A narrative review and content analysis of functional and quality of life measures used to evaluate the outcome after TSA: an ICF linking application
Open Access
- 13 April 2020
- journal article
- review article
- Published by Springer Science and Business Media LLC in BMC Musculoskeletal Disorders
- Vol. 21 (1), 1-11
- https://doi.org/10.1186/s12891-020-03238-w
Abstract
BackgroundTotal shoulder arthroplasty (TSA) is considered as the standard reconstructive surgery for patients suffering from severe shoulder pain and dysfunction caused by arthrosis. Multiple patient-reported outcome measures (PROMs) have been developed and validated that can be used to evaluate TSA outcomes. When selecting an outcome measure both content and psychometric properties must be considered. Most research to date has focused on psychometric properties. Therefore, the current study aims to summarize what PROMs are being used to assess TSA outcomes, to classify the type of measure (International society for quality of life (ISOQOL) using definitions of functioning, disability, and health (FDH), quality of life (QoL) and health-related quality of life (HRQoL)) and to compare the content of these measures by linking them to the International Classification of Functioning, Disability and Health (ICF) framework.MethodsA literature review was performed in three databases including MEDLINE, EMBASE, and CINAHL to identify PROMs that were used in TSA studies. Meaningful concepts of the identified measures were extracted and linked to the relevant second-level ICF codes using standard linking rules. Outcome measures were classified as being FDH, HRQoL or QoL measures based on the content analysis.ResultThirty-five measures were identified across 400 retrieved studies. The most frequently used PROM was the American Shoulder and Elbow Society score accounting for 21% (246) of the total citations, followed by the single item pain-related scale like visual analog scale (17%) and Simple Shoulder Test (12%). Twelve PROMs with 190 individual items fit inclusion criteria for conceptual analysis. Most codes (65%) fell under activity and participation categories. The top 3 most predominant codes were: sensation of pain (b280; 13%), hand and arm use (d445; 13%), recreational activity (d920; 8%). Ten PROMs included in this study were categorized as FDH measures, one as HRQoL measure, and one as unknown.ConclusionsOur study demonstrated that there is an inconsistency and lack of clarity in conceptual frameworks of identified PROMs. Despite this, common core constructs are evaluated. Decision-making about individual studies or core sets for outcome measurement for TSA would be advanced by considering our results, patient priorities and measurement properties.Keywords
This publication has 41 references indexed in Scilit:
- A systematic review of measures of shoulder pain and functioning using the International classification of functioning, disability and health (ICF)BMC Musculoskeletal Disorders, 2013
- Critical factors in cut-out complication after gamma nail treatment of proximal femoral fracturesBMC Musculoskeletal Disorders, 2013
- Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance?Journal of Shoulder and Elbow Surgery, 2012
- Reverse Total Shoulder Arthroplasty Improves Function in Cuff Tear ArthropathyClinical Orthopaedics & Related Research, 2011
- What is a Successful Outcome Following Reverse Total Shoulder Arthroplasty?The Open Orthopaedics Journal, 2010
- Comparison of the subjective shoulder value and the Constant scoreJournal of Shoulder and Elbow Surgery, 2007
- ICF linking rules: an update based on lessons learnedJournal of Rehabilitation Medicine, 2005
- ICF Core Sets for osteoarthritisJournal of Rehabilitation Medicine, 2004
- The International Disability Rights Movement and the ICFDisability and Rehabilitation, 2003
- A standardized method for the assessment of shoulder functionJournal of Shoulder and Elbow Surgery, 1994