Abstract
Background
The Patient-Rated Wrist Evaluation is a regionspecific, self-administered questionnaire consisting of a pain scale (PRWE-P) and a functional scale (PRWE-F), with the latter consisting of specific function (PRWE-SF) and usual function (PRWE-UF). The PRWE was cross-culturally adapted from the original English version by the Impairment Evaluation Committee, Japanese Society for Surgery of the Hand (JSSH). The purpose of this study was to test the reliability, validity, and responsiveness of the Japanese version of PRWE (PRWE-J).
Methods
A consecutive series of 117 patients with wrist disorders completed the PRWE-J, the JSSH version of the Disabilities of the Arm, Shoulder, and Hand (DASH-JSSH) questionnaire and the 36-Item Short-Form Health Survey (SF-36). Of the 117 patients, 71 were reassessed for test-retest reliability 1 or 2 weeks later. Reliability was investigated by reproducibility and internal consistency. To analyze the validity, a factor analysis (principal axis factoring) of PRWE-J and correlation coefficients between PRWE-J and DASH-JSSH were obtained. Responsiveness was examined by calculating the standardized response mean (SRM) (mean change/SD) and effect size (mean change/SD of baseline value) after open surgery in 50 patients.
Results
Cronbach’s α coefficients for PRWE-P, PRWE-F, and PRWE were 0.90, 0.95, and 0.95, respectively. The intraclass correlation coefficients (ICCs) for the same were 0.86, 0.93, and 0.92, respectively. Unidimensionality of PRWE-P was con-firmed. Bidimensionality of PRWE-F was confirmed and separated clearly into PRWE-SF and PRWE-UF. The correlation coefficients between PRWE-P and PRWE-F or DASH-JSSH were 0.63 or 0.63, respectively. The correlation coefficient between PRWE-F and DASH-JSSH was 0.80. The correlation coefficients between DASH-JSSH and PRWE-SF or PRWE-UF were 0.76 or 0.73, respectively. Moderate correlation was observed in “physical functioning” for SF-36 and PRWE-SF (r = −0.46), PRWE-F (r = −0.46), or PRWE (r = −0.46). The SRMs/effect sizes of PRWE-P, PRWE-F, or PRWE were respectively excellent: 1.7/2.2, 1.2/1.3, 1.6/1.9.
Conclusions
The PRWE-J has evaluation capacities equivalent to those of the original PRWE.
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References
Simmen BR, Angst F, Schwyzer HK, Herren DB, Pap G, Aeschlimann A, et al. A concept for comprehensively measuring health, function and quality of life following orthopaedic interventions of the upper extremity. Arch Orthop Trauma Surg 2009;129: 113–118.
Meenan RF, Gertman PM, Mason JH. Measuring health status in arthritis: the arthritis impact measurement scales. Arthritis Rheum 1980;23:146–152.
Meenan RF, Mason JH, Anderson JJ, Guccione AA, Kazis LE. AIMS2: the content and properties of a revised and expanded Arthritis Impact Measurement Scales Health Status Questionnaire. Arthritis Rheum 1992;35:1–10.
Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y. Development of a shoulder pain and disability index. Arthritis Care Res 1991;4:143–149.
Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, et al. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am 1993;75:1585–1592.
Hudak PL, Amadio PC, Bombardier C, Upper Extremity Collaborative Group (UECG). Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand). Am J Ind Med 1996;29:602–608.
MacDermid JC. Development of a scale for patient rating of wrist pain and disability. J Hand Ther 1996;9:178–183.
Chung KC, Pillsbury MS, Walters MR, Hayward RA. Reliability and validity testing of the Michigan Hand Outcomes Questionnaire. J Hand Surg [Am] 1998;23:575–587.
Atroshi I, Johansson R, Sprinchorn A. Self-administered outcome instrument in carpal tunnel syndrome: reliability, validity and responsiveness evaluated in 102 patients. Acta Orthop Scand 1998;69:82–88.
Imaeda T, Uchiyama S, Toh S, Wada T, Okinaga S, Sawaizumi T, et al.Validation of the Japanese Society for Surgery of the Hand version of the carpal tunnel syndrome instrument. J Orthop Sci 2007;12:14–21.
Changulani M, Okonkwo U, Keswani T, Kalairajah Y. Outcome evaluation measures for wrist and hand: which one to choose? Int Orthop 2008;32:1–6.
