Measuring functional outcome in Dupuytren's disease: A systematic review of patient-reported outcome measures

• Published in: Journal of hand therapy 2022-10, Vol.35 (4), p.613-627
• Main Authors: Bradet-Levesque, Isabelle, Audet, Jessika, Roy, Jean-Sébastien, Flamand, Véronique H.
• Format: Article
• Language: English
• Subjects: Bias; Check lists; Clinical outcomes; Connective tissue diseases; Content analysis; Cronbach's alpha; Dupuytren Contracture - therapy; Dupuytren's Disease; Hands; Humans; Outcome Assessment, Health Care; Patient Reported Outcome Measures; Patients; Psychometric properties; Psychometrics; Quality of Life; Quantitative psychology; Questionnaires; Reproducibility of Results; Systematic review; Validation studies; Validity
• ISSN: 0894-1130; 1545-004X
• DOI: 10.1016/j.jht.2021.04.010

•The Disability of Arm, Shoulder and Hand (QuickDASH), Michigan Hand Questionnaire (MHQ), BriefMHQ, and URAM present adequate convergent validity.•The MHQ, BriefMHQ, Unité Rhumatologique des Affections de la Main (URAM), Southampton Dupuytren's Scoring Scheme (SDSS), Short Form-36 and the multi-attribute of the Health Utility Index -3 have good test-retest reliability.•The MHQ and BriefMHQ are highly responsive.•The results of this systematic review support the use of the MHQ and BriefMHQ in individuals with Dupuytren's Disease. Functional impairments related to Dupuytren's disease (DD) can be assessed using patient-reported outcome measures (PROMs). A systematic review was published in 2013 on outcome measures for assessing treatment in individuals with DD; however, several articles have since been published on this matter. To conduct a systematic review to analyze the quality and content of the evidence on the psychometric properties of PROMs used in individuals with DD. Systematic review. CINAHL, EBM reviews, Embase, Medline, and Web of Science were searched to identify studies evaluating the psychometric properties of PROMs used with individuals with DD. All studies retained were appraised by two independent assessors using two validated critical appraisal tools. Fifteen articles on the psychometric properties of 10 PROMs were included. Construct validity and responsiveness were the most studied. Eighty percent of the studies were of good to very good methodological quality according to MacDermid's Critical appraisal checklist for psychometric articles, whereas 67% of the studies comported risks of bias according to the COSMIN checklist. Of the 10 PROMs, three were specifically developed for DD but remain mostly under-studied for their psychometric properties (≤ 2 studies for the SDSS and DIF-CHUM). The QuickDASH, MHQ, BriefMHQ, and URAM present moderate to good convergent validity. Test-retest reliability was found to be good for the MHQ, briefMHQ, URAM, SDSS, SF-36, and the multi-attribute of the HUI-3. The MHQ and BriefMHQ are highly responsive. There is a need for more psychometric studies on the PROMs used with individuals with DD. However, to date, the results included in this systematic review support that the MHQ and briefMHQ are the PROMs with the most acceptable psychometric properties.