Edmund R. Charles
A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure
Charles, Edmund R.; Kumar, Vinod; Blacknall, James; Edwards, Kimberley L.; Geoghegan, John M.; Manning, Paul A.; Wallace, W. Angus
Authors
Vinod Kumar
James Blacknall
Kimberley L. Edwards
John M. Geoghegan
Paul A. Manning
W. Angus Wallace
Abstract
Background
Patients with acromioclavicular joint (ACJ) and sternoclavicular joint (SCJ) injuries and with clavicle fractures are typically younger and more active than those with other shoulder pathologies. We developed the Nottingham Clavicle Score (NCS) specifically for this group of patients to improve sensitivity for assessing the outcomes of treatment of these conditions compared with the more commonly used Constant Score (CS) and Oxford Shoulder Score (OSS).
Materials and methods
This was a cohort study in which the preoperative and 6-month postoperative NCS evaluations of outcome in 90 patients were compared with the CS, OSS, Imatani Score (IS), and the EQ-5D scores. Reliability was assessed using the Cronbach α. Reproducibility of the NCS was assessed using the test/retest method. Effect sizes were calculated for each score to assess sensitivity to change. Validity was examined by correlations between the NCS and the CS, OSS, IS, and EQ-5D scores obtained preoperatively and postoperatively.
Results
Significant correlations were demonstrated preoperatively with the OSS (P = .025) and all subcategories of the EQ-5D (P < .05) and postoperatively with the OSS (P < .001), CS (P = .008), IS (P < .001), and all subcategories of EQ-5D (P < .02). The NCS had the largest effect size (1.92) of the compared scores. Internal consistency was excellent (Cronbach α = 0.87).
Conclusion
The NCS has been proven to be a valid, reliable and sensitive outcome measure that accurately measures the level of function and disability in the ACJ, SCJ and clavicle after traumatic injury and in degenerative disease.
Citation
Charles, E. R., Kumar, V., Blacknall, J., Edwards, K. L., Geoghegan, J. M., Manning, P. A., & Wallace, W. A. (2017). A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure. Journal of Shoulder and Elbow Surgery, 26(10), https://doi.org/10.1016/j.jse.2017.03.036
Journal Article Type | Article |
---|---|
Acceptance Date | Mar 27, 2017 |
Online Publication Date | Jun 7, 2017 |
Publication Date | Oct 31, 2017 |
Deposit Date | May 9, 2017 |
Publicly Available Date | Jun 7, 2017 |
Journal | Journal of Shoulder and Elbow Surgery |
Print ISSN | 1058-2746 |
Electronic ISSN | 1532-6500 |
Publisher | Elsevier |
Peer Reviewed | Peer Reviewed |
Volume | 26 |
Issue | 10 |
DOI | https://doi.org/10.1016/j.jse.2017.03.036 |
Keywords | Clavicle, Acromioclavicular joint, Sternoclavicular joint, Patient reported outcome measure, ACJ dislocation, SCJ dislocation |
Public URL | https://nottingham-repository.worktribe.com/output/890375 |
Publisher URL | http://www.sciencedirect.com/science/article/pii/S1058274617302161 |
Contract Date | May 9, 2017 |
Files
Nottingham 1-s2.0-S1058274617302161-main.pdf
(785 Kb)
PDF
Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0
You might also like
Validation of spatial microsimulation models: a proposal to adopt the Bland-Altman method
(-0001)
Journal Article
Running and knee osteoarthritis: a systematic review and meta-analysis
(2016)
Journal Article
Musculoskeletal radiology teaching at a UK medical school-do we need to improve?
(2018)
Journal Article
Downloadable Citations
About Repository@Nottingham
Administrator e-mail: discovery-access-systems@nottingham.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search