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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?

From the Department of Plastic Surgery, Northern General Hospital, Sheffield, UK

Correspondence: Annabel Scott, 58, Reliance Way, Oxford, OX4 2FG, UK. Tel.: +44 (0)7786318322. E-mail:annabelscott{at}doctors.org.uk.

The purpose of our study was to evaluate a new region-specific outcome measure in hand and upper limb surgery: the Patient Outcomes of Surgery (POS)-Hand/Arm questionnaire using the generic Short Form Health Survey (SF)-36 questionnaire as a ‘gold standard’ comparative measure. The POS-Hand/Arm preop questionnaire and the SF-36 questionnaire were completed by 214 patients on the day of their hand or upper limb surgery; and a postop POS-Hand/Arm and the SF-36 questionnaire were completed by patients 3 months after their initial surgery. The POS-Hand/Arm questionnaire responses were psychometrically evaluated and it was shown to have high internal consistency; high total-item correlations; signification scale correlations with the SF-36; and a low proportion of missing data. The POS-Hand/Arm questionnaire is a psychometrically sound instrument that can be used pre- and post-surgery to evaluate patient-based outcomes for a wide range of conditions in hand and upper limb surgery.

Key Words: hand surgery • patient-based outcomes • questionnaire • symptoms • upper limb surgery

This version was published on August 1, 2009

Journal of Hand Surgery (European Volume), Vol. 34, No. 4, 530-536 (2009)
DOI: 10.1177/1753193409102458


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