This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by FORWARD, D. P. Articles by DAVIS, T. R. C. Search for Related Content PubMed Articles by FORWARD, D. P. Articles by DAVIS, T. R. C. Social Bookmarking                         What's this?

THE INTERNAL CONSISTENCY AND VALIDITY OF THE PATIENT EVALUATION MEASURE FOR OUTCOMES ASSESSMENT IN DISTAL RADIUS FRACTURES

From the Department of Trauma and Orthopaedic Surgery, Nottingham University Hospitals, Queen’s Medical Centre Campus, Nottingham and the Trent Research & Development Support Unit, Nottingham University Hospitals, Queen’s Medical Centre Campus, Nottingham, UK

Correspondence: Mr D.P. Forward, Department of Trauma and Orthopaedic Surgery, Nottingham University Hospitals, Queen’s Medical Centre Campus, Nottingham NG7 2UH, UK. Tel.: +44 1159 249924x64337; fax: +44 1159 209921. E-mail:daren.forward{at}virgin.net

The internal consistency and validity of the Patient Evaluation Measure (PEM) was investigated in the setting of the distal radius fracture by assessing 200 patients 6 to 42 years after injury using the PEM and DASH questionnaires and objective measures of outcome. The PEM was completed separately for both the injured and uninjured wrist. We found highly significant correlations between the PEM and objective measures and, also, between the PEM and DASH scores. We also calculated a comparative PEM score by subtracting the score of the uninjured wrist from that of the injured side, to eliminate the effect of co-existing disease. This score was more strongly correlated with outcome than the PEM alone. We suggest that the PEM is a valid method of assessing distal radial fracture outcome. It may, also, be used to reduce the effect of symptoms from coexisting bilaterally represented pathologies.

Key Words: outcome • distal radius fracture • Patient Evaluation Measure • DASH

Journal of Hand Surgery (European Volume), Vol. 32, No. 3, 262-267 (2007)
DOI: 10.1016/J.JHSB.2007.01.010


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?