Use of both Short Musculoskeletal Function Assessment questionnaire and Short Form-36 among tibial-fracture patients was redundant

Jason W Busse, Mohit Bhandari, Gordon H Guyatt, Diane Heels-Ansdell, Scott Mandel, David Sanders, Emil Schemitsch, Marc Swiontkowski, Paul Tornetta 3rd, Eugene Wai, Stephen D Walter, SPRINT Investigators, Mohit Bhandar, Gordon Guyatt, David W Sanders, Emil H Schemitsch, Marc Swiontkowski, Paul Tornetta 3rd, Stephen D Walter, Gordon Guyatt, Mohit Bhandari, David W Sanders, Emil H Schemitsch, Marc Swiontkowski, Paul Tornetta 3rd, Stephen D Walter, Gordon Guyatt, Mohit Bhandari, David W Sanders, Emil H Schemitsch, Marc Swiontkowski, Paul Tornetta 3rd, Stephen D Walter, Sheila Sprague, Diane Heels-Ansdell, Lisa Buckingham, Pamela Leece, Helena Viveiros, Tashay Mignott, Natalie Ansell, Natalie Sidorkewicz, Julie Agel, Claire Bombardier, Jesse A Berlin, Michael Bosse, Bruce Browner, Brenda Gillespie, Alan Jones, Peter O'Brien, Julie Agel, Sheila Sprague, Rudolf Poolman, Mohit Bhandari, David W Sanders, Mark D Macleod, Timothy Carey, Kellie Leitch, Stuart Bailey, Kevin Gurr, Ken Konito, Charlene Bartha, Isolina Low, Leila V MacBean, Mala Ramu, Susan Reiber, Ruth Strapp, Christina Tieszer, Hans J Kreder, David J G Stephen, Terry S Axelrod, Albert J M Yee, Robin R Richards, Joel Finkelstein, Wade Gofton, John Murnaghan, Joseph Schatztker, Michael Ford, Beverly Bulmer, Lisa Conlan, G Yves Laflamme, Gregory Berry, Pierre Beaumont, Pierre Ranger, Georges-Henri Laflamme, Sylvain Gagnon, Michel Malo, Julio Fernandes, Marie-France Poirier, Emil H Schemitsch, Michael D McKee, James P Waddell, Earl R Bogoch, Timothy R Daniels, Robert R McBroom, Milena R Vicente, Wendy Storey, Lisa M Wild, Robert McCormack, Bertrand Perey, Thomas J Goetz, Graham Pate, Murray J Penner, Kostas Panagiotopoulos, Shafique Pirani, Ian G Dommisse, Richard L Loomer, Trevor Stone, Karyn Moon, Mauri Zomar, Lawrence X Webb, Robert D Teasdall, John Peter Birkedal, David Franklin Martin, David S Ruch, Douglas J Kilgus, David C Pollock, Michael Brion Harris, Ethan Ron Wiesler, William G Ward, Jeffrey Scott Shilt, Andrew L Koman, Gary G Poehling, Brenda Kulp, Paul Tornetta 3rd, William R Creevy, Andrew B Stein, Christopher T Bono, Thomas A Einhorn, T Desmond Brown, Donna Pacicca, John B Sledge 3rd, Timothy E Foster, Ilva Voloshin, Jill Bolton, Hope Carlisle, Lisa Shaughnessy, William T Obremskey, C Michael LeCroy, Eric G Meinberg, Terry M Messer, William L Craig 3rd, Douglas R Dirschl, Robert Caudle, Tim Harris, Kurt Elhert, William Hage, Robert Jones, Luis Piedrahita, Paul O Schricker, Robin Driver, Jean Godwin, William T Obremskey, Philip James Kregor, Gregory Tennent, Lisa M Truchan, Marcus Sciadini, Franklin D Shuler, Robin E Driver, Mary Alice Nading, Jacky Neiderstadt, Alexander R Vap, Heather A Vallier, Brendan M Patterson, John H Wilber, John K Sontich, Timothy Alan Moore, Drew Brady, Daniel R Cooperman, John A David, Ruth Ann Cureton, Scott Mandel, R Douglas Orr, John T S Sadler, Tousief Hussain, Krishan Rajaratnam, Bradley Petrisor, Mohit Bhandari, Brian Drew, Drew A Bednar, Desmond C H Kwok, Shirley Pettit, Jill Hancock, Natalie Sidorkewicz, Peter A Cole, Joel J Smith, Gregory A Brown, Thomas A Lange, John G Stark, Bruce A Levy, Marc F Swiontkowski, Mary J Garaghty, Joshua G Salzman, Carol A Schutte, Linda Tastad, Sandy Vang, David Seligson, Craig S Roberts, Arthur L