PMID- 32896692
OWN - NLM
STAT- MEDLINE
DCOM- 20210929
LR  - 20210929
IS  - 1532-866X (Electronic)
IS  - 0049-0172 (Linking)
VI  - 50
IP  - 5
DP  - 2020 Oct
TI  - Validation of the Musculoskeletal Health Questionnaire (MSK-HQ) in primary care 
      patients with musculoskeletal pain.
PG  - 813-820
LID - S0049-0172(20)30206-7 [pii]
LID - 10.1016/j.semarthrit.2020.06.022 [doi]
AB  - OBJECTIVE: To evaluate the responsiveness, and concurrent validity of the 
      Musculoskeletal Health Questionnaire (MSK-HQ) in UK primary care patients with 
      common musculoskeletal (MSK) pain presentations. METHODS: A secondary analysis of 
      a primary care pilot randomised trial (STarT MSK) was performed. In 524 people 
      consulting with back, neck, shoulder, knee, or multi-site pain, the following 
      were recorded at 0/6 months: MSK-HQ, EQ-5D-5L, Roland-Morris Disability 
      Questionnaire (RMDQ; back pain), Neck Disability Index (NDI), Shoulder Pain and 
      Disability Index (SPADI), Knee Injury and Outcome Score (KOOS), Short-Form-12 
      (SF-12; multisite pain). At 6-months, patients self-rated their global change in 
      MSK condition, from -5 ("very much worse") to +5 ("completely recovered"). 
      Receiver operating characteristic curves evaluated abilities of 6-month changes 
      in each patient reported outcome measure (PROM) to discriminate between patients 
      improving/not improving on global change scores, with Minimal Clinically 
      Important Differences (MCID) calculated. RESULTS: The MSK-HQ had a good ability 
      to discriminate between MSK pain patients reporting global improvement vs. no 
      improvement (area under the curve [AUC] 0.81; 95% CI 0.78, 0.85). Its 
      discriminative ability was higher than the EQ-5D-5L (AUC 0.68; 95% CI 0.62, 0.73) 
      and similar to site-specific PROMs. The MCID for the 6-month change in MSK-HQ was 
      5.5. The MSK-HQ had strong correlations with all PROMs, except SF-12 scores. 
      CONCLUSION: In primary care patients with common MSK pain presentations, the 
      MSK-HQ was as good as existing pain-site specific PROMs at identifying people 
      reporting global improvements in their MSK condition, and was better than the 
      EQ-5D-5L.
CI  - Copyright (c) 2020 Elsevier Inc. All rights reserved.
FAU - Scott, Dr Ian C
AU  - Scott DIC
AD  - Primary Care Centre Versus Arthritis, School of Primary, Community and Social 
      Care, Keele University, Keele, UK; Clinical Trials Unit, School of Primary, 
      Community and Social Care, Keele University, Keele, UK; Haywood Academic 
      Rheumatology Centre, Haywood Hospital, Midlands Partnership NHS Foundation Trust, 
      High Lane, Burslem, Staffordshire, UK. Electronic address: i.scott@keele.ac.uk.
FAU - McCray, Dr Gareth
AU  - McCray DG
AD  - Primary Care Centre Versus Arthritis, School of Primary, Community and Social 
      Care, Keele University, Keele, UK.
FAU - Lancaster, Prof Gillian
AU  - Lancaster PG
AD  - Primary Care Centre Versus Arthritis, School of Primary, Community and Social 
      Care, Keele University, Keele, UK; Clinical Trials Unit, School of Primary, 
      Community and Social Care, Keele University, Keele, UK.
FAU - Foster, Prof Nadine E
AU  - Foster PNE
AD  - Primary Care Centre Versus Arthritis, School of Primary, Community and Social 
      Care, Keele University, Keele, UK.
FAU - Hill, Dr Jonathan C
AU  - Hill DJC
AD  - Primary Care Centre Versus Arthritis, School of Primary, Community and Social 
      Care, Keele University, Keele, UK.
LA  - eng
GR  - RP-PG-1211-20010/DH_/Department of Health/United Kingdom
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20200713
PL  - United States
TA  - Semin Arthritis Rheum
JT  - Seminars in arthritis and rheumatism
JID - 1306053
SB  - IM
MH  - Humans
MH  - Minimal Clinically Important Difference
MH  - *Musculoskeletal Pain/diagnosis
MH  - Patient Reported Outcome Measures
MH  - Primary Health Care
MH  - Quality of Life
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Musculoskeletal
OT  - Patient reported outcome measures
OT  - Primary care
OT  - Quality of life
COIS- Declaration of Competing Interest None declared.
EDAT- 2020/09/09 06:00
MHDA- 2021/09/30 06:00
CRDT- 2020/09/08 08:50
PHST- 2020/03/30 00:00 [received]
PHST- 2020/06/04 00:00 [revised]
PHST- 2020/06/25 00:00 [accepted]
PHST- 2020/09/09 06:00 [pubmed]
PHST- 2021/09/30 06:00 [medline]
PHST- 2020/09/08 08:50 [entrez]
AID - S0049-0172(20)30206-7 [pii]
AID - 10.1016/j.semarthrit.2020.06.022 [doi]
PST - ppublish
SO  - Semin Arthritis Rheum. 2020 Oct;50(5):813-820. doi: 
      10.1016/j.semarthrit.2020.06.022. Epub 2020 Jul 13.