Measurement properties of the Dutch versions of QuickDASH and PRWHE in patients with complaints of hand, wrist, forearm and elbow.

Publisher: Ios Press Country of Publication: Netherlands NLM ID: 9201340 Publication Model: Print Cited Medium: Internet ISSN: 1878-6324 (Electronic) Linking ISSN: 10538127 NLM ISO Abbreviation: J Back Musculoskelet Rehabil Subsets: MEDLINE

Publication: 1999- : Amsterdam : Ios Press
Original Publication: Reading, MA : Andover, c1991-

Disability Evaluation*; Humans ; Male ; Female ; Middle Aged ; Reproducibility of Results ; Netherlands ; Adult ; Surveys and Questionnaires/standards ; Hand/physiopathology ; Aged ; Elbow/physiopathology ; Forearm/physiopathology ; Wrist/physiopathology

Background: The shortened version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) and Patient Rated Wrist/Hand Evaluation (PRWHE) are commonly used questionnaires to assess patient-reported hand function. Information about the measurement properties of the Dutch versions is scarce.
Objective: To gain insight into the measurement properties of the Dutch language versions of the QuickDASH and the PRWHE in patients with (non)specific complaints of the hand, wrist, forearm and elbow.
Methods: Internal consistency, construct validity, test-retest reliability, responsiveness, and floor and ceiling effects were assessed according to COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) recommendations.
Results: Questionnaires were filled out by 132 patients. Internal consistency of QuickDASH (Cronbach's α= 0.92) and PRWHE (Cronbach's α= 0.97) was high. Predefined hypotheses for construct validity were not confirmed for 75% for both QuickDASH and PRWHE (accordance with 62% of predefined hypotheses for both questionnaires). Test-retest reliability of QuickDASH (ICC = 0.90) and PRWHE (ICC = 0.87) was good. Both QuickDASH (AUC = 0.84) and PRWHE (AUC = 0.80) showed good responsiveness. No floor or ceiling effects were present.
Conclusions: Measurement properties of the Dutch language versions of the QuickDASH and the PRWHE, applied to patients with (non)specific complaints of the hand, wrist, forearm and elbow, were very similar. Test-retest reliability and responsiveness were good for both QuickDASH and PRWHE. Construct validity could not be demonstrated sufficiently.

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Keywords: Hand; disability evaluation; pain measurement; patient reported outcome measures; psychometrics; upper extremity

Date Created: 20240122 Date Completed: 20240705 Latest Revision: 20240810

20250114

PMC11307055

10.3233/BMR-230225

38250756