TY - JOUR
T1 - Do patient-reported outcome measures used in assessing outcomes in rehabilitation after hip and knee arthroplasty capture issues relavent to patients? Results of a systematic review of ICF liking process
AU - Alviar, Maria
AU - Olver, John
AU - Brand, Caroline Anne
AU - Hale, Thomas
AU - Khan, Fary
PY - 2011
Y1 - 2011
N2 - Objective: To compare the contents of patient-reported instruments used in hip and knee arthroplasty rehabilitation with the International Classification of Functioning, Disability and Health (ICF).
Methods: A search of PubMed, CINAHL, Cochrane Central Registry, SCOPUS and PEDro identified patient-reported outcome instruments. The meaningful concepts extracted from the instruments were linked to the ICF based on established linking rules and compared with the osteoarthritis core set. The number of concepts per item, the breadth, and the depth of coverage of instruments in relation to the ICF were determined through calculation of content density, bandwidth per ICF component, and content diversity, respectively.
Results: Eight instruments were reviewed and 375 meaningful concepts were linked to the ICF. Activity and participation had the most representation (61 ). The Hip Disability and Osteoarthritis Outcome Score and Knee Injury and OsteoA-arthritis Outcome Score had the widest coverage (bandwidth) for body functions (1.62 , 1.22 , respectively). The Arthritis Impact Measurement Scales had the broadest bandwidth (8.4 ) for activity and participation. All tools addressed general mobility but lacked coverage in a??drivinga??, a??assisting othersa??, a??interpersonal relationshipsa?? and a??community lifea??. The majority of tools did not address environmental factors.
Conclusion: Patient-reported outcome measures in arthroplasty rehabilitation do not fully address relevant areas of activity, participation and environment, suggesting limited clinical applicability.
AB - Objective: To compare the contents of patient-reported instruments used in hip and knee arthroplasty rehabilitation with the International Classification of Functioning, Disability and Health (ICF).
Methods: A search of PubMed, CINAHL, Cochrane Central Registry, SCOPUS and PEDro identified patient-reported outcome instruments. The meaningful concepts extracted from the instruments were linked to the ICF based on established linking rules and compared with the osteoarthritis core set. The number of concepts per item, the breadth, and the depth of coverage of instruments in relation to the ICF were determined through calculation of content density, bandwidth per ICF component, and content diversity, respectively.
Results: Eight instruments were reviewed and 375 meaningful concepts were linked to the ICF. Activity and participation had the most representation (61 ). The Hip Disability and Osteoarthritis Outcome Score and Knee Injury and OsteoA-arthritis Outcome Score had the widest coverage (bandwidth) for body functions (1.62 , 1.22 , respectively). The Arthritis Impact Measurement Scales had the broadest bandwidth (8.4 ) for activity and participation. All tools addressed general mobility but lacked coverage in a??drivinga??, a??assisting othersa??, a??interpersonal relationshipsa?? and a??community lifea??. The majority of tools did not address environmental factors.
Conclusion: Patient-reported outcome measures in arthroplasty rehabilitation do not fully address relevant areas of activity, participation and environment, suggesting limited clinical applicability.
U2 - 10.2340/16501977-0801
DO - 10.2340/16501977-0801
M3 - Article
VL - 43
SP - 374
EP - 381
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
SN - 1650-1977
IS - 5
ER -