc.identifier.emailKwok, IHY: iriskwokhy@hotmail.comen_US
dc.identifier.emailLeung, F: klleunga@hku.hk; iriskwokhy@hotmail.com-
dc.identifier.authorityLeung, FKL=rp00297en_US
dc.description.naturepostprint-
dc.identifier.doi10.1177/2151458511422701-
dc.identifier.hkuros197932en_US
dc.identifier.volume2en_US
dc.identifier.issue4en_US
dc.identifier.spage155en_US
dc.identifier.epage160en_US

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