The Oxford shoulder score revisited

Area of Science:

• Orthopedics
• Clinical Trials
• Patient-Reported Outcomes

Background:

• The Oxford shoulder score (OSS) was developed approximately 10 years ago.
• It is primarily used to assess outcomes in shoulder surgery randomized trials, excluding stabilization procedures.
• The OSS has seen increasing international adoption and expanded applications.

Purpose of the Study:

• To review current issues related to the Oxford shoulder score (OSS).
• To address concerns raised about patient-reported outcome measures developed concurrently with the OSS.
• To provide recommendations for the optimal use and scoring of the OSS.

Main Methods:

• Literature review of patient-reported outcome measures.
• Analysis of issues pertaining to the Oxford shoulder score.
• Synthesis of recommendations for OSS application and scoring.

Main Results:

• Identified issues relevant to the OSS, mirroring concerns with similar contemporary patient-reported outcome measures.
• Highlighted recommendations for modifying the scoring system of the OSS.
• Established a basis for revised guidelines on OSS utilization.

Conclusions:

• The Oxford shoulder score (OSS) requires careful consideration regarding its application and scoring.
• Recommendations include potential modifications to the scoring system to enhance its validity and utility.
• Updated guidance is proposed to ensure the appropriate use of the OSS in clinical research and practice.