The internal consistency and validity of the patient evaluation measure for outcomes assessment in distal radius fractures

The internal consistency and validity of the Patient Evaluation Measure (PEM) was investigated in the setting of the distal radius fracture by assessing 200 patients 6 to 42 years after injury using the PEM and DASH questionnaires and objective measures of outcome. The PEM was completed separately f...

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Bibliographic Details
Published in:The Journal of hand surgery, European volume European volume, 2007-06, Vol.32 (3), p.262-267
Main Authors: Forward, D.P., Sithole, J.S., Davis, T.R.C.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
DASH
distal radius fracture
Female
Hand Strength
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Middle Aged
Orthopedic surgery
outcome
Outcome Assessment (Health Care) - methods
Pain Measurement - methods
Patient Evaluation Measure
Radius Fractures - surgery
Range of Motion, Articular - physiology
Sickness Impact Profile
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surveys and Questionnaires
Traumas. Diseases due to physical agents
Wrist Joint - physiopathology
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Summary:The internal consistency and validity of the Patient Evaluation Measure (PEM) was investigated in the setting of the distal radius fracture by assessing 200 patients 6 to 42 years after injury using the PEM and DASH questionnaires and objective measures of outcome. The PEM was completed separately for both the injured and uninjured wrist. We found highly significant correlations between the PEM and objective measures and, also, between the PEM and DASH scores. We also calculated a comparative PEM score by subtracting the score of the uninjured wrist from that of the injured side, to eliminate the effect of co-existing disease. This score was more strongly correlated with outcome than the PEM alone. We suggest that the PEM is a valid method of assessing distal radial fracture outcome. It may, also, be used to reduce the effect of symptoms from coexisting bilaterally represented pathologies.
ISSN:1753-1934
2043-6289
DOI:10.1016/j.jhsb.2007.01.010