RESEARCH - Comprehensive assessment of clinical outcome and quality of life after total elbow arthroplasty

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Arthritis Rheum. 2005 Feb 15;53(1):73-82.

Comprehensive assessment of clinical outcome and quality of life after total

elbow arthroplasty.

Angst F, M, Pap G, Mannion AF, Herren DB, Flury M, Aeschlimann A,

Schwyzer HK, Simmen BR.

Schulthess Klinik, Zurich, Switzerland. fangst@...

OBJECTIVE: To assess quantitatively the outcome and to explore the

physiometric and psychometric properties of clinical, generic, and

condition-specific instruments after total elbow arthroplasty. METHODS:

Seventy-nine patients were assessed in a 6-19-year cross-sectional

catamnesis by means of 6 widely used questionnaires, clinical examinations,

and radiographic examinations. RESULTS: With regard to pain, general

physical health, and all the mental health dimensions of the Short Form 36

(SF-36), the patients showed scores comparable to normative values. Elbow

joint stability and satisfaction were both good. Significant functional

limitation was evidenced by the low mean scores of the SF-36 physical

functioning measure (48.7, normative 69.9) and the Disabilities of the Arm,

Shoulder and Hand questionnaire (DASH) function measure (51.1, normative

89.3). The SF-36 physical component summary and the DASH correlated highly

(r = 0.76) and, in factor analysis, loaded on the factor " physical

unspecific. " The patient and clinical modified American Shoulder and Elbow

Surgeons questionnaire (mASES) correlated with the Patient Related Elbow

Evaluation form (r = 0.92 with the patient mASES) and loaded on " physical

specific. " The SF-36 mental component summary loaded on " mental quality of

life. "

CONCLUSION: The patients' self-rated health, quality of life, and clinical

outcome were good and were not affected by impairment in some specific

functional abilities. A questionnaire set comprising the SF-36 and the

patient and clinical mASES is proposed for the comprehensive and specific

assessment of outcome after elbow arthroplasty.

PMID: 15696556

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve & db=PubMed & list_uids=1\

5696556 & dopt=Abstract

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