Related Experiment Videos
Patient and physician-assessed shoulder function after arthroplasty
Adam M Smith1, Sunni A Barnes, John W Sperling
1Department of Orthopedic Surgery, Mayo Clinic and Mayo Foundation, 200 First Street S.W., Rochester, MN 55905, USA.
The Journal of Bone and Joint Surgery. American Volume
|March 3, 2006
Summary
Patient questionnaires show high agreement with surgeon assessments for shoulder surgery outcomes. This suggests patient-reported data is valuable for evaluating shoulder arthroplasty results.
Area of Science:
- Orthopedic surgery
- Patient-reported outcomes
- Clinical assessment
Background:
- Limited literature exists on patient vs. physician outcome assessments using shoulder questionnaires.
- This study investigated patient and physician-administered questionnaires after shoulder arthroplasty.
Purpose of the Study:
- To examine the agreement between patient-derived and physician-derived outcome assessments following shoulder arthroplasty.
- To identify factors influencing the agreement between patient and physician assessments.
Main Methods:
- Sixty-seven patients undergoing shoulder arthroplasty were evaluated with self-administered and physician-directed shoulder questionnaires.
- Assessments covered clinical and functional outcomes at a minimum of six months post-surgery.
- Agreement analysis and influencing factors were examined.
Main Results:
- Near-perfect agreement (ICC >0.80) was found for pain, stability, and active elevation.
- Substantial agreement (ICC 0.66-0.69) was observed for pain without activity and strength.
- High agreement (ICC = 0.75) was noted for the modified Neer system outcomes.
Conclusions:
- Patient-derived questionnaires demonstrate a high level of agreement with surgeon assessments for shoulder surgery outcomes.
- Patient-administered assessments are a valuable tool for evaluating patients post-shoulder arthroplasty.