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The Musculoskeletal Tumor Society Scoring system is a valid subjective and objective tool to evaluate outcomes of
A Rizzo1, M Paderno2, M F Saccomanno3,2
1Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy. ariannarizzo22@gmail.com.
Musculoskeletal Surgery
|March 15, 2024
Summary
The Musculoskeletal Tumor Society (MSTS) score, when self-administered in Italian, accurately reflects patient outcomes for limb tumors, matching objective assessments. This validates its use for evaluating surgical treatment effectiveness in extremities.
Area of Science:
- Orthopedic Surgery
- Oncology
- Rehabilitation Medicine
Background:
- Assessing patient outcomes after musculoskeletal tumor surgery is crucial.
- The Musculoskeletal Tumor Society (MSTS) score is a common tool.
- Evaluating the MSTS score's administration methods (objective vs. subjective) is important for clinical practice.
Purpose of the Study:
- To compare objective and subjective MSTS score administration in patients with musculoskeletal oncological diseases.
- To validate the Italian translation of the MSTS score as a Patient-Reported Outcome Measure (PROM).
Main Methods:
- A cohort of 110 patients undergoing surgery for limb tumors (2015-2020) was studied.
- The MSTS score was translated and culturally adapted into Italian.
- Patients completed Italian versions of SF36, TESS, and MSTS during follow-up; psychometric properties were analyzed, and correlations between self- and hetero-administered MSTS were assessed using Pearson's coefficient.
Main Results:
- The Italian MSTS score demonstrated good psychometric properties for both lower and upper extremities.
- High correlations were found between self-administered and hetero-administered MSTS scores: r=0.97 for lower extremities and r=0.96 for upper extremities.
- The MSTS score showed excellent reliability and validity when used as a subjective measure.
Conclusions:
- The Italian version of the MSTS score is a valid and reliable tool for assessing outcomes in patients with extremities tumors.
- The MSTS score can be effectively utilized as a subjective measure for both lower and upper limb evaluations.
- This study supports the use of the self-administered MSTS for routine clinical assessment of surgical treatment outcomes.
