PMID- 35097344
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240404
IS  - 2473-0114 (Electronic)
IS  - 2473-0114 (Linking)
VI  - 4
IP  - 4
DP  - 2019 Oct
TI  - Comparison of Generic, Musculoskeletal-Specific, and Foot and Ankle-Specific 
      Outcome Measures Over Time in Tibial Plafond Fractures.
PG  - 2473011419884008
LID - 10.1177/2473011419884008 [doi]
LID - 2473011419884008
AB  - BACKGROUND: This study performed a psychometric analysis assessing and comparing 
      the responsiveness of the relevant components of a generic (Short Form-36 
      [SF36]), a musculoskeletal-specific (Short Musculoskeletal Functional Assessment 
      [SMFA]), and a foot and ankle-specific (Foot and Ankle Outcome Score [FAOS]) 
      outcome score when evaluating surgically treated tibial plafond fractures over 
      time. METHODS: Fifty-one patients were followed for 12 months after their tibial 
      plafond fracture. Responsiveness, or the ability to detect clinical change in a 
      disease, was evaluated through the standardized response mean (SRM), the 
      proportion meeting a minimal clinically important difference (MCID), and floor 
      and ceiling effects. RESULTS: The SRM of the SF36-Physical Component Summary 
      (PCS) was significantly greater than the SMFA-dysfunction index (DI) (P < .01) 
      and FAOS-Activities of Daily Living (ADL) (P = .01) between baseline and 6 
      months, whereas the SRMs of only SF36-PCS and FAOS-ADL differed (P = .01) between 
      6 and 12 months. The proportion of patients achieving an MCID for SF36-PCS was 
      higher than FAOS-ADL (P = .03) between baseline and 6 months and higher than 
      SMFA-DI (P = .04) between 6 and 12 months. The FAOS-ADL showed substantial 
      ceiling effects at baseline (88.2%) but much less at 6 months (5.9%) and 12 
      months (9.8%). Smaller ceiling effects were observed for the SMFA-DI (11.8%) at 
      baseline, whereas none were observed for the SF36-PCS. CONCLUSIONS: This study 
      found that the SF36-PCS had greater responsiveness in assessing tibial plafond 
      fractures compared to the SMFA-DI and FAOS-ADL, particularly in the first 6 
      months after surgery. In addition, limitations were revealed in the SMFA-DI and 
      FAOS-ADL. This study illustrates the necessary diligence required for selection 
      of outcome measures, as musculoskeletal and anatomy specific scores are not 
      necessarily superior. LEVEL OF EVIDENCE: Level II, prospective cohort study.
CI  - (c) The Author(s) 2019.
FAU - Sepehri, Aresh
AU  - Sepehri A
AUID- ORCID: 0000-0001-7875-1531
AD  - Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, University of 
      British Columbia, Vancouver, BC, Canada.
FAU - Lefaivre, Kelly A
AU  - Lefaivre KA
AD  - Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, University of 
      British Columbia, Vancouver, BC, Canada.
FAU - O'Brien, Peter J
AU  - O'Brien PJ
AD  - Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, University of 
      British Columbia, Vancouver, BC, Canada.
FAU - Broekhuyse, Henry M
AU  - Broekhuyse HM
AD  - Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, University of 
      British Columbia, Vancouver, BC, Canada.
FAU - Guy, Pierre
AU  - Guy P
AD  - Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, University of 
      British Columbia, Vancouver, BC, Canada.
LA  - eng
PT  - Journal Article
DEP - 20191106
PL  - United States
TA  - Foot Ankle Orthop
JT  - Foot & ankle orthopaedics
JID - 101752333
PMC - PMC8697142
OTO - NOTNLM
OT  - Foot and Ankle Outcome Score
OT  - Short Form-36
OT  - Short Musculoskeletal Function Assessment
OT  - fracture
OT  - functional outcome scores
OT  - pilon
OT  - tibial plafond
COIS- Declaration of Conflicting Interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article. ICMJE forms for all authors are available online.
EDAT- 2019/11/06 00:00
MHDA- 2019/11/06 00:01
PMCR- 2019/11/06
CRDT- 2022/01/31 06:02
PHST- 2022/01/31 06:02 [entrez]
PHST- 2019/11/06 00:00 [pubmed]
PHST- 2019/11/06 00:01 [medline]
PHST- 2019/11/06 00:00 [pmc-release]
AID - 10.1177_2473011419884008 [pii]
AID - 10.1177/2473011419884008 [doi]
PST - epublish
SO  - Foot Ankle Orthop. 2019 Nov 6;4(4):2473011419884008. doi: 
      10.1177/2473011419884008. eCollection 2019 Oct.