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Comparison of ceiling effects between two patient-rating scores and a physician-rating score in the assessment of outcome after the surgical treatment of distal radial fractures

Title
Comparison of ceiling effects between two patient-rating scores and a physician-rating score in the assessment of outcome after the surgical treatment of distal radial fractures
Author
이봉근
Keywords
CROSS-CULTURAL ADAPTATION; HAND QUESTIONNAIRE; DASH QUESTIONNAIRE; CLINICAL-PRACTICE; SHOULDER; ARM; VALIDITY; DISABILITIES; RELIABILITY; RESPONSIVENESS
Issue Date
2015-12
Publisher
BRITISH EDITORIAL SOC BONE JOINT SURGERY
Citation
BONE & JOINT JOURNAL, v. 97B, NO 12, Page. 1651-1656
Abstract
We compared the ceiling effects of two patient-rating scores, the Disability of the Arm, Shoulder and Hand (DASH) and Patient-Rated Wrist Evaluation (PRWE), and a physician-rating score, the Modified Mayo Wrist Score (MMWS) in assessing the outcome of surgical treatment of an unstable distal radial fracture. A total of 77 women with a mean age of 64.2 years (50 to 88) who underwent fixation using a volar locking plate for an unstable distal radial fracture between 2011 and 2013 were enrolled in this study. All completed the DASH and PRWE questionnaires one year post-operatively and were assessed using the MMWS by the senior author. The ceiling effects in the outcome data assessed for each score were estimated. The data assessed with both patient-rating scores, the DASH and PRWE, showed substantial ceiling effects, whereas the data assessed with MMWS showed no ceiling effect. Researchers should be aware of a possible ceiling effect in the assessment of the outcome of the surgical treatment of distal radial fractures using patient-rating scores. It could also increase the likelihood of a type II error.
URI
http://bjj.boneandjoint.org.uk/content/97-B/12/1651.shorthttp://hdl.handle.net/20.500.11754/30079
ISSN
2049-4394
DOI
10.1302/0301-620X.97B12.35723
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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