Validity of the Disabilities of the Arm, Shoulder and Hand patient-reported outcome measure (DASH) and the Quickdash when used in Dupuytren's disease

J Rodrigues; W Zhang; B Scammell; P Russell; I Chakrabarti; S Fullilove; D Davidson; T Davis

doi:10.1177/1753193415601350

Validity of the Disabilities of the Arm, Shoulder and Hand patient-reported outcome measure (DASH) and the Quickdash when used in Dupuytren's disease

J Hand Surg Eur Vol. 2016 Jul;41(6):589-99. doi: 10.1177/1753193415601350. Epub 2015 Aug 25.

Authors

J Rodrigues¹, W Zhang², B Scammell², P Russell³, I Chakrabarti⁴, S Fullilove⁵, D Davidson⁶, T Davis²

Affiliations

¹ Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Botnar Research Centre, Nuffield Orthopaedic Centre, Oxford, UK j.n.rodrigues@doctors.org.uk.
² Division of Rheumatology, Orthopaedics and Dermatology, University of Nottingham & Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham, UK.
³ Pulvertaft Hand Centre, Royal Derby Hospital, Uttoxeter New Road, Derby, UK.
⁴ Rotherham General Hospital, Rotherham, UK.
⁵ Derriford Hospital, Plymouth, UK.
⁶ St John's Hospital at Howden, Livingston, UK.

PMID: 26307142
DOI: 10.1177/1753193415601350

Abstract

This study investigated aspects of the validity and reliability of the 30-item Disabilities of the Arm, Shoulder and Hand patient-reported outcome measure (DASH) and its relationship with the shorter 11-item QuickDASH in patients with Dupuytren's disease.Seven hundred and fifty-nine DASH questionnaires were studied, covering pre- and postoperative patients undergoing different treatments for Dupuytren's disease. Items related to pain rose early after treatment before returning to baseline, suggesting that studying pain is relevant during postoperative recovery. Across all 759 sets of responses, the QuickDASH agreed closely with the DASH. In exploratory factor analysis, the DASH was not unidimensional, questioning the validity of the DASH summary score in Dupuytren's disease.Further validation of existing PROMs for use in Dupuytren's disease is needed. These data suggest that pain is a relevant symptom to study during postoperative recovery following treatment for Dupuytren's disease.

Level of evidence: III.

Keywords: DASH; Dupuytren’s contracture; Dupuytren’s disease; Patient reported outcome measures; QuickDASH; agreement; correlation; hand function; validity.

MeSH terms

Adult
Aged
Aged, 80 and over
Cross-Sectional Studies
Disability Evaluation*
Dupuytren Contracture / therapy*
Female
Humans
Male
Middle Aged
Patient Reported Outcome Measures*
Range of Motion, Articular
Reproducibility of Results
Surveys and Questionnaires
Upper Extremity*