Reliability of Shoulder Symptom Recall after 1 Year in a Retrospective Application of the Oxford Shoulder Score

2012 ◽  
Vol 4 (4) ◽  
pp. 255-258
Author(s):  
Michael Held ◽  
Steve Roche ◽  
Basil Vrettos ◽  
Maritz Laubscher ◽  
Johan Walters
Keyword(s):  
Shoulder Function ◽  
Test Pair ◽  
Altman Plot ◽  
Bland Altman Plot ◽  
Individual Level ◽  
Oxford Shoulder Score ◽  
The Mean ◽  
One Year ◽  
The Individual ◽  
Shoulder Score

Background The accuracy of retrospective recall of shoulder symptoms has not been well documented. This prospective study assesses the ability of patients to recall their preoperative shoulder function one year after a surgical intervention, using the Oxford Shoulder Score (OSS). Methods 35 patients completed an OSS before undergoing shoulder surgery. One year later, patients were asked to recall their symptoms prior to their surgery. The recalled OSS of the patients as a group was compared to their preoperative score. The recall bias of each test pair was assessed with a Bland – Altman plot. Results On recall after a mean of 12.6 months, the mean OSS from the index assessment increased from 36.25 to 38.25 points. The mean difference of 2 points for the patients as a group was not significant (p = 0.14). The statistical limits of agreement of the Bland – Altman plot were set at +/-2 SD = 14.079 points. The plotted points showed fair correlation between each individual test pair. Conclusion The recall of symptoms of a large group of patients at 1 year after the index intervention appears to have a moderate correlation with the preoperative scoring. Although statistically acceptable, this limit of agreement is much larger than the 4.5-point difference, established to be clinically relevant in prior studies. The variation seen within the scores at the individual level suggests that these data cannot be used as a retrospective tool.

scholarly journals Arthroscopic capsular release for idiopathic frozen shoulder with intra-articular injection and a controlled manipulation

2014 ◽  
Vol 96 (1) ◽  
pp. 55-60 ◽  
Author(s):  
CD Smith ◽  
P Hamer ◽  
TD Bunker
Keyword(s):  
Pain Relief ◽  
Range Of Motion ◽  
Frozen Shoulder ◽  
Stage Ii ◽  
Capsular Release ◽  
Oxford Shoulder Score ◽  
Arthroscopic Capsular Release ◽  
Good Pain Relief ◽  
The Mean ◽  
Shoulder Score

INTRODUCTION The aim of this prospective study was to assess the immediate and long-term effectiveness of arthroscopic capsular release in a large cohort of patients with a precise and isolated diagnosis of stage II idiopathic frozen shoulder. METHODS All patients underwent a preoperative evaluation. Patients with secondary frozen shoulder and those with concurrent pathology at arthroscopy were excluded. This left 136 patients with a stage II arthroscopically confirmed idiopathic frozen shoulder. At each postoperative attendance, a record was made of pain, function and range of motion. At 12 months, the Oxford shoulder score was calculated, and pain and range of motion were assessed. RESULTS Fifty per cent achieved good pain relief within a week and eighty per cent within six weeks of arthroscopic capsular release. The mean preoperative visual analogue scale pain score was 6.6 and the mean postoperative score was 1.0. The mean time to achieving good pain relief was 16 days following surgery. No patient could sleep through the night prior to surgery while 90% reported having a complete night’s sleep at a mean of 12 days after surgery. The mean postoperative Oxford shoulder score was 38/48 and the mean improvement was 19.2. CONCLUSIONS This large series demonstrates that arthroscopic capsular release is a safe procedure, with rapid improvement in pain and a marked improvement in range of motion.

scholarly journals Can we improve the outcome of hydrodilatation for adhesive capsulitis?

2017 ◽  
Vol 10 (2) ◽  
pp. 93-98 ◽  
Author(s):  
David N. Haughton ◽  
Simon Barton ◽  
Erin Meenan ◽  
Rakesh Mehan ◽  
Philip Wykes ◽  
...  
Keyword(s):  
Adhesive Capsulitis ◽  
Painful Procedure ◽  
First Line ◽  
Full Data ◽  
Oxford Shoulder Score ◽  
Post Traumatic ◽  
The Mean ◽  
And Function ◽  
Shoulder Score ◽  
First Line Treatment

