Patient Evaluation Measure and Michigan Hand Outcome Measure- Statistical Analyses and Practical Faesability

摘要

Injuries and disease commonly affect the hand and these can significantly affect the ability of an individual to perform activities of daily living. The use of regional outcome measures or scoring systems is important as it allows comparison between these injuries and disease, and allows clinicians to assess progression and the effects of different treatment modalities. A patient-completed questionnaire is efficient in terms of time and resources, and allows the assessment of outcome without the need to attend an outpatient clinic. It is important that the scoring system allows satisfactory regional outcome measurements specific for the hand. The validity, reliability, responsiveness and bias are used for the assessment of various questionnaires. There are also many practical issues concerning the use of questionnaires including feasibility of use for the patient and the clinician. The Patient Evaluation Measure (PEM) questionnaire, and the Michigan Hand Outcome (MHO) questionnaire are a few of the region-specific outcome measures commonly used for the hand, and are patient-completed questionnaires. They are frequently used to assess self-reported patient outcome in orthopaedics, rheumatology and neurology. In this paper, the validity, reliability, responsiveness and bias of these two questionnaires used for the assessment of the hand will be discussed.