Subject(s)
Low Back Pain/rehabilitation , Outcome Assessment, Health Care/methods , Randomized Controlled Trials as Topic/methods , Chronic Disease , Data Collection/methods , Data Collection/statistics & numerical data , Data Interpretation, Statistical , Female , Follow-Up Studies , Humans , Low Back Pain/psychology , Outcome Assessment, Health Care/standards , Patient Education as Topic/methods , Patient Education as Topic/statistics & numerical data , Quality of Life/psychology , Randomized Controlled Trials as Topic/standards , Reproducibility of Results , Sample Size , Surveys and Questionnaires/standards , Time , Time FactorsSubject(s)
Bone Neoplasms/pathology , Humerus/pathology , Osteochondroma/pathology , Range of Motion, Articular/physiology , Adult , Arthroscopy/methods , Biopsy, Needle , Bone Neoplasms/diagnostic imaging , Bone Neoplasms/surgery , Disease Progression , Follow-Up Studies , Humans , Immunohistochemistry , Joint Capsule/pathology , Male , Osteochondroma/diagnostic imaging , Osteochondroma/surgery , Recovery of Function , Risk Assessment , Shoulder Pain/diagnosis , Shoulder Pain/etiology , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Shoulder replacement has increased exponentially in recent decades, and previous studies have documented the effectiveness of this procedure. Pain relief, physical functional level, and health-related quality of life, however, were often not assessed. To our knowledge, no published articles have assessed quality of life in shoulder replacement for fracture. The main purpose of this study was to assess the patient-relevant outcomes in patients who underwent shoulder replacement for proximal humeral fractures. Standardized quality of life and shoulder-specific, self-administered questionnaires were used. On the Medical Outcomes Study Short Form 36 Health Survey, as expected, we observed a lower score in the domain compared with healthy Italian subjects. A surprising finding was that in the General Health and Role-Emotional domains, our sample had a better picture than the healthy one, probably because patients had experienced severe trauma and major surgery previously. These data represent the first step toward the definition of outcome for this procedure. This study does not address the necessity of therapy, but if this were included in future publications, it might provide useful data for therapeutic recommendations.
Subject(s)
Arthroplasty, Replacement , Shoulder Fractures/surgery , Shoulder Joint , Aged , Aged, 80 and over , Female , Health Surveys , Humans , Male , Middle Aged , Patient Satisfaction , Prospective Studies , Quality of Life , Surveys and Questionnaires , Treatment OutcomeABSTRACT
PURPOSE: Patient-oriented measures, represented by self-administered questionnaires, have become an important aspect of clinical outcome assessment. To be used with different language groups and in different countries, questionnaires must be translated and adapted to new cultural characteristics, and then validated by a widely accepted process to evaluate reliability and validity, fundamental characteristics for each measure. The aim of the study was to perform the cross-cultural adaptation and to assess the reliability and validity of the Italian version of the International Knee Documentation Committee (IKDC) Subjective Knee Form. TYPE OF STUDY: A cross-cultural adaptation and cross-sectional study of a sample of patients undergoing anterior cruciate ligament (ACL) reconstruction with a subsample followed up prospectively for retest reliability. METHODS: The IKDC Subjective Knee Form was culturally adapted for Italian-speaking people, following the simplified Guillemin criteria. Reliability and validity were assessed in a cross-sectional study of 50 consecutive patients undergoing ACL reconstruction. A subsample of 20 patients was followed up prospectively for retest reliability. RESULTS: The results were compared with other validated patient-oriented measures. The principal IKDC scale showed a high correlation with other patient-oriented measures as hypothesized, and it also showed good values with regard to reproducibility, consistency, and validity, compared with the versions of IKDC published in other languages. CONCLUSIONS: These findings suggest that the evaluation capacities of the IKDC Italian version are equivalent to those of other language versions of the IKDC. LEVEL OF EVIDENCE: Level II.
