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Measures for Pain and Function Assessments for Patients With Osteoarthritis
Authors:
Saleh, K. J. and Davis, A.
Abstract:
INTRODUCTION: To develop an osteoarthritis (OA) quality measure that satisfies quality-reporting initiatives, a systematic review of the literature was undertaken to identify and evaluate measures of pain and function commonly used to assess outcomes in patients with upper and lower extremity OA. METHODS: English-language systematic reviews and meta-analyses evaluating validity of pain and function instruments in OA patients published between 1995 and 2014 were considered for inclusion. The quality of all included studies was assessed using the Appraisal of Guidelines for Research and Evaluation II instrument (AGREE II). RESULTS: More than 90 pain and/or functional assessment tools were evaluated within the 16 systematic reviews included in this analysis. Of the 16 systematic reviews, 6 articles had high-quality study designs; the remaining 10 reviews had moderate-quality study designs. CONCLUSION: There currently exists no OA pain and functional assessment tool capable of meeting the stringent requirements established by newer quality-reporting programs. The use of invalidated or unreliable patient-reported outcome measures may improperly estimate patient pain and functional status, which could affect treatment options, patient satisfaction, reimbursement, and/or quality of life. LEVEL OF EVIDENCE: II.
DOI:
10.5435/jaaos-d-16-00303
Journal:
J Am Acad Orthop Surg
issn:
1067-151x
Publication year:
2016
pages:
e148-e162
Symptom status:
Cognitive/mental state
Functional status:
Physical functioning
General health perceptions / HRQoL:
Health-related quality of life
Age:
Adults (18-65)
Disease:
Diseases of and symptoms related to the musculoskeletal system and connective tissue
PRO / non-PRO:
Non-patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
Instrument:
10 meter Max Speed Walk AAOS Hip and Knee Questionnaire - American Academy of Orthopedic Surgeons Hip and Knee Questionnaire ADL difficulty scale AIMS2 - Arthritis Impact Measurement Scales 2 (versions: AIMS2-SF; AS-AIMS2 - Ankylosing Spondylitis AIMS) AIMS - Arthritis Impact Measurement Scales (versions; sAIMS; shortened AIMS; SF-AIMS) ALF - Aggregated Locomotor Function AOFAS-Ankle/Hindfoot Scale - American Orthopaedic Foot and Ankle Society-Ankle/Hindfoot Scale AOS - Ankle Osteoarthritis Scale ASES - American Shoulder and Elbow Surgeons Score (also: ASES Standard Shoulder Assessment Form) (versions: ASES-p - ASES-patient selfevaluation form; M-ASES; ASES-elbow) AUSCAN - Australian/Canadian Hand Osteoarthritis Index Baecke questionnaire CMC grind test - Carpometacarpal grind test Cochin Scale DASH - Disabilities of the Arm, Shoulder and Hand (versions: DASH Modified; M2-DASH - Manchester modified DASH) Eaton Classification EQ-5D - EuroQoL-5 Dimensions (versions: EQ5D-VAS; Patient-Reported Health Score; EQ-5D-Pso - EQ-5D-Psoriasis) FAS - Functional Assessment System/Survey FFI - Foot Function Index (versions: FFI-17; FFI-18; FFI-5pt; FFI-r) FIHOA - Functional Index of Hand Osteoarthritis HAP - Human Activity Profile HAQ - Health Assessment Questionnaire (versions:MHAQ - Modified HAQ; HAQ-II; HAQ-S - HAQ-spondyloarthropathies or HAQ-stiffness; HAQ-Skin; HAQ-pain; HAQ-DI) HFI/KFT - HFI/KFT = Hand Functional Index of the Keitel Functional Test HHS - Harris Hip Score (versions: mHHS) HOOS - Hip disability and Osteoarthritis Outcome Score (versions: HOOS-12; HOOS JR - HOOS Joint Replacement) ILAS - Iowa Level of Assistance Scale J-MAP - Joint-Specific Multidimensional Assessment of Pain Jones score Kofoed ankle score KOOS - Knee injury and Osteoarthritis Outcome Score (versions: KOOS-Child; KOOS-JR - KOOS-Joint Replacement; KOOS-12; KOOS-PF - KOOS PatelloFemoral pain and osteoarthritis) KPS - Knee Pain Scale KSPS - Knee-Specific Pain Scale LAI-hip - Lequesne Algofunctional Index for the severity of osteoarthritis of the hip [alias: LISH][alias: LISOH] LAI-knee - Lequesne Algofunctional Index for the severity of osteoarthritis of the knee [alias: LISK][alias: LISOK] LEAS - Lower Extremity Activity Scale LEFS - Lower Extremity Function Scale Lequesne modified Lin Battery Test MFA - Musculoskeletal Function Assessment (versions: SMFA) MPQ - McGill Pain Questionnaire (versions MPQ-SF; SF-MPQ; LF-MPQ; MPQ-VAS)
Nelson Score NHP - Nottingham Health Profile NRS - Numeric Rating Scale (versions: NRS-6; NRS-11; NRS-21; NRS-101; NPRS - NRS Pain) Number of painful days Oberg OKS - Oxford Knee Score PAR - Physical Activity Restrictions test PASS - Pain Anxiety Symptoms Scale (versions: PASS-SF; PASS-20) PCS - Pain Catastrophizing Scale (versions: PCS-Parent; PCS-Child; Postconcussion Catastrophizing Scale) PCS - Physical Composite Score PDI - Pain Disability Index Personal Burden of Osteoarthritis PFC - physical function composite (based on SF-36, SF-12, or SF-8) PGA - Patient Global Assessment PRATHoT - Patient Response Assessment Tool After Homeopathic Treatment PRWE - Patient-Rated Wrist Evaluation [alias: PRWHE - Patient Rated Wrist/Hand Evaluation] QR&S - Questionnaire Rising and Sitting Down Quick DASH - Quick Disabilities of the Arm, Shoulder and Hand (versions: Modified Quick DASH-9; Quick DASH sport) SES - Self-efficacy Scale (versions: CSES - Child SES) SF-36 - 36-item Short Form Health Survey [alias: RAND-36][alias: MOS SF-36]] (versions: VSF-36 LoA - Visual Version of the SF-36 Limitations of Physical Activities domain; VR-36 - Veterans SF-36) database.cosmin.nl SIP - Sickness Impact Profile (versions: SIP-8; SIP-68; SIP-136; SIP-SV; UKSIP; SIP/ALS-19) Stratford Battery VAS - Visual Analogue Scale (versions: vertical; horizontal; 0-10; 0-100) WIQ - Walking Impairment Questionnaire WOMAC - Western Ontario and McMaster Universities Osteoarthritis Index (versions: Individualized WOMAC; WOMAC-Likert Scale; WOMACsf; WOMAC-12; WOMACv3, foot and ankle; R-WOMAC - Reduced WOMAC; ShortMAC; Modified WOMAC)
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