Background Hydrodilatation (HD) has been shown to improve pain and function in patients with adhesive capsulitis (AC). There is no consensus concerning how HD should be performed or what volume should be injected. It has distinct advantages compared to surgery; however, it is a painful procedure and is often poorly tolerated. Methods We retrospectively reviewed all patients referred for HD over a 2.5-year period aiming to assess whether volume injected influences outcome. Results There were 107 patients treated with HD; of these, 76 (43 female, 32 male) had full data for analysis. The majority were classified as primary AC ( n = 57) with an average age of 55.5 years. The mean improvement in Oxford Shoulder Score (OSS) was 12.1, with females (13.9) and post-traumatic cases of AC (14.1) demonstrating the best outcome. No complications were observed during the HD process. There was a negative correlation observed between volume injected and OSS improvement. Only two patients experienced a poor outcome and required further treatment with manipulation +/– arthroscopic arthrolysis. Conclusions The present study supports the use of HD as a first line treatment for AC regardless of the underlying cause, and also demonstrates that the volume injected does appear to influence the outcome.

Changes in wild red squirrel personality across ontogeny: activity and aggression regress towards the mean

Behaviour ◽  
2015 ◽  
Vol 152 (10) ◽  
pp. 1291-1306 ◽  
Author(s):  
A.D. Kelley ◽  
M.M. Humphries ◽  
A.G. McAdam ◽  
Stan Boutin
Keyword(s):  
Structural Stability ◽  
Environmental Changes ◽  
Population Level ◽  
Behavioural Syndrome ◽  
Red Squirrels ◽  
Individual Level ◽  
Personality Changes ◽  
The Mean ◽  
Differential Stability ◽  
The Individual

Both juvenile and adult animals display stable behavioural differences (personality), but lifestyles and niches may change as animals mature, raising the question of whether personality changes across ontogeny. Here, we use a wild population of red squirrels to examine changes in activity and aggression from juvenile to yearling life stages. Personality may change at the individual level (individual stability), population level (mean level stability), and relative to other individuals (differential stability). We calculated all three types of stability, as well as the structural stability of the activity–aggression behavioural syndrome. Within individuals, both activity and aggression scores regressed towards the mean. Differential stability was maintained for activity, but not aggression. Structural stability was maintained; however, the activity–aggression correlation increased in squirrels that gained territories later in the season. These results suggest that personality undergoes some changes as animals mature, and that the ontogeny of personality can be linked to environmental changes.

Effect of manual eyelid manipulation on intraocular pressure measurement by rebound tonometry

2018 ◽  
Vol 102 (11) ◽  
pp. 1515-1519 ◽  
Author(s):  
Sung Uk Baek ◽  
Ahnul Ha ◽  
Young Kook Kim ◽  
Jin Wook Jeoung ◽  
Ki Ho Park
Keyword(s):  
Intraocular Pressure ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Mean Value ◽  
Applanation Tonometry ◽  
Palpebral Fissure ◽  
Altman Plot ◽  
Bland Altman Plot ◽  
Rebound Tonometry ◽  
The Mean

Background/aimsTo investigate the effect of eyelid manipulation on the measurement of intraocular pressure (IOP) using two different tonometries (rebound tonometry (RT) vs Goldmann applanation tonometry (GAT)).Methods103 patients with primary open-angle glaucoma were prospectively enrolled. For all of the patients, IOP measurements were performed in three different ways: (1) RT with lid manipulation (LM), (2) RT without LM and (3) GAT. The order of the three measurements was randomly selected. Additionally, the palpebral fissure height (PFH; elliptical space between upper and lower eyelids) was measured.ResultsThe mean value of IOP measured by GAT was 13.97±2.80 mm Hg, which was not significantly different from that by RT without LM (13.75±2.44 mm Hg; P=0.096), but which was significantly lower than that by RT with LM (15.21±2.91 mm Hg; P<0.001). On a Bland-Altman plot, RT with LM was overestimated relative to GAT (mean: −1.5) and RT without LM (mean: −1.2). Among the high IOPs (>20 mm Hg), interestingly, those measured by RT without LM were significantly lower than those measured by GAT (P<0.001). In the subgroup analysis of PFH, the smaller the PFH, the more exaggerated the IOP difference between GAT (P=0.014) and RT with LM (P<0.001).ConclusionRT-measured IOP was significantly exaggerated when manipulation was applied to the eyelid. This overall trend was more pronounced when PFH was small. GAT-measured IOP, meanwhile, showed a good correlation with IOP measured using RT without LM.

