Dimensionality and clinical importance of pain and disability in hand osteoarthritis: Development of the Australian/Canadian (AUSCAN) Osteoarthritis Hand Index

Bellamy, N, Campbell, J, Haraoui, B, Buchbinder, R, Hobby, K, Roth, JH and MacDermid, JC (2002) Dimensionality and clinical importance of pain and disability in hand osteoarthritis: Development of the Australian/Canadian (AUSCAN) Osteoarthritis Hand Index. Osteoarthritis And Cartilage, 10 11: 855-862. doi:10.1053/joca.2002.0837


Author Bellamy, N
Campbell, J
Haraoui, B
Buchbinder, R
Hobby, K
Roth, JH
MacDermid, JC
Title Dimensionality and clinical importance of pain and disability in hand osteoarthritis: Development of the Australian/Canadian (AUSCAN) Osteoarthritis Hand Index
Journal name Osteoarthritis And Cartilage   Check publisher's open access policy
ISSN 1063-4584
Publication date 2002
Sub-type Article (original research)
DOI 10.1053/joca.2002.0837
Volume 10
Issue 11
Start page 855
End page 862
Total pages 8
Editor R. D. Altman
M. C. Hochberg et al.
Place of publication Exeter, U.K.
Publisher Elsevier Science
Collection year 2002
Language eng
Subject C1
321028 Rheumatology and Arthritis
730306 Evaluation of health outcomes
Abstract Objective: To develop a reliable, valid, and responsive self-administered questionnaire to probe pain, stiffness and physical disability in patients with osteoarthritis (OA) of the hand. Design: In order to assess the dimensionality of the symptomatology of hand OA, a self-administered questionnaire was developed to probe various aspects of pain (10 items), stiffness (two items), and physical function (83 items). The question inventory was generated from eight existing health status measures and an interactive process involving four rheumatologists, two physiotherapists, and an orthopaedic surgeon. Results: Face-to-face interviews were conducted with 50 OA hand patients; 39 females and 11 males with mean age 62.8 years and mean disease duration 9.4 years. Items retained were those which fulfilled specified selection criteria: prevalence greater than or equal to60% and mean importance score approximating or exceeding 2.0 Item exclusion criteria included low prevalence, gender-based, ambiguous, duplicates or similarities, alternatives, composite items, and items that were too restrictive. This process resulted in five pain, one stiffness and nine function items which have been proposed for incorporation in the AUSCAN Index. Conclusions: Using a traditional development strategy, we have constructed a self-administered multi-dimensional outcome measure for assessing hand OA. The next stage includes reliability, validity and responsiveness testing of the 15-item questionnaire. (C) 2002 OsteoArthritis Research Society Intenational. Published by Elsevier Science Ltd. All rights reserved.
Keyword Orthopedics
Rheumatology
Osteoarthritis
Hand Disability Index
Outcome Assessment
Clinical Trials
Rheumatoid-arthritis
Trials
Scale
Methodology
Sensitivity
Disease
Ability
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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Created: Tue, 14 Aug 2007, 17:49:20 EST