Malkani, Laura Sanders, Carmen Dyer, Jessica Heinsen, Langan Smith, Sudhakar Madanagopal, Linda Frantz-Bush, Kevin J Coupe, Jeffrey J Tucker, Allen R Criswell, Rosemary Buckle, Alan Jeffrey Rechter, Dhiren Shaskikant Sheth, Brad Urquart, Thea Trotscher, Mark J Anders, Joseph M Kowalski, Marc S Fineberg, Lawrence B Bone, Matthew J Phillips, Bernard Rohrbacher, Philip Stegemann, William M Mihalko, Cathy Buyea, Stephen J Augustine, William Thomas Jackson, Gregory Solis, Sunday U Ero, Daniel N Segina, Hudson B Berrey, Samuel G Agnew, Michael Fitzpatrick, Lakina C Campbell, Lynn Derting, June McAdams, J Carel Goslings, Kees Jan Ponsen, Jan Luitse, Peter Kloen, Pieter Joosse, Jasper Winkelhagen, Raphaël Duivenvoorden, David C Teague, Joseph Davey, J Andy Sullivan, William J J Ertl, Timothy A Puckett, Charles B Pasque, John F Tompkins 2nd, Curtis R Gruel, Paul Kammerlocher, Thomas P Lehman, William R Puffinbarger, Donald W Weber, Nadr M Jomha, Gordon R Goplen, Edward Masson, Lauren A Beaupre, Karen E Greaves, Lori N Schaump, Kyle J Jeray, David R Goetz, David E Westberry, J Scott Broderick, Bryan S Moon, Stephanie L Tanner, James N Powell, Richard E Buckley, Leslie Elves, Stephen Connolly, Edward P Abraham, Trudy Steele, Thomas Ellis, Alex Herzberg, George A Brown, Dennis E Crawford, Robert Hart, James Hayden, Robert M Orfaly, Theodore Vigland, Maharani Vivekaraj, Gina L Bundy, Theodore Miclau 3rd, Amir Matityahu, R Richard Coughlin, Utku Kandemir, R Trigg McClellan, Cindy Hsin-Hua Lin, David Karges, Kathryn Cramer, J Tracy Watson, Berton Moed, Barbara Scott, Dennis J Beck, Carolyn Orth, David Puskas, Russell Clark, Jennifer Jones, Kenneth A Egol, Nader Paksima, France Monet, Eugene K Wai, Garth Johnson, Ross Wilkinson, Adam T Gruszczynski, Liisa Vexler, Jason W Busse, Mohit Bhandari, Gordon H Guyatt, Diane Heels-Ansdell, Scott Mandel, David Sanders, Emil Schemitsch, Marc Swiontkowski, Paul Tornetta 3rd, Eugene Wai, Stephen D Walter, SPRINT Investigators, Mohit Bhandar, Gordon Guyatt, David W Sanders, Emil H Schemitsch, Marc Swiontkowski, Paul Tornetta 3rd, Stephen D Walter, Gordon Guyatt, Mohit Bhandari, David W Sanders, Emil H Schemitsch, Marc Swiontkowski, Paul Tornetta 3rd, Stephen D Walter, Gordon Guyatt, Mohit Bhandari, David W Sanders, Emil H Schemitsch, Marc Swiontkowski, Paul Tornetta 3rd, Stephen D Walter, Sheila Sprague, Diane Heels-Ansdell, Lisa Buckingham, Pamela Leece, Helena Viveiros, Tashay Mignott, Natalie Ansell, Natalie Sidorkewicz, Julie Agel, Claire Bombardier, Jesse A Berlin, Michael Bosse, Bruce Browner, Brenda Gillespie, Alan Jones, Peter O'Brien, Julie Agel, Sheila Sprague, Rudolf Poolman, Mohit Bhandari, David W Sanders, Mark D Macleod, Timothy Carey, Kellie Leitch, Stuart Bailey, Kevin Gurr, Ken Konito, Charlene Bartha, Isolina Low, Leila V MacBean, Mala Ramu, Susan Reiber, Ruth Strapp, Christina Tieszer, Hans J Kreder, David J G Stephen, Terry S Axelrod, Albert J M Yee, Robin R Richards, Joel Finkelstein, Wade Gofton, John Murnaghan, Joseph Schatztker, Michael Ford, Beverly Bulmer, Lisa Conlan, G Yves Laflamme, Gregory Berry, Pierre Beaumont, Pierre Ranger, Georges-Henri Laflamme, Sylvain Gagnon, Michel Malo, Julio Fernandes, Marie-France Poirier, Emil H Schemitsch, Michael D McKee, James P Waddell, Earl R Bogoch, Timothy R Daniels, Robert R McBroom, Milena R Vicente, Wendy Storey, Lisa M Wild, Robert McCormack, Bertrand Perey, Thomas J