1. Validity of outcome measures used to assess one and six month outcomes in orthopaedic trauma patients
- Author
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Gosling, Cameron McR., Gabbe, Belinda J., Williamson, Owen D., Sutherland, Ann M., and Cameron, Peter A.
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ORTHOPEDICS , *MUSCULOSKELETAL system injuries , *HEALTH surveys , *TRAUMA centers , *HEALTH outcome assessment , *FOLLOW-up studies (Medicine) , *TEST validity - Abstract
Abstract: Introduction: To evaluate the validity of the 12-item Short Form Health Survey (SF-12), Sickness Impact Profile (SIP) and the Short Musculoskeletal Functional Assessment Questionnaire (SMFA) for use in an orthopaedic trauma population. Materials and methods: A prospective validation trial was completed at a Level 1 adult trauma centre in Melbourne, Australia. One hundred and fifty four patients with orthopaedic trauma managed or followed-up by an orthopaedic unit were prospectively recruited. Patients with pathological fractures related to metastatic disease and/or an isolated orthopaedic injury, a documented history of mental illness or dementia or those for whom follow-up was likely to be difficult were excluded. The SF-12, SIP and SMFA were administered by a trained interviewer at one and six months. Each questionnaire was scored for the physical and mental components and then compared for content and construct validity at each time point. Results: Complete data were collected for 134 patients at one and six months. The one and six month component scores correlated strongly between the SF-12 physical, SIP physical (r =0.513–0.669) and SMFA dysfunction (r =0.529–0.778); the SF-12 mental, SIP mental (r =0.643–0.719) and SMFA bother (r =0.564–0.602) components. The strength of association was greater for the six month time point compared to the one month measure. The SF-12 demonstrated no ceiling or floor effects, and provided a lower time burden on participants and researchers when compared to the SIP and SMFA. Conclusions: For large population-based surveillance research into orthopaedic injury the SF-12 provides a valid and versatile tool. [Copyright &y& Elsevier]
- Published
- 2011
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