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Validation of quick DASH outcome measure in breast cancer survivors for upper extremity disability

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Validation of quick DASH outcome measure in breast cancer survivors for upper extremity disability

Auteurs : M. Leblanc [États-Unis] ; M. Stineman [États-Unis] ; A. Demichele [États-Unis] ; C. Stricker [États-Unis] ; Jj Mao [États-Unis]

Source :

Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2013.

RBID : PMC:4216590

Abstract

OBJECTIVE

To validate the quickDASH as a patient-reported outcome measure for assessing upper extremity disability in breast cancer survivors.

DESIGN

Large cross-sectional survey

SETTING

Ambulatory care center at a university hospital

PARTICIPANTS

Postmenopausal women with stage I to III hormone receptor-positive breast cancer currently taking a third-generation aromatase inhibitor (N = 150)

INTERVENTIONS

Not applicable

MAIN OUTCOME MEASURE

QuickDASH, an 11- item self-administered questionnaire assesses global arm function over the past seven days.

RESULTS

148 (99%) of 150 surveys were scorable. The factor analysis demonstrated one factor with Eigen value of 6.7, which explains 61% of variance. Score was reliable with Cronbach’s α=0.93. The test-retest reliability was 0.78 over two weeks. The mean quickDASH score for all patients was 19(SD19). Those with upper extremity arthralgias reported higher quickDASH scores than controls without pain (26 vs. 12, P=0.001). Those with frozen shoulder pain also reported higher quickDASH scores than controls without pain (37 vs. 15, P=0.001).

CONCLUSION

The quickDASH instrument is a convenient, reliable, and valid patient-reported outcome measure to assess upper extremity disability in breast cancer patients.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4216590

DOI: 10.1016/j.apmr.2013.09.016
PubMed: 24095658
PubMed Central: 4216590

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PMC:4216590

Le document en format XML

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<wicri:cityArea>Department of Physical Medicine and Rehabilitation, University of Pennsylvania Health System, Philadelphia, PA; Abramson Cancer Center, University of Pennsylvania Health System, Philadelphia</wicri:cityArea>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>OBJECTIVE</title>
<p id="P1">To validate the quickDASH as a patient-reported outcome measure for assessing upper extremity disability in breast cancer survivors.</p>
</sec>
<sec id="S2"><title>DESIGN</title>
<p id="P2">Large cross-sectional survey</p>
</sec>
<sec id="S3"><title>SETTING</title>
<p id="P3">Ambulatory care center at a university hospital</p>
</sec>
<sec id="S4"><title>PARTICIPANTS</title>
<p id="P4">Postmenopausal women with stage I to III hormone receptor-positive breast cancer currently taking a third-generation aromatase inhibitor (N = 150)</p>
</sec>
<sec id="S5"><title>INTERVENTIONS</title>
<p id="P5">Not applicable</p>
</sec>
<sec id="S6"><title>MAIN OUTCOME MEASURE</title>
<p id="P6">QuickDASH, an 11- item self-administered questionnaire assesses global arm function over the past seven days.</p>
</sec>
<sec id="S7"><title>RESULTS</title>
<p id="P7">148 (99%) of 150 surveys were scorable. The factor analysis demonstrated one factor with Eigen value of 6.7, which explains 61% of variance. Score was reliable with Cronbach’s α=0.93. The test-retest reliability was 0.78 over two weeks. The mean quickDASH score for all patients was 19(SD19). Those with upper extremity arthralgias reported higher quickDASH scores than controls without pain (26 vs. 12, P=0.001). Those with frozen shoulder pain also reported higher quickDASH scores than controls without pain (37 vs. 15, P=0.001).</p>
</sec>
<sec id="S8"><title>CONCLUSION</title>
<p id="P8">The quickDASH instrument is a convenient, reliable, and valid patient-reported outcome measure to assess upper extremity disability in breast cancer patients.</p>
</sec>
</div>
</front>
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Validation of quick DASH outcome measure in breast cancer survivors for upper extremity disability

Validation of quick DASH outcome measure in breast cancer survivors for upper extremity disability

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Abstract

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