Comparison of four patient reported outcome measures in patients with ankle fracture: A study on patient preferences and psychometric properties.

IF 1.9 3区医学 Q2 ORTHOPEDICS Foot and Ankle Surgery Pub Date : 2024-07-14 DOI:10.1016/j.fas.2024.07.001

Per Hviid Gundtoft, Julie Ladeby Erichsen, Mads Terndrup, Lauritz Walsøe, Lasse Pedersen, Bjarke Viberg, Alice Ørts, Charlotte Abrahamsen

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Abstract

Background: The aim was to assess psychometric properties of Manchester Oxford Foot Questionnaire (MOXFQ), the Self-reported Foot and Ankle Score (SEFAS), the Olerud Molander Ankle Score (OMAS), and the Forgotten Joint Score (FJS) in adults with ankle fractures.

Methods: Patients received all four questionnaires 6, 12, 14, 24, 52, and 104 weeks following an ankle fracture. According to COSMIN guidelines, statistical tests were performed to assess floor- and ceiling effects, structural validity, construct validity and reliability. Cognitive interview was performed with 9 patients.

Results: MOXFQ showed best model fit in Confirmatory Factor Analysis. When testing construct validity, all hypotheses were accepted except for OMAS and FJS. All questionnaires had an almost perfect test-retest reliability (Interclass Correlation Coefficient 0.81 to 0.91) and Cronbach's alpha ranged from 0.76 to 0.95. MOXFQ was the best rated questionnaire.

Conclusion: All questionnaires performed well and we recommend MOXFQ for future use in ankle fracture studies.

Level of evidence: Level IV.

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踝关节骨折患者的四种患者报告结果测量方法的比较：关于患者偏好和心理测量特性的研究。

研究背景目的是评估曼彻斯特牛津足部问卷（MOXFQ）、自我报告足踝评分（SEFAS）、奥勒德-莫兰德足踝评分（OMAS）和遗忘关节评分（FJS）在成人踝关节骨折患者中的心理测量特性：患者在踝关节骨折后的 6、12、14、24、52 和 104 周接受所有四种问卷调查。根据 COSMIN 指南，进行了统计测试以评估下限和上限效应、结构效度、构架效度和可靠性。对 9 名患者进行了认知访谈：结果：MOXFQ在确证因子分析中显示出最佳模型拟合度。在检验结构效度时，除 OMAS 和 FJS 外，其他假设均被接受。所有问卷的测试-再测试可靠性几乎完美（类间相关系数为 0.81 至 0.91），Cronbach's alpha 为 0.76 至 0.95。MOXFQ是评价最好的问卷：结论：所有问卷均表现良好，我们建议今后在踝关节骨折研究中使用 MOXFQ：证据等级：IV 级。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.