Responsiveness of the Manchester-Oxford foot questionnaire (MOXFQ) compared with AOFAS, SF-36 and EQ-5D assessments following foot or ankle surgery
Responsiveness of the Manchester-Oxford foot questionnaire (MOXFQ) compared with AOFAS, SF-36 and EQ-5D assessments following foot or ankle surgery
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DOI：
10.1302/0301-620x.94b2.27634
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发表时间：
2012-02-01
影响因子：
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通讯作者：
Jenkinson, C.
中科院分区：
文献类型：
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作者：
Dawson, J.;Boller, I.;Jenkinson, C.
将曼彻斯特牛津足部问卷 (MOXFQ) 的反应性与用于评估所有足部和踝关节手术的足部/踝部特异性和通用结果测量进行比较。我们连续招募了 671 名等待足部或踝关节手术的成年患者，其中 427 名（63.6%）为女性，平均年龄为 52.8 岁（18 至 89 岁）。他们在术前和术后平均 9 个月（3.8 至 14.4）时独立完成了 MOXFQ、Short-Form 36 (SF-36) 和 EuroQol (EQ-5D) 问卷。足/踝外科医生评估了与四个足/踝区域相对应的美国足踝矫形协会 (AOFAS) 评分。过渡项目测量手术后足部/脚踝问题的感知变化。在 628 名符合条件接受手术的患者中，491 名 (78%) 完成了问卷调查，262 名 (42%) 接受了术前和术后临床评估。接受手术的部位为：多足/全足 8 例（1.3%）、踝/后足 292 例（46.5%）、中足 21 例（3.3%）、拇趾 196 例（31.2%）、小脚趾 111 例（17.7%）。足部/踝部特异性 MOXFQ、AOFAS 和 EQ-5D 结构域比任何 SF-36 结构域产生更大的效应量 (> 0.8)，表明其响应能力优异。在将分数和效应大小的变化锚定到患者对其足部/脚踝问题的过渡项目的反应的分析中，MOXFQ 表现良好。 SF-36 和 EQ-5D 表现不佳。在基于足部区域的患者亚组中进行的类似分析发现，与 AOFAS 相比，MOXFQ 的反应性良好。该证据支持 MOXFQ 适合评估所有足部和踝关节手术。
The responsiveness of the Manchester Oxford Foot Questionnaire (MOXFQ) was compared with foot/ankle-specific and generic outcome measures used to assess all surgery of the foot and ankle. We recruited 671 consecutive adult patients awaiting foot or ankle surgery, of whom 427 (63.6%) were female, with a mean age of 52.8 years (18 to 89). They independently completed the MOXFQ, Short-Form 36 (SF-36) and EuroQol (EQ-5D) questionnaires pre-operatively and at a mean of nine months (3.8 to 14.4) post-operatively. Foot/ankle surgeons assessed American Orthopaedic Foot and Ankle Society (AOFAS) scores corresponding to four foot/ankle regions. A transition item measured perceived changes in foot/ankle problems post-surgery. Of 628 eligible patients proceeding to surgery, 491 (78%) completed questionnaires and 262 (42%) received clinical assessments both pre- and post-operatively. The regions receiving surgery were: multiple/whole foot in eight (1.3%), ankle/hindfoot in 292 (46.5%), mid-foot in 21(3.3%), hallux in 196 (31.2%), and lesser toes in 111 (17.7%). Foot/ankle-specific MOXFQ, AOFAS and EQ-5D domains produced larger effect sizes (> 0.8) than any SF-36 domains, suggesting superior responsiveness. In analyses that anchored change in scores and effect sizes to patients' responses to a transition item about their foot/ankle problems, the MOXFQ performed well. The SF-36 and EQ-5D performed poorly. Similar analyses, conducted within foot-region based sub-groups of patients, found that the responsiveness of the MOXFQ was good compared with the AOFAS.This evidence supports the MOXFQ's suitability for assessing all foot and ankle surgery.