MacDermid JC, Richards RS, Donner A, Bellamy N, Roth JH. Responsiveness of the Short Form-36, disability of the arm, shoulder, and hand questionnaire, patient-rating wrist evaluation, and physical impairment measurements in evaluating recovery after a distal radius fracture. J Hand Surg [Am] 2000;25:330–340.
Angst F, John M, Goldhahn J, Herren DB, Pap G, Aeschlimann A, et al. Comprehensive assessment of clinical outcome and quality of life after resection interposition arthroplasty of the thumb saddle joint. Arthritis Rheum 2005;53:205–213.
Kołodziej RK, Blacha J, Bogacz A, Mazurkiewicz T. Long-term outcome of scaphoid nonunion treated by the Matti-Russe operation. Ortop Traumatol Rehabil 2006;8:507–512.
De Smet L, Robijns F, Degreef I. Outcome of proximal row carpectomy. Scand J Plast Reconstr Surg Hand Surg 2006;40:302–306.
Johnston K, Durand D, Hildebrand KA. Chronic volar distal radioulnar joint instability: joint capsular plication to restore function. Can J Surg 2009;52:112–118.
Voche P, Dubert T, Laffargue C, Gosp-Server A. [Patient-rated wrist questionnaire: preliminary report on a proposed French version of a North American questionnaire designed to assess wrist pain and function.] Rev Chir Orthop Reparatrice Appar Mot. 2003;89:443–448 (in French).
Xu W, Seow C. Chinese version of patient rated wrist evaluation (PRWE): cross-cultural adaptation and reliability evaluation. Ann Acad Med Singapore 2003;32(suppl):S48–S49.
Wah JW, Wang MK, Ping CL. Construct validity of the Chinese version of the Patient-rated Wrist Evaluation Questionnaire (PRWE-Hong Kong Version). J Hand Ther 2006;19:18–26.
John M, Angst F, Awiszus F, Pap G, Macdermid JC, Simmen BR. The patient-rated wrist evaluation (PRWE): cross-cultural adaptation into German and evaluation of its psychometric properties. Clin Exp Rheumatol 2008;26:1047–1058.
Wilcke MT, Abbaszadegan H, Adolphson PY. Evaluation of a Swedish version of the patient-rated wrist evaluation outcome questionnaire: good responsiveness, validity, and reliability, in 99 patients recovering from a fracture of the distal radius. Scand J Plast Reconstr Surg Hand Surg 2009;43:94–101.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000;25:3186–3191.
Impairment Evaluation Committee of Japanese Society for Surgery of the Hand. Charts for functional evaluation of the hand. 4th edn. Nagoya: Japanese Society for Surgery of the Hand; 2006. p. 14–15 (in Japanese).
Imaeda T, Toh S, Nakao Y, Nishida J, Hirata H, Ijichi M, et al. Validation of the Japanese Society for Surgery of the Hand Version of the Disability of the Arm, Shoulder, and Hand (DASHJSSH) Questionnaire. J Orthop Sci 2005;10:353–359.
Fukuhara S, Bito S, Green J, Hsiao A, Kurokawa K. Translation, adaptation, and validation of the SF-36 health survey for use in Japan. J Clin Epidemiol 1998;51:1037–1044.
Liang MH, Fossel AH, Larson MG. Comparisons of five health status instruments for orthopedic evaluation. Med Care 1990; 28:632–642.
Kazis LE, Anderson JJ, Meenan RF. Effect sizes for interpreting changes in health status. Med Care 1989;27(suppl):S178–S189.
MacDermid JC, Turgeon T, Richards RS, Beadle M, Roth JH. Patient rating of wrist pain and disability: a reliable and valid measurement tool. J Orthop Trauma 1998;12:577–586.
Hemelaers L, Angst F, Drerup S, Simmen BR, Wood-Dauphinee S. Reliability and validity of the German version of “the Patient- Rated Wrist Evaluation (PRWE)” as an outcome measure of wrist pain and disability in patients with acute distal radius fractures. J Hand Ther 2008;21:366–376.
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for the Clinical Outcomes Committee of the Japanese Orthopaedic Association and the Functional Evaluation Committee of the Japanese Society for Surgery of the Hand
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Imaeda, T., Uchiyama, S., Wada, T. et al. Reliability, validity, and responsiveness of the Japanese version of the Patient-Rated Wrist Evaluation. J Orthop Sci 15, 509–517 (2010). https://doi.org/10.1007/s00776-010-1477-x
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DOI: https://doi.org/10.1007/s00776-010-1477-x