Goetz, Graham Pate, Murray J Penner, Kostas Panagiotopoulos, Shafique Pirani, Ian G Dommisse, Richard L Loomer, Trevor Stone, Karyn Moon, Mauri Zomar, Lawrence X Webb, Robert D Teasdall, John Peter Birkedal, David Franklin Martin, David S Ruch, Douglas J Kilgus, David C Pollock, Michael Brion Harris, Ethan Ron Wiesler, William G Ward, Jeffrey Scott Shilt, Andrew L Koman, Gary G Poehling, Brenda Kulp, Paul Tornetta 3rd, William R Creevy, Andrew B Stein, Christopher T Bono, Thomas A Einhorn, T Desmond Brown, Donna Pacicca, John B Sledge 3rd, Timothy E Foster, Ilva Voloshin, Jill Bolton, Hope Carlisle, Lisa Shaughnessy, William T Obremskey, C Michael LeCroy, Eric G Meinberg, Terry M Messer, William L Craig 3rd, Douglas R Dirschl, Robert Caudle, Tim Harris, Kurt Elhert, William Hage, Robert Jones, Luis Piedrahita, Paul O Schricker, Robin Driver, Jean Godwin, William T Obremskey, Philip James Kregor, Gregory Tennent, Lisa M Truchan, Marcus Sciadini, Franklin D Shuler, Robin E Driver, Mary Alice Nading, Jacky Neiderstadt, Alexander R Vap, Heather A Vallier, Brendan M Patterson, John H Wilber, John K Sontich, Timothy Alan Moore, Drew Brady, Daniel R Cooperman, John A David, Ruth Ann Cureton, Scott Mandel, R Douglas Orr, John T S Sadler, Tousief Hussain, Krishan Rajaratnam, Bradley Petrisor, Mohit Bhandari, Brian Drew, Drew A Bednar, Desmond C H Kwok, Shirley Pettit, Jill Hancock, Natalie Sidorkewicz, Peter A Cole, Joel J Smith, Gregory A Brown, Thomas A Lange, John G Stark, Bruce A Levy, Marc F Swiontkowski, Mary J Garaghty, Joshua G Salzman, Carol A Schutte, Linda Tastad, Sandy Vang, David Seligson, Craig S Roberts, Arthur L Malkani, Laura Sanders, Carmen Dyer, Jessica Heinsen, Langan Smith, Sudhakar Madanagopal, Linda Frantz-Bush, Kevin J Coupe, Jeffrey J Tucker, Allen R Criswell, Rosemary Buckle, Alan Jeffrey Rechter, Dhiren Shaskikant Sheth, Brad Urquart, Thea Trotscher, Mark J Anders, Joseph M Kowalski, Marc S Fineberg, Lawrence B Bone, Matthew J Phillips, Bernard Rohrbacher, Philip Stegemann, William M Mihalko, Cathy Buyea, Stephen J Augustine, William Thomas Jackson, Gregory Solis, Sunday U Ero, Daniel N Segina, Hudson B Berrey, Samuel G Agnew, Michael Fitzpatrick, Lakina C Campbell, Lynn Derting, June McAdams, J Carel Goslings, Kees Jan Ponsen, Jan Luitse, Peter Kloen, Pieter Joosse, Jasper Winkelhagen, Raphaël Duivenvoorden, David C Teague, Joseph Davey, J Andy Sullivan, William J J Ertl, Timothy A Puckett, Charles B Pasque, John F Tompkins 2nd, Curtis R Gruel, Paul Kammerlocher, Thomas P Lehman, William R Puffinbarger, Donald W Weber, Nadr M Jomha, Gordon R Goplen, Edward Masson, Lauren A Beaupre, Karen E Greaves, Lori N Schaump, Kyle J Jeray, David R Goetz, David E Westberry, J Scott Broderick, Bryan S Moon, Stephanie L Tanner, James N Powell, Richard E Buckley, Leslie Elves, Stephen Connolly, Edward P Abraham, Trudy Steele, Thomas Ellis, Alex Herzberg, George A Brown, Dennis E Crawford, Robert Hart, James Hayden, Robert M Orfaly, Theodore Vigland, Maharani Vivekaraj, Gina L Bundy, Theodore Miclau 3rd, Amir Matityahu, R Richard Coughlin, Utku Kandemir, R Trigg McClellan, Cindy Hsin-Hua Lin, David Karges, Kathryn Cramer, J Tracy Watson, Berton Moed, Barbara Scott, Dennis J Beck, Carolyn Orth, David Puskas, Russell Clark, Jennifer Jones, Kenneth A Egol, Nader Paksima, France Monet, Eugene K Wai, Garth Johnson, Ross Wilkinson, Adam T Gruszczynski, Liisa Vexler

