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Evaluation of utility in shoulder pathology:Correlating the American Shoulder and Elbow Surgeons and Constant scores to the euroqol

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World Journal of Orthopedics 2012年第3期3卷 20-24页

作者： Blaine T Bafus Richard E Hughes Bruce S Miller James E Carpenter Department of Orthopaedic Surgery Cleveland Clinic Foundation Cleveland OH 44115-2325 United States Department of Orthopaedic Surgery University of Michigan Ann Arbor MI 48109-2200 United States

AIM: To study whether health utility scores can be derived from shoulder-specific ***: Authors investigated two questions:(1) do the American Shoulder and Elbow Surgeons(ASES) score and the Constant score correlate with the EuroQo L(EQ-5D), a measure of health utility?(2) can the ASES and Constant scores be obtained from a complete study sample without bias? Thirty subjects with various shoulder diagnoses completed ASES, Constant, and EQ-5D instruments. Pearson correlations were calculated to assess the associations between EQ-5D score and ASES and Constant ***: The correlation between EQ-5D score and ASES score was 0.60(P < 0.001); it was 0.54 for EQ-5D and Constant scores(P < 0.003). A multiple regression model containing ASES score, Constant score, age, and gender failed to adequately predict EQ-5D. Moreover, 25% of patients meeting the inclusion criteria did not complete the ASES questionnaire because they did not feel that specific questions, such as "do usual sport-list" and "throw ball overhand," applied to ***: Authors' results do not support the use of the ASES and Constant scores in predicting EuroQ ol health utility values. However, the Constant score was more suitable for this patient population because all patients were able to complete it.

关键词： Utility euroqol American Shoulder and Elbow Surgeons score Constant score Shoulder Outcomes

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