COMPARING COMMUNITY-PREFERENCE–BASED AND DIRECT STANDARD GAMBLE UTILITY SCORES: EVIDENCE FROM ELECTIVE TOTAL HIP ARTHROPLASTY

2003 ◽  
Vol 19 (2) ◽  
pp. 362-372 ◽  
Author(s):  
David Feeny ◽  
Christopher Blanchard ◽  
Jeffrey L. Mahon ◽  
Robert Bourne ◽  
Cecil Rorabeck ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Standard Gamble ◽  
Intraclass Correlation ◽  
Individual Level ◽  
Total Hip ◽  
The Mean ◽  
The Individual ◽  
Community Preferences ◽  
Utility Scores

Objectives: Do utility scores based on patient preferences and scores based on community preferences agree? The purpose is to assess agreement between directly measured standard gamble (SG) utility scores and utility scores from the Health Utilities Index Mark 2 (HUI2) and Mark 3 (HUI3) systems.Methods: Patients were assessed repeatedly throughout the process of waiting to see a surgeon, waiting for surgery, and recovery after total hip arthroplasty (THA). Group mean scores are compared using paired t-tests. Agreement is assessed using the intraclass correlation coefficient (ICC).Results: The mean SG, HUI2, and HUI3 (SD) scores at assessment 1 are 0.62 (0.31), 0.62 (0.19), and 0.52 (0.21); n=103. At assessment 2, the means are 0.67 (0.30), 0.68 (0.30), and 0.58 (0.22); n=84. There are no statistically significant differences between group mean SG and HUI2 scores. Mean SG and HUI3 scores are significantly different. ICCs are low.Conclusions: At the mean level for the group, SG and HUI2 scores match closely. At the individual level, agreement is poor. HUI2 scores were greater than HUI3 scores. HUI2 and HUI3 are appropriate for group level analyses relying on community preferences but are not a good substitute for directly measured utility scores at the individual leve.

scholarly journals Does arthroscopic subacromial decompression improve quality of life

2015 ◽  
Vol 97 (3) ◽  
pp. 221-223 ◽  
Author(s):  
U Butt ◽  
A Whiteman ◽  
J Wilson ◽  
E Paul ◽  
B Roy
Keyword(s):  
Quality Of Life ◽  
Cost Effective ◽  
Decompression Surgery ◽  
Subacromial Decompression ◽  
Oxford Shoulder Score ◽  
Effective Manner ◽  
The Mean ◽  
Arthroscopic Subacromial Decompression ◽  
Shoulder Score

Introduction There has been a significant rise in the volume of subacromial decompression surgery performed in the UK. This study aimed to determine whether arthroscopic subacromial decompression improves health related quality of life in a cost effective manner. Methods Patients undergoing arthroscopic subacromial decompression surgery for impingement were enrolled between 2012 and 2014. The Oxford shoulder score and the EQ-5D™ instruments were completed prior to and following surgery. A cost–utility analysis was performed. Results Eighty-three patients were eligible for the study with a mean follow-up duration of 15 months (range: 4–27 months). The mean Oxford shoulder score improved by 13 points (95% confidence interval [CI]: 11–15 points). The mean health utility gain extrapolated from the EQ-5D™ questionnaire improved by 0.23 (95% CI: 0.16–0.30), translating to a minimum cost per QALY of £5,683. Conclusions Subacromial decompression leads to significant improvement in function and quality of life in a cost effective manner. This provides justification for its ongoing practice by appropriately trained shoulder surgeons in correctly selected patients.

scholarly journals Job Turnover and Divorce

2017 ◽  
Author(s):  
Philip N. Cohen
Keyword(s):  
Population Survey ◽  
Community Survey ◽  
New Combination ◽  
Job Turnover ◽  
American Community Survey ◽  
Turnover Rates ◽  
High Turnover ◽  
Individual Level ◽  
One Year ◽  
The Individual

Inspired by Pugh (2015), this paper explores the connection between work and couple stability, using a new combination of data from the Current Population Survey (CPS) and the American Community Survey (ACS). I test the association between job turnover, a contextual variable, and divorce at the individual level. Results show that people who work in jobs with high turnover rates – that is, jobs which many people are no longer working in one year later – are also more likely to divorce. One possible explanation is that people exposed to lower levels of commitment from employers, and employees, exhibit lower levels of commitment to their own marriages

scholarly journals Seven-year survival analysis of the Global® CAP® (Conservative Anatomic Prosthesis) shoulder resurfacing

2017 ◽  
Vol 10 (2) ◽  
pp. 87-92
Author(s):  
Helen Ingoe ◽  
Philip Holland ◽  
Emma Tindall ◽  
Raymond Liow ◽  
James L Mcvie ◽  
...  
Keyword(s):  
Survival Analysis ◽  
Confidence Interval ◽  
Medium Term ◽  
Survival Analyses ◽  
Oxford Shoulder Score ◽  
The Mean ◽  
Shoulder Arthroplasties ◽  
Quick Dash ◽  
Shoulder Score

