Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease

This prospective cohort study investigated the responsiveness and interpretability of the Disabilities of the Arm, Shoulder and Hand (DASH) and Unité Rhumatologique des Affections de la Main (URAM) outcome measures for assessing recovery after fasciectomy and dermofasciectomy for Dupuytren’s disease...

Full description

Bibliographic Details
Main Authors: Rodrigues, J.N., Zhang, W., Scammell, Brigitte E., Davidson, D., Fullilove, S., Chakrabarti, I., Russell, P.G., Davies, T.R.C.
Format: Article
Published: SAGE 2016
Subjects:
Online Access:https://eprints.nottingham.ac.uk/42611/
_version_ 1848796526594228224
author Rodrigues, J.N.
Zhang, W.
Scammell, Brigitte E.
Davidson, D.
Fullilove, S.
Chakrabarti, I.
Russell, P.G.
Davies, T.R.C.
author_facet Rodrigues, J.N.
Zhang, W.
Scammell, Brigitte E.
Davidson, D.
Fullilove, S.
Chakrabarti, I.
Russell, P.G.
Davies, T.R.C.
author_sort Rodrigues, J.N.
building Nottingham Research Data Repository
collection Online Access
description This prospective cohort study investigated the responsiveness and interpretability of the Disabilities of the Arm, Shoulder and Hand (DASH) and Unité Rhumatologique des Affections de la Main (URAM) outcome measures for assessing recovery after fasciectomy and dermofasciectomy for Dupuytren’s disease. DASH outcome scores at 1 year were significantly better than at 6 weeks, suggesting that recovery is not complete by 6 weeks. Of the 101 patients recruited to the DASH cohort, 71 completed preoperative, 6 week and 1 year postoperative DASH scores; 68 of them completed preoperative and 1 year postoperative DASH scores and an external anchor question. In the URAM cohort, 30/44 completed the preoperative and the 1 year postoperative URAM scores and the anchor question. The DASH score exhibited moderate responsiveness but poor interpretability on receiver operating characteristic curve analysis, such that a minimal important change could not be estimated. The URAM score showed acceptable responsiveness, and an MIC of 10.5 on receiver operating characteristic analysis.
first_indexed 2025-11-14T19:49:23Z
format Article
id nottingham-42611
institution University of Nottingham Malaysia Campus
institution_category Local University
last_indexed 2025-11-14T19:49:23Z
publishDate 2016
publisher SAGE
recordtype eprints
repository_type Digital Repository
spelling nottingham-426112020-04-29T15:35:16Z https://eprints.nottingham.ac.uk/42611/ Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease Rodrigues, J.N. Zhang, W. Scammell, Brigitte E. Davidson, D. Fullilove, S. Chakrabarti, I. Russell, P.G. Davies, T.R.C. This prospective cohort study investigated the responsiveness and interpretability of the Disabilities of the Arm, Shoulder and Hand (DASH) and Unité Rhumatologique des Affections de la Main (URAM) outcome measures for assessing recovery after fasciectomy and dermofasciectomy for Dupuytren’s disease. DASH outcome scores at 1 year were significantly better than at 6 weeks, suggesting that recovery is not complete by 6 weeks. Of the 101 patients recruited to the DASH cohort, 71 completed preoperative, 6 week and 1 year postoperative DASH scores; 68 of them completed preoperative and 1 year postoperative DASH scores and an external anchor question. In the URAM cohort, 30/44 completed the preoperative and the 1 year postoperative URAM scores and the anchor question. The DASH score exhibited moderate responsiveness but poor interpretability on receiver operating characteristic curve analysis, such that a minimal important change could not be estimated. The URAM score showed acceptable responsiveness, and an MIC of 10.5 on receiver operating characteristic analysis. SAGE 2016-11-20 Article PeerReviewed Rodrigues, J.N., Zhang, W., Scammell, Brigitte E., Davidson, D., Fullilove, S., Chakrabarti, I., Russell, P.G. and Davies, T.R.C. (2016) Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease. Journal of Hand Surgery (European Volume), 42 (3). pp. 301-309. ISSN 2043-6289 Dupuytren’s contracture Dupuytren’s disease Patient-reported outcome measures DASH URAM responsiveness interpretability minimal important difference minimal important change http://journals.sagepub.com/doi/10.1177/1753193416677712 doi:10.1177/1753193416677712 doi:10.1177/1753193416677712
spellingShingle Dupuytren’s contracture
Dupuytren’s disease
Patient-reported outcome measures
DASH
URAM
responsiveness
interpretability
minimal important difference
minimal important change
Rodrigues, J.N.
Zhang, W.
Scammell, Brigitte E.
Davidson, D.
Fullilove, S.
Chakrabarti, I.
Russell, P.G.
Davies, T.R.C.
Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease
title Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease
title_full Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease
title_fullStr Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease
title_full_unstemmed Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease
title_short Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease
title_sort recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for dupuytren’s disease
topic Dupuytren’s contracture
Dupuytren’s disease
Patient-reported outcome measures
DASH
URAM
responsiveness
interpretability
minimal important difference
minimal important change
url https://eprints.nottingham.ac.uk/42611/
https://eprints.nottingham.ac.uk/42611/
https://eprints.nottingham.ac.uk/42611/