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Journal of Hand Surgery (British and European Volume)
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Articles

The Patient Outcomes of Surgery-Hand/Arm (Pos-Hand/Arm): A New Patient-Based Outcome Measure

S. J. CANO
J. P. BROWNE
D. L. LAMPING
A. H. N. ROBERTS
D. A. MCGROUTHER
N. A. BLACK

From the Health Services Research Unit, London School of Hygiene & Tropical Medicine, London, UK

Correspondence: Dr. Stefan Cano, Senior Research Fellow, Neurological Outcomes Measures Unit, National Hospital for Neurology and Neurosurgery, 4th Floor Queen Mary Wing, Queen Square, London, WC1N 3BG, UK. Tel.: + 44 207 837 3611x3436; fax: + 44 207 813 6505; E-mail: scano{at}rfc.ucl.ac.uk

The purpose of this study was to develop and validate a new patient-based outcome measure for hand/arm disorders for use in audit, clinical trials and effectiveness studies. There were three stages. First, we carried out interviews with 40 patients with hand/arm disorders to develop and pilot questionnaire content. Second, in a postal survey with 165 pre- and 181 post-surgery patients, we reduced the number of items and identified scales. Third, in a postal survey with 132 pre- and 204 post-surgery patients we evaluated the psychometric properties of the measure.

Findings confirmed the acceptability, reliability, validity and responsiveness to clinical change of the questionnaire. The Patient Outcomes of Surgery-Hand/Arm (POS-Hand/Arm) is a new surgical outcome measure that can be used before and after surgery (29 and 33 items, respectively) to evaluate and compare new techniques, surgical teams and units.

Key Words: questionnaire • outcomes • hand surgery • arm surgery • symptoms • quality of life

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 5, 477-485 (2004)
DOI: 10.1016/J.JHSB.2004.06.002
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Home page
 J Hand Surg Eur VolHome page
A. D. SCOTT, O. MUSA, F. AL-HASSANI, G. L. JONES, M. B. HOBSON, and J. G. MILLER
Is the Patient Outcomes of Surgery (POS)-Hand/Arm Questionnaire a Reliable, Valid and Responsive Measurement of Patient-Based Outcomes in Hand and Upper Limb Surgery?
J Hand Surg Eur Vol., August 1, 2009; 34(4): 530 - 536.
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