PMID- 30094561 OWN - NLM STAT- MEDLINE DCOM- 20190114 LR - 20201215 IS - 1434-3916 (Electronic) IS - 0936-8051 (Linking) VI - 138 IP - 12 DP - 2018 Dec TI - Validity and responsiveness of Barthel index for measuring functional recovery after hemiarthroplasty for femoral neck fracture. PG - 1671-1677 LID - 10.1007/s00402-018-3020-z [doi] AB - INTRODUCTION: To investigate the validity of Barthel Index (BI) compared with de Morton Mobility Index (DEMMI), EuroQol-visual analog scale (EQ-VAS), 2-min walk test (2MWT), and timed get-up-and-go test (TUG), and to evaluate the responsiveness of all outcome measures for assessing functional recovery in older patients who underwent hemiarthroplasty after femoral neck fracture. MATERIAL AND METHOD: Eighty-one femoral neck fracture patients who were enrolled in a study evaluating functional recovery after bisphosphonate therapy during 2013 to 2015, and who had data available at both baseline and 12 months after surgery were included in this study. RESULTS: All scores improved significantly from baseline to the 1-year follow-up. BI had moderate to strong correlation with DEMMI, 2MWT, and TUG (r-value: 0.490-0.843), and mild to moderate correlation with EQ-VAS (r-value: 0.278-0.323). All outcome measurements had high effect estimates. The minimal clinically important difference (MCID) of BI at 12 months was 9.8 points. CONCLUSION: Since BI was shown to have good validity (moderate to strong correlation with DEMMI and performance-based tests, and mild to moderate correlation with EQ-VAS), BI can be used to accurately assess functional recovery in patients who undergo hemiarthroplasty after femoral neck fracture. FAU - Unnanuntana, Aasis AU - Unnanuntana A AD - Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang Lang Road, Bangkok Noi, Bangkok, 10700, Thailand. uaasis@gmail.com. FAU - Jarusriwanna, Atthakorn AU - Jarusriwanna A AD - Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang Lang Road, Bangkok Noi, Bangkok, 10700, Thailand. AD - Department of Orthopaedics, Faculty of Medicine, Naresuan University, 99 Moo 9 Phitsanulok-Nakhon Sawan Road, Phitsanulok, 65000, Thailand. FAU - Nepal, Sarthak AU - Nepal S AD - Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang Lang Road, Bangkok Noi, Bangkok, 10700, Thailand. LA - eng PT - Clinical Trial PT - Journal Article PT - Validation Study DEP - 20180809 PL - Germany TA - Arch Orthop Trauma Surg JT - Archives of orthopaedic and trauma surgery JID - 9011043 SB - IM MH - Aged MH - Aged, 80 and over MH - Arthroplasty, Replacement, Hip/*methods MH - Cohort Studies MH - Female MH - Femoral Neck Fractures/*surgery MH - Follow-Up Studies MH - Hemiarthroplasty/*methods MH - Humans MH - Male MH - Middle Aged MH - Range of Motion, Articular/physiology MH - Recovery of Function/*physiology MH - Reproducibility of Results MH - Retrospective Studies MH - Treatment Outcome OTO - NOTNLM OT - Barthel index OT - Femoral neck fracture OT - Functional recovery OT - Hemiarthroplasty OT - Hip fracture OT - Validity EDAT- 2018/08/11 06:00 MHDA- 2019/01/15 06:00 CRDT- 2018/08/11 06:00 PHST- 2018/03/05 00:00 [received] PHST- 2018/08/11 06:00 [pubmed] PHST- 2019/01/15 06:00 [medline] PHST- 2018/08/11 06:00 [entrez] AID - 10.1007/s00402-018-3020-z [pii] AID - 10.1007/s00402-018-3020-z [doi] PST - ppublish SO - Arch Orthop Trauma Surg. 2018 Dec;138(12):1671-1677. doi: 10.1007/s00402-018-3020-z. Epub 2018 Aug 9.