A comparison of patient-reported outcome measures for dupuytren disease: A prospective view

• Published in: Journal of plastic, reconstructive & aesthetic surgery Vol. 75; no. 10; pp. 3774 - 3781
• Main Authors: Sanjuan-Cervero, Rafael, Gomez-Herrero, Diego, Poquet-Jornet, Jaime E., Peña-Molina, Fernando, de la Iglesia, Nicolas H., Sanjuan-Arago, Aurora, Vazquez-Ferreiro, Pedro, Carrera-Hueso, Francisco J.
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01.10.2022
• Subjects: BriefMHQ; Dupuytren´s disease; PEM; PROMs; SDSS; URAM; DD; BriefMHQ; PROM; ICC; CCH; URAM; ES; SRM; COVID; SD; MCID; PIP; SDSS; MHQ; PEM; RCI; MCP; Dupuytren´s disease; PROMs
• ISSN: 1748-6815; 1878-0539
• DOI: 10.1016/j.bjps.2022.06.024

Treatment success in Dupuytren´s disease has traditionally been assessed by clinical examination and physical measures, but based on patient orientation, patient-reported outcome measures (PROMs) can be used to quantify treatment impacts and health-related quality of life. The aim of this study was to compare the most widely used PROMS in Dupuytren´s disease, their psychometric properties, and their association with objectively measured hand function. We show a prospective study in which two disease-specific questionnaires (URAM scale and SDSS) and two hand-specific questionnaires (briefMHQ and PEM) were administered before and a month after the treatment with collagenase. Psychometric properties (construct validity, internal consistency, test-retest reliability, internal and external responsiveness, reliability, and minimal clinically important difference (MCID)) were calculated for all the questionnaires. Ninety-two completed both sets of questionnaires. Pre- and post-treatment scores were strongly correlated (Spearman rho >0.6) for all questionnaires. High internal consistency (Cronbach alpha >0.88) was observed for all the questionnaires. Test-retest reliability was also significant, with an ICC of >0.50 in all cases. The MCID was similar for three of the questionnaires (URAM, 11.528/45=0.256; SDSS, 5.079/20=0.254; and PEM, 21.542/77=0.215) and somewhat lower for the briefMHQ (10.617/60=0.177). No correlations were observed between treatment outcome and treated hand (r = 0.107; p = 0.31), joint (r = 0.163; p = 0.12), or finger (r = -0.151; p = 0.15). In conclusion, we did not find that any one questionnaire performed better than the other in detecting perceived changes in health status among patients with Dupuytren´s disease treated with collagenase.