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Reliability Testing of the Mayo Elbow Performance Score in Post-operative Patients.

Aaron Baessler1, Robert Renn Eason1, Myles R Joyce1

  • 1Department of Orthopaedic Surgery, University of Tennessee-Campbell Clinic, Memphis, Tennessee.

Journal of Surgical Orthopaedic Advances
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The Mayo Elbow Performance Score (MEPS) demonstrates strong reliability for evaluating elbow surgery outcomes. Both patient self-assessments over time and comparisons with the Oxford Elbow Score (OES) confirm its validity.

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Area of Science:

  • Orthopedic Surgery
  • Clinical Outcomes Measurement
  • Patient-Reported Outcomes

Background:

  • The Mayo Elbow Performance Score (MEPS) is frequently used to assess outcomes following elbow surgery.
  • Establishing the reliability of outcome measures is crucial for clinical research and practice.

Purpose of the Study:

  • To determine the intra-observer and inter-observer reliability of the Mayo Elbow Performance Score (MEPS).
  • To compare the MEPS with the Oxford Elbow Score (OES) for inter-observer reliability assessment.

Main Methods:

  • 42 patients who underwent elbow surgery completed the MEPS questionnaire twice, 2-3 weeks apart.
  • During the second assessment, patients also completed the Oxford Elbow Score (OES).
  • Intraclass correlation coefficients (ICC) and Pearson correlation coefficients (PCC) were calculated to assess agreement.

Main Results:

  • The average MEPS score was consistent between the initial and second assessments (78 vs. 77).
  • The ICC for MEPS scores between the two time points was 0.90, indicating substantial intra-observer reliability.
  • The PCC between MEPS and OES scores was 0.87, demonstrating substantial inter-observer reliability.

Conclusions:

  • The Mayo Elbow Performance Score (MEPS) exhibits strong intra-observer reliability over short intervals.
  • The MEPS demonstrates strong inter-observer reliability when compared against the Oxford Elbow Score (OES).
  • These findings validate the MEPS as a reliable outcome measure for elbow surgery.