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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 1/2009

01-01-2009 | Orthopaedic Outcome Assessment

The Oxford shoulder score revisited

Authors: Jill Dawson, Katherine Rogers, Ray Fitzpatrick, Andrew Carr

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 1/2009

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Abstract

The validated, patient-reported Oxford shoulder score (OSS) was introduced around 10 years ago, primarily for the assessment of outcomes of shoulder surgery (excluding shoulder stabilisation) in randomised trials. Its uptake has steadily increased in a number of countries and its use has also been extended. Recently a number of issues have been raised in relation to other related patient-reported outcome measures which were devised around the same time as the OSS. This included recommendations to change the scoring system. This paper reviews issues concerning patient-reported outcome measures that apply to the OSS and makes some recommendations (including changes to the scoring system) as to how it should be used.
Footnotes
1
Although one series of analyses revealed patient-reported outcome measures (OSS and SF-36) to be more stable than the Constant–Murley assessment, based on comparisons with ratings on satisfaction and transition items [6].
 
2
This secondary data analysis was conducted on anonymous data which had been retained from the original study [1].
 
Literature
1.
Dawson J, Fitzpatrick R, Carr A (1996) Questionnaire on the perceptions of patients about shoulder surgery. J Bone Joint Surg (Br) 78:593–600
2.
Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop (214):160–164
3.
Lippitt SB, Harryman DT, Matsen FA (1993) A practical tool for evaluating function: the simple shoulder test. The shoulder: a balance of mobility and stability. American Academy of Orthopaedic Surgeons, Rosemont, pp 501–518
4.
Dawson J, Fitzpatrick R, Carr A (1999) The assessment of shoulder instability: the development and validation of a questionnaire. J Bone Joint Surg (Br) 81-B:420–426CrossRef
5.
Pynsent P, Fairbank JTC, Carr A (1993) Outcome measures in orthopaedics. 1st edn. Butterworth-Heinemann, Oxford
6.
Dawson J, Hill G, Fitzpatrick R, Carr A (2002) Comparison of clinical and patient-based measures to assess medium-term outcomes following shoulder surgery for disorders of the rotator cuff. Arthritis Rheum 47(5):513–9PubMedCrossRef
7.
Cloke DJ, Lynn SE, Watson H, Steen IN, Purdy S, Williams JR (2005) A comparison of functional, patient-based scores in subacromial impingement. J Shoulder Elbow Surg 14(4):380–384PubMedCrossRef
8.
Rosenberg N, Soudry M (2006) Shoulder impairment following treatment of diaphysial fractures of humerus by functional brace. Arch Orthop Trauma Surg 126:437–440PubMedCrossRef
9.
Flinkkila T, Ristiniemi J, Lakovaara M, Hyvonen P, Leppilahti J (2006) Hook-plate fixation of unstable lateral clavicle fractures. Acta Orth 77(4):644–649CrossRef
10.
Huber W, Hofstaetter JG, Hanslik-Schnabel B, Posch M, Wurnig C (2004) The German version of the Oxford shoulder score—cross-cultural adaptation and validation. Arch Orthop Trauma Surg 124(8):531–536PubMedCrossRef
11.
12.
13.
Dawson J, Fitzpatrick R, Carr A, Murray D (1996) Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg (Br) 78:185–190
14.
Dawson J, Fitzpatrick R, Murray D, Carr A (1998) Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg (Br) 80(1):63–69CrossRef
15.
Murray DW, Fitzpatrick R, Rogers K, Pandit H, Beard DJ, Carr AJ, Dawson J (2007) The use of the Oxford hip and knee scores. J Bone Joint Surg (Br) 89-B:1010–1014
16.
17.
Dawson J, Hill G, Fitzpatrick R, Carr A (2001) The benefits of using patient-based methods of assessment: medium term results of an observational study of shoulder surgery. J Bone Joint Surg (Br) 83(6):877–882CrossRef
18.
Weale AE, Halabi OA, Jones PW, While SH (2001) Perceptions of outcomes after unicompartmental and total knee replacements. Clin Orthop Rel Res 382:143–153CrossRef
19.
Kirkley A, Griffin S, Alvarez C (2003) The development and evaluation of a disease-specific quality of life measurement tool for rotator cuff disease: the Western Ontario rotator cuff index (WORC). Clin J Sport Med 13:84–92PubMedCrossRef
