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J Clin Epidemiol. 2009 Nov;62(11):1210-7. doi: 10.1016/j.jclinepi.2009.01.014. Epub 2009 Apr 11.

Use of both Short Musculoskeletal Function Assessment questionnaire and Short Form-36 among tibial-fracture patients was redundant.

Collaborators (291)

Bhandar M, Guyatt G, Sanders DW, Schemitsch EH, Swiontkowski M, Tornetta P 3rd, Walter SD, Guyatt G, Bhandari M, Sanders DW, Schemitsch EH, Swiontkowski M, Tornetta P 3rd, Walter SD, Guyatt G, Bhandari M, Sanders DW, Schemitsch EH, Swiontkowski M, Tornetta P 3rd, Walter SD, Sprague S, Heels-Ansdell D, Buckingham L, Leece P, Viveiros H, Mignott T, Ansell N, Sidorkewicz N, Agel J, Bombardier C, Berlin JA, Bosse M, Browner B, Gillespie B, Jones A, O'Brien P, Agel J, Sprague S, Poolman R, Bhandari M, Sanders DW, Macleod MD, Carey T, Leitch K, Bailey S, Gurr K, Konito K, Bartha C, Low I, MacBean LV, Ramu M, Reiber S, Strapp R, Tieszer C, Kreder HJ, Stephen DJ, Axelrod TS, Yee AJ, Richards RR, Finkelstein J, Gofton W, Murnaghan J, Schatztker J, Ford M, Bulmer B, Conlan L, Laflamme GY, Berry G, Beaumont P, Ranger P, Laflamme GH, Gagnon S, Malo M, Fernandes J, Poirier MF, Schemitsch EH, McKee MD, Waddell JP, Bogoch ER, Daniels TR, McBroom RR, Vicente MR, Storey W, Wild LM, McCormack R, Perey B, Goetz TJ, Pate G, Penner MJ, Panagiotopoulos K, Pirani S, Dommisse IG, Loomer RL, Stone T, Moon K, Zomar M, Webb LX, Teasdall RD, Birkedal JP, Martin DF, Ruch DS, Kilgus DJ, Pollock DC, Harris MB, Wiesler ER, Ward WG, Shilt JS, Koman AL, Poehling GG, Kulp B, Tornetta P 3rd, Creevy WR, Stein AB, Bono CT, Einhorn TA, Brown TD, Pacicca D, Sledge JB 3rd, Foster TE, Voloshin I, Bolton J, Carlisle H, Shaughnessy L, Obremskey WT, LeCroy CM, Meinberg EG, Messer TM, Craig WL 3rd, Dirschl DR, Caudle R, Harris T, Elhert K, Hage W, Jones R, Piedrahita L, Schricker PO, Driver R, Godwin J, Obremskey WT, Kregor PJ, Tennent G, Truchan LM, Sciadini M, Shuler FD, Driver RE, Nading MA, Neiderstadt J, Vap AR, Vallier HA, Patterson BM, Wilber JH, Sontich JK, Moore TA, Brady D, Cooperman DR, David JA, Cureton RA, Mandel S, Orr RD, Sadler JT, Hussain T, Rajaratnam K, Petrisor B, Bhandari M, Drew B, Bednar DA, Kwok DC, Pettit S, Hancock J, Sidorkewicz N, Cole PA, Smith JJ, Brown GA, Lange TA, Stark JG, Levy BA, Swiontkowski MF, Garaghty MJ, Salzman JG, Schutte CA, Tastad L, Vang S, Seligson D, Roberts CS, Malkani AL, Sanders L, Dyer C, Heinsen J, Smith L, Madanagopal S, Frantz-Bush L, Coupe KJ, Tucker JJ, Criswell AR, Buckle R, Rechter AJ, Sheth DS, Urquart B, Trotscher T, Anders MJ, Kowalski JM, Fineberg MS, Bone LB, Phillips MJ, Rohrbacher B, Stegemann P, Mihalko WM, Buyea C, Augustine SJ, Jackson WT, Solis G, Ero SU, Segina DN, Berrey HB, Agnew SG, Fitzpatrick M, Campbell LC, Derting L, McAdams J, Goslings JC, Ponsen KJ, Luitse J, Kloen P, Joosse P, Winkelhagen J, Duivenvoorden R, Teague DC, Davey J, Sullivan JA, Ertl WJ, Puckett TA, Pasque CB, Tompkins JF 2nd, Gruel CR, Kammerlocher P, Lehman TP, Puffinbarger WR, Weber DW, Jomha NM, Goplen GR, Masson E, Beaupre LA, Greaves KE, Schaump LN, Jeray KJ, Goetz DR, Westberry DE, Broderick JS, Moon BS, Tanner SL, Powell JN, Buckley RE, Elves L, Connolly S, Abraham EP, Steele T, Ellis T, Herzberg A, Brown GA, Crawford DE, Hart R, Hayden J, Orfaly RM, Vigland T, Vivekaraj M, Bundy GL, Miclau T 3rd, Matityahu A, Coughlin RR, Kandemir U, McClellan RT, Lin CH, Karges D, Cramer K, Watson JT, Moed B, Scott B, Beck DJ, Orth C, Puskas D, Clark R, Jones J, Egol KA, Paksima N, Monet F, Wai EK, Johnson G, Wilkinson R, Gruszczynski AT, Vexler L.

Author information

1
Institute for Work & Health, 481 University Avenue, Toronto, Ontario, Canada. jbusse@iwh.on.ca

Abstract

OBJECTIVE:

To compare the Short Musculoskeletal Function Assessment Dysfunction Index (SMFA DI) and the Short Form-36 Physical Component Summary (SF-36 PCS) scores among patients undergoing operative management of tibial fractures.

STUDY DESIGN AND SETTING:

Between July 2000 and September 2005, we enrolled 1,319 skeletally mature patients with open or closed fractures of the tibial shaft that were managed with intramedullary nailing. Patients were asked to complete the SMFA Questionnaire and SF-36 at discharge and 3, 6, and 12 months post-surgical fixation.

RESULTS:

The SMFA DI and SF-36 PCS scores were highly correlated at 3, 6, and 12 months post-surgical fixation. The difference in the mean standardized change scores for SMFA DI and SF-36 PCS, from 3 to 12 months post-surgical fixation, was not statistically significant. Both the SMFA DI and SF-36 PCS scores were able to discriminate between healed and nonhealed tibial fractures at 3, 6, and 12 months postsurgery.

CONCLUSION:

In patients with tibial-shaft fractures, the SMFA DI offered no significant advantages over the SF-36 PCS score. These results, along with the usefulness of SF-36 for comparing populations, recommend the SF-36 for assessing physical function in studies of patients with tibial fractures.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00038129.

PMID:
19364637
PMCID:
PMC2782578
DOI:
10.1016/j.jclinepi.2009.01.014
[Indexed for MEDLINE]
Free PMC Article

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