Abstract

Objective: To compare the Short Musculoskeletal Function Assessment Dysfunction Index (SMFA DI) and the Short Form-36 Physical Component Summary (SF-36 PCS) scores among patients undergoing operative management of tibial fractures.

Study design and setting: Between July 2000 and September 2005, we enrolled 1,319 skeletally mature patients with open or closed fractures of the tibial shaft that were managed with intramedullary nailing. Patients were asked to complete the SMFA Questionnaire and SF-36 at discharge and 3, 6, and 12 months post-surgical fixation.

Results: The SMFA DI and SF-36 PCS scores were highly correlated at 3, 6, and 12 months post-surgical fixation. The difference in the mean standardized change scores for SMFA DI and SF-36 PCS, from 3 to 12 months post-surgical fixation, was not statistically significant. Both the SMFA DI and SF-36 PCS scores were able to discriminate between healed and nonhealed tibial fractures at 3, 6, and 12 months postsurgery.

Conclusion: In patients with tibial-shaft fractures, the SMFA DI offered no significant advantages over the SF-36 PCS score. These results, along with the usefulness of SF-36 for comparing populations, recommend the SF-36 for assessing physical function in studies of patients with tibial fractures.

Trial registration: ClinicalTrials.gov NCT00038129.

Source: PubMed

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