20.
Kirkley A, Griffin S, Dainty K (2003) Shoulder systems for the functional assessment of the shoulder. Arthroscopy 19(10):1109–1120PubMedCrossRef
21.
Amstutz HC, Sew Hoy AL, Clarke IC (1981) UCLA anatomic total shoulder arthroplasty. Clin Orthop 155:7–20PubMed
22.
Roach KE, Budiman ME, Songsiridej N, Lertratanakul Y (1991) Development of a shoulder pain and disability index. Arthritis Care Res 4(4):143–149PubMedCrossRef
23.
Hudak PL, Amadio PC, Bombardier C (1996) Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) (corrected). The Upper Extremity Collaborative Group (UECG) [Published erratum appears in Am J Ind Med (1996) 30(3):372]. Am J Ind Med 29(6):602–608
24.
L’Insalata JC, Warren RF, Cohen SB, Altchek DW, Peterson MG (1997) A self-administered questionnaire for assessment of symptoms and function of the shoulder. J Bone Joint Surg (Am) 79(5):738–748CrossRef
25.
Boehm D, Wollmerstedt N, Doesch M, Handwerker M, Mehling E, Gohlke F (2004) Development of a questionnaire based on the Constant–Murley score for self-evaluation of shoulder function by patients. Unfallchirurg 107(5):397–402PubMedCrossRef
26.
Wright JG, Rudicel S, Feinstein AR (1994) Ask patients what they want. Evaluation of individual complaints before total hip replacement. J Bone Joint Surg (Br) 76(2):229–234
27.
Schneider W, Knahr K (2001) Surgery for Hallux Valgus. The expectations of patients and surgeons. Int Orthop 25:382–385PubMedCrossRef
28.
Beaton DE (2000) Understanding the relevance of measured change through studies of responsiveness. Spine 25(24):3192–3199PubMedCrossRef
29.
Guyatt G, Walter S, Norman G (1987) Measuring change over time: assessing the usefulness of evaluative instruments. J Chronic Dis 40(2):171–178PubMedCrossRef
30.
Ware-JE J, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483PubMedCrossRef
31.
Jenkinson C, Stewart-Brown S, Petersen S, Paice C (1999) Evaluation of the SF-36 version II in the United Kingdom. J Epidemiol Community Health 53:46–50PubMedCrossRef
32.
The Euroqol Group (1990) Euroqol—a new facility for the measurement of health-related quality of life. Health Policy 16:199–208CrossRef
33.
Lim JT, Luscombe KL, Jones PW, White SH (2006) The effect of preoperative symptom severity on functional outcome of total knee replacement–patients with the lowest preoperative scores achieve the lowest marks. Knee 13(3):216–219PubMedCrossRef
34.
Hajat S, Fitzpatrick R, Morris R, Reeves B, Rigge M, Williams O, Murray D, Gregg P (2002) Does waiting for total hip replacement matter? Prospective cohort study. J Health Serv Res and Policy 7(1):19–25CrossRef
35.
Vickers AJ, Altman DG (2001) Analysing controlled trials with baseline and follow-up measurements. BMJ 323:1123–1124PubMedCrossRef
36.
Porter P, Venkateswaran B, Stephenson H, Wray CC (2002) The influence of age on outcome after operation for the carpel tunnel syndrome. J Bone Joint Surg (Br) 84-B(5):688–691CrossRef
37.
Bremner-Smith AT, Ewings P, Weale AE (2004) Knee scores in a ‘Normal’ elderly population. Knee 11(4):279–282PubMedCrossRef
38.
Jenkinson C, Heffernan C, Doll H, Fitzpatrick R (2006) The Parkinson’s Disease questionnaire: evidence for a method of imputing missing data. Age Ageing 35:497–502PubMedCrossRef
39.
40.
Jaeschke R, Singer J, Guyatt GH (1989) Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials 10(4):407–415PubMedCrossRef
41.
Wyrwich KW, Tierney WM, Wolinsky FD (1999) Further evidence supporting an SEM-based criterion for identifying meaningful intra-individual changes in health-related quality of life. J Clin Epidemiol 52(9):861–873PubMedCrossRef
42.
Fayers PM, Machin D (2000) Quality of life—assessment, analysis and interpretation. Wiley, Chichester
43.
Norman GR, Sloan JA, Wyrwich KW (2003) Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Med Care 41:582–592PubMedCrossRef
Metadata
Title
The Oxford shoulder score revisited
Authors
Jill Dawson
Katherine Rogers
Ray Fitzpatrick
Andrew Carr
Publication date
01-01-2009
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 1/2009
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-007-0549-7

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