Background Shoulder resurfacings represent approximately one-third of shoulder arthroplasties and have the highest revision rates of any shoulder arthroplasty. We present a survival analysis of the Global CAP hemi-resurfacing implanted by multiple surgeons with up to 10 years of follow-up. Methods A life-table survival analysis of the Global CAP hemi-resurfacing was undertaken in a single site with multiple surgeons. Two survival analyses were performed; first, where failure was defined as component exchange and, second, where failure was defined as re-operation for any reason. Postoperative functional outcome was quantified using the Quick Disability Arm Hand and Shoulder Score (Quick DASH) and Oxford Shoulder Score (OSS). Results Eighty-seven Global CAPs were implanted in 75 patients. At a mean (SD) follow-up of 5.4 years (2.5 years) (range 0.9 years to 10 years), five patients had revision surgery and three patients underwent a reoperation for any reason. Survival at year 7 with component exchange as the endpoint was 80% (95% confidence interval = 93 to 65) and survival with re-operation for any reason as the end point was 62% (95% confidence interval = 82 to 50). The mean OSS and Quick DASH were 35 and 27.6, respectively. Conclusions The Global CAP has similar survivorship in the short to medium term and produces similar clinical outcomes compared to other shoulder resurfacings.

scholarly journals Municipality attraction and commuter mobility in urban Sweden: An analysis based on longitudinal population data

Urban Studies ◽  
2017 ◽  
Vol 55 (9) ◽  
pp. 1875-1903 ◽  
Author(s):  
Siv Schéele ◽  
Gunnar Andersson
Keyword(s):  
Housing Prices ◽  
Population Data ◽  
Demographic Variables ◽  
Individual Characteristics ◽  
Urban Region ◽  
Contextual Data ◽  
Individual Level ◽  
Migration Rates ◽  
One Year ◽  
The Individual

At the individual level, commuting can be seen as part of a search process that may lead to adjustments in terms of migration or change of workplace. The behaviour of commuters is affected by individual characteristics and factors related to housing, labour and transport markets. It can provide insight into factors related to different municipalities’ levels of attraction. In our study, we provide a longitudinal analysis of individual commuting behaviour during a one-year study period: we simultaneously address the dynamics of ending commuting by a migration event, a change of workplace, or both. Our study is situated in the urban region that surrounds lake Mälaren of Sweden, including its capital Stockholm. We draw on unique register data on the entire commuter population of that region and linked contextual data on the characteristics of the municipalities where the commuters live and work. Migration rates are strongly related to demographic variables, whereas the propensity to change workplace mainly varies with economic variables. We demonstrate that the attraction of a municipality in terms of residence increases with the general accessibility to workplaces and decreases with its level of housing prices. An increased supply of new dwellings in a municipality has a greater impact on the capacity to increase its population than has an increased supply of workplaces.

scholarly journals Aequalis Humeral Head Resurfacing in Glenohumeral Arthritis at a Minimum Followup of 2 Years

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Roshan Raghavan ◽  
Amitabh J. Dwyer ◽  
Andrew F. W. Chambler
Keyword(s):  
Humeral Head ◽  
Assessment Tool ◽  
Shoulder Function ◽  
Inclusion Criteria ◽  
Oxford Shoulder Score ◽  
Glenohumeral Arthritis ◽  
Reliable Procedure ◽  
The Mean ◽  
Minimum Followup ◽  
End Stage

Aim. To evaluate results of Aequalis humeral head resurfacing in patients with end-stage glenohumeral arthritis at a minimum followup of two years. Patients and Methods. Twenty-one consecutive patients underwent humeral head resurfacing hemiarthroplasty between 2007 and 2009. Three patients did not fulfill the inclusion criteria. 18 patients with mean age of 75.1 years (range 58–91 years) and a mean duration of preoperative symptoms of 33.6 months (range 6–120 months) were analyzed. Patients’ self-reported Oxford shoulder score (OSS) was collected prospectively and was used as an assessment tool to measure final outcome. Results. The mean initial OSS was 15 (range 3–29). The score improved by an average of 19.5 points at a mean followup of 36.3 months (range 24–54 months) to reach a mean final OSS of 34.5 (range 6–47). The improvement of OSS was highly significant with a two-tailed P value less than 0.0001. The overall patient satisfaction was 94%. Conclusion. This study demonstrates Aequalis shoulder resurfacing hemiarthroplasty as a reliable procedure, away from its originating center, for improvement of shoulder function as shown by the patients’ self-reported outcome score (OSS) in end-stage glenohumeral arthritis at a minimum followup of 2 years.

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