PMID- 26601561
OWN - NLM
STAT- MEDLINE
DCOM- 20161103
LR  - 20220311
IS  - 1545-004X (Electronic)
IS  - 0894-1130 (Linking)
VI  - 29
IP  - 1
DP  - 2016 Jan-Mar
TI  - Specificity of the minimal clinically important difference of the quick 
      Disabilities of the Arm Shoulder and Hand (QDASH) for distal upper extremity 
      conditions.
PG  - 81-8; quiz 88
LID - S0894-1130(15)00166-0 [pii]
LID - 10.1016/j.jht.2015.09.003 [doi]
AB  - Retrospective cohort design. The minimal clinically important difference (MCID) 
      for the quick Disabilities of the Arm, Shoulder and Hand (QDASH) has been 
      established using a pool of multiple conditions, and only exclusively for the 
      shoulder. Understanding diagnoses-specific threshold change values can enhance 
      the clinical decision-making process. Before and after QDASH scores for 406 
      participants with conditions of surgical distal radius fracture, non-surgical 
      lateral epicondylitis, and surgical carpal tunnel release were obtained. The 
      external anchor administered at each fourth visit was a 15-point global rating of 
      change scale. The test-retest reliability of the QDASH was moderate for all 
      diagnoses: intraclass correlation coefficient model 2, 1, for surgical distal 
      radius = 0.71; non-surgical lateral epicondylitis = 0.69; and surgical carpal 
      tunnel = 0.69. The minimum detectable change at the 90% confidence level was 
      25.28; 22.49; and 27.63 points respectively; and the MCID values were 25.8; 15.8 
      and 18.7, respectively. For these three distal upper extremity conditions, a 
      QDASH MCID of 16-26 points could represent the estimate of change in score that 
      is important to the patient and guide clinicians through the decision-making 
      process.
CI  - Published by Elsevier Inc.
FAU - Smith-Forbes, Enrique V
AU  - Smith-Forbes EV
AD  - Graduate Medical Education, Fort Sam Houston Clinic, Building 1179, Room 1A38, 
      3100 Schofield Road, Fort Sam Houston, TX 78234, USA. Electronic address: 
      enrique.smith-forbes@uky.edu.
FAU - Howell, Dana M
AU  - Howell DM
AD  - Department of Rehabilitation Sciences, College of Health Sciences, University of 
      Kentucky, Lexington, KY, USA; Department of Occupational Therapy, Eastern 
      Kentucky University, Richmond, KY, USA.
FAU - Willoughby, Jason
AU  - Willoughby J
AD  - Kentucky Hand & Physical Therapy, Drayer Physical Therapy Institute, Lexington, 
      KY, USA.
FAU - Pitts, Donald G
AU  - Pitts DG
AD  - Kentucky Hand & Physical Therapy, Drayer Physical Therapy Institute, Lexington, 
      KY, USA.
FAU - Uhl, Tim L
AU  - Uhl TL
AD  - Department of Rehabilitation Sciences, College of Health Sciences, University of 
      Kentucky, Lexington, KY, USA.
LA  - eng
PT  - Journal Article
DEP - 20150930
PL  - United States
TA  - J Hand Ther
JT  - Journal of hand therapy : official journal of the American Society of Hand 
      Therapists
JID - 8806591
SB  - IM
MH  - Adult
MH  - Carpal Tunnel Syndrome/*physiopathology
MH  - Cohort Studies
MH  - *Disability Evaluation
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Psychometrics
MH  - Radius Fractures/*physiopathology
MH  - Reproducibility of Results
MH  - Retrospective Studies
MH  - Sensitivity and Specificity
MH  - Tennis Elbow/*physiopathology
MH  - Upper Extremity/physiopathology
OTO - NOTNLM
OT  - Disability evaluation
OT  - Musculoskeletal diseases
OT  - Outcome assessment
OT  - Psychometrics
OT  - Rehabilitation
OT  - Upper extremity
EDAT- 2015/11/26 06:00
MHDA- 2016/11/04 06:00
CRDT- 2015/11/26 06:00
PHST- 2014/11/26 00:00 [received]
PHST- 2015/08/25 00:00 [revised]
PHST- 2015/09/21 00:00 [accepted]
PHST- 2015/11/26 06:00 [entrez]
PHST- 2015/11/26 06:00 [pubmed]
PHST- 2016/11/04 06:00 [medline]
AID - S0894-1130(15)00166-0 [pii]
AID - 10.1016/j.jht.2015.09.003 [doi]
PST - ppublish
SO  - J Hand Ther. 2016 Jan-Mar;29(1):81-8; quiz 88. doi: 10.1016/j.jht.2015.09.003. 
      Epub 2015 Sep 30.