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A systematic review of patient-reported outcome measures used to assess Achilles tendon rupture management : what's being used and should we be using it?

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Kearney, Rebecca S., Achten, Juul, Lamb, S. E. (Sallie E.), Plant, Caroline Elizabeth and Costa, Matthew L. (2011) A systematic review of patient-reported outcome measures used to assess Achilles tendon rupture management : what's being used and should we be using it? British Journal of Sports Medicine, Volume 46 (Number 16). pp. 1102-1109. doi:10.1136/bjsports-2011-090497 ISSN 0306-3674.

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Official URL: http://dx.doi.org/10.1136/bjsports-2011-090497

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Abstract

Background: Currently, there is no consensus regarding the optimal management for patients following an Achilles tendon rupture. To allow comparisons between different treatments, a universally accepted outcome measure is required. However, there are currently a range of these reported within the literature.
Objective: To recommend the most suitable patient reported outcome measure for the assessment of patients following an Achilles tendon rupture, based on a systematic review of first what is currently used and second evidence of validity.
Methods: The electronic databases MEDLINE, EMBASE and AMED were searched up to September 2010. Predefined inclusion and exclusion criteria were applied to identify what outcome measures are reported in the literature. Aspects of validity were defined and a checklist used to determine which aspects have been evaluated.
Results: Twenty-one outcome measures in 50 research
papers were identified. The most commonly used was the American Orthopaedic Foot and Ankle Society hindfoot score. Of the 21 outcome measures, only 4 cited independent validation data. Of these four, only the ‘Achilles tendon Total Rupture Score’ reported evidence to support multiple facets of validity, as defined by a predetermined criteria checklist.
Conclusions: The Achilles tendon Total Rupture
Score was identified as the only outcome measure
which has demonstrated multiple facets of validity
for use in this patient group. However, even this tool
has limitations. Researchers should be aware of the limitations of the available outcome measurement tools and check on their validity before use in clinical research.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Journal or Publication Title: British Journal of Sports Medicine
Publisher: B M J Group
ISSN: 0306-3674
Official Date: November 2011
Dates:
DateEvent
November 2011Published
Volume: Volume 46
Number: Number 16
Page Range: pp. 1102-1109
DOI: 10.1136/bjsports-2011-090497
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Funder: Arthritis Research UK

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