Médecine

Paramédical

Autres domaines


S'abonner

Selecting, assessing and interpreting measures of function for patients with severe hip pathology: The need for caution - 20/09/16

Doi : 10.1016/j.otsr.2016.04.006 
E. Lenguerrand a, V. Wylde a, , L. Brunton a, R. Gooberman-Hill a, A. Blom a, P. Dieppe b
a Musculoskeletal Research Unit, School of Clinical Sciences, University of Bristol, Southmead Hospital, Learning and Research Building (Level 1), Bristol, BS10 5NB, United Kingdom 
b Medical School, University of Exeter, Exeter, United Kingdom 

Corresponding author. Tel.: +44 0 117 4147878; fax: +44 0 117 4147924.

Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.

Connectez-vous pour en bénéficier!

Abstract

Introduction

It is not always possible to use a combination of patient-reported outcome measures (PROMs), performance tests and clinician-administrated measures to assess physical function prior to hip surgery. We hypothesised that there would be low correlations between these three types of measure and that they would be associated with different patients’ characteristics.

Materials and methods

We conducted a cross-sectional analysis of the preoperative information of 125 participants listed for hip replacement. The WOMAC-function subscale, Harris Hip Score (HHS) and walk, step and balance tests were assessed by questionnaire or during a clinic visit. Participant's socio-demographics and medical characteristics were also collected. Correlations between functional measures were investigated with correlation coefficients. Regression models were used to test the association between the patient's characteristics and each of the three types of functional measures.

Results

None of the correlations between the PROM, clinician-administrated measure and performance tests were very high (<0.90). Associations between patient's characteristics and functional scores varied by type of measure. Psychological status was associated with the PROM (P-value<0.0001) but not with the other measures. Age was associated with the performance test measures (P-value ranging from ≤0.01 to <0.0001) but not with the PROM. The clinician-administered measure was not associated with age or psychological status.

Discussion

Substantial discrepancies exist when assessing hip function using a PROM, functional test or a clinician-administered test. Moreover, these assessment methods are influenced differently by patient's characteristics. Clinicians should supplement their pre-surgery assessment of function with patient-reported measure to include the patient's perspective.

Level of evidence

III, observational cross-sectional study.

Le texte complet de cet article est disponible en PDF.

Keywords : Physical functioning, Hip replacement, Patient-reported outcome measure, Performance test, Clinician-administrated measure


Plan


© 2016  Elsevier Masson SAS. Tous droits réservés.
Ajouter à ma bibliothèque Retirer de ma bibliothèque Imprimer
Export

    Export citations

  • Fichier

  • Contenu

Vol 102 - N° 6

P. 741-746 - octobre 2016 Retour au numéro
Article précédent Article précédent
  • Is there any range-of-motion advantage to using bearings larger than 36 mm in primary hip arthroplasty: A case-control study comparing 36-mm and large-diameter heads
  • C. Delay, S. Putman, G. Dereudre, J. Girard, V. Lancelier-Bariatinsky, E. Drumez, H. Migaud
| Article suivant Article suivant
  • MRI in patients with chronic pubalgia: Is precise useful information provided to the surgeon? A case-control study
  • A. Larbi, L. Pesquer, G. Reboul, P. Omoumi, A. Perozziello, P. Abadie, P. Loriaut, P. Copin, E. Ducouret, B. Dallaudière

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement ou un achat à l’unité.

Déjà abonné à cette revue ?

;

Mon compte


Plateformes Elsevier Masson

Déclaration CNIL

EM-CONSULTE.COM est déclaré à la CNIL, déclaration n° 1286925.

En application de la loi nº78-17 du 6 janvier 1978 relative à l'informatique, aux fichiers et aux libertés, vous disposez des droits d'opposition (art.26 de la loi), d'accès (art.34 à 38 de la loi), et de rectification (art.36 de la loi) des données vous concernant. Ainsi, vous pouvez exiger que soient rectifiées, complétées, clarifiées, mises à jour ou effacées les informations vous concernant qui sont inexactes, incomplètes, équivoques, périmées ou dont la collecte ou l'utilisation ou la conservation est interdite.
Les informations personnelles concernant les visiteurs de notre site, y compris leur identité, sont confidentielles.
Le responsable du site s'engage sur l'honneur à respecter les conditions légales de confidentialité applicables en France et à ne pas divulguer ces informations à des tiers.