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Article: Evaluation of an expectation and outcome measurement questionnaire in ankle fracture patients: The Trauma Expectation Factor Trauma Outcomes Measure (TEFTOM) Eurasia study

TitleEvaluation of an expectation and outcome measurement questionnaire in ankle fracture patients: The Trauma Expectation Factor Trauma Outcomes Measure (TEFTOM) Eurasia study
Authors
KeywordsORIF
patient expectation
patient-reported outcome
predictive validity
TEFTOM
Issue Date2020
PublisherSAGE Publications: Creative Commons. The Journal's web site is located at https://journals.sagepub.com/home/osj
Citation
Journal of Orthopaedic Surgery, 2020, v. 28 n. 1, p. article no. 2309499019890140 How to Cite?
AbstractBackground: The Trauma Expectation Factor Trauma Outcomes Measure (TEFTOM) questionnaire is a self-administered, patient-rated outcome measurement questionnaire designed to measure both ‘expectation’ and ‘outcome’ in orthopaedic trauma patients using two subsets of 10 items. We aimed to validate this instrument in a culturally diverse cohort of patients recruited from Asian and European regions. Methods: A total of 193 adult patients with surgically treated AO Foundation/Orthopaedic Trauma Association types 43 and 44 ankle malleolar and distal tibia fractures were recruited with 158 followed up till 1 year. Expectations were assessed prior to surgery, at 2 weeks and after 6 months using the trauma expectation factor (TEF) score. Outcomes were evaluated at 2 weeks, 6 and 12 months using the trauma outcome measure (TOM), American Academy of Orthopaedic Surgeons (AAOS), foot and ankle outcome score (FAOS) and short form-36 (SF-36) questionnaires. Psychometric properties of TEFTOM were assessed. Results: TEF and TOM demonstrated good internal consistency (Cronbach’s α > 0.87) and reliability at all time points (intra-class correlation coefficients > 0.90). TOM showed strong correlations (R 2 ≥ 0.60) with the AAOS foot and ankle score, all FAOS subscales, except ‘symptoms’ and SF-36 physical functioning, role physical, bodily pain, social functioning and the physical component summary at 6 and 12 months. Effect sizes for TOM were 2.30 and 0.74 from 2 weeks to 6 months and from 6 months to 12 months, respectively. The baseline patient TEF was predictive for the 1-year TOM score. Conclusions: TEFTOM demonstrated good psychometric properties in this cohort of patients with ankle fractures. The TEF ‘expectation’ score was predictive of the TOM ‘outcome’ score. We recommend researchers and clinicians to utilize TEFTOM when patient expectation measurement is concerned for orthopaedic trauma patients.
Persistent Identifierhttp://hdl.handle.net/10722/283266
ISSN
2021 Impact Factor: 1.482
2020 SCImago Journal Rankings: 0.457
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorFang, C-
dc.contributor.authorPlatz, A-
dc.contributor.authorMüller, L-
dc.contributor.authorChandy, T-
dc.contributor.authorLuo, CF-
dc.contributor.authorVives, JMM-
dc.contributor.authorLeung, F-
dc.contributor.authorBabst, R-
dc.date.accessioned2020-06-22T02:54:20Z-
dc.date.available2020-06-22T02:54:20Z-
dc.date.issued2020-
dc.identifier.citationJournal of Orthopaedic Surgery, 2020, v. 28 n. 1, p. article no. 2309499019890140-
dc.identifier.issn1022-5536-
dc.identifier.urihttp://hdl.handle.net/10722/283266-
dc.description.abstractBackground: The Trauma Expectation Factor Trauma Outcomes Measure (TEFTOM) questionnaire is a self-administered, patient-rated outcome measurement questionnaire designed to measure both ‘expectation’ and ‘outcome’ in orthopaedic trauma patients using two subsets of 10 items. We aimed to validate this instrument in a culturally diverse cohort of patients recruited from Asian and European regions. Methods: A total of 193 adult patients with surgically treated AO Foundation/Orthopaedic Trauma Association types 43 and 44 ankle malleolar and distal tibia fractures were recruited with 158 followed up till 1 year. Expectations were assessed prior to surgery, at 2 weeks and after 6 months using the trauma expectation factor (TEF) score. Outcomes were evaluated at 2 weeks, 6 and 12 months using the trauma outcome measure (TOM), American Academy of Orthopaedic Surgeons (AAOS), foot and ankle outcome score (FAOS) and short form-36 (SF-36) questionnaires. Psychometric properties of TEFTOM were assessed. Results: TEF and TOM demonstrated good internal consistency (Cronbach’s α > 0.87) and reliability at all time points (intra-class correlation coefficients > 0.90). TOM showed strong correlations (R 2 ≥ 0.60) with the AAOS foot and ankle score, all FAOS subscales, except ‘symptoms’ and SF-36 physical functioning, role physical, bodily pain, social functioning and the physical component summary at 6 and 12 months. Effect sizes for TOM were 2.30 and 0.74 from 2 weeks to 6 months and from 6 months to 12 months, respectively. The baseline patient TEF was predictive for the 1-year TOM score. Conclusions: TEFTOM demonstrated good psychometric properties in this cohort of patients with ankle fractures. The TEF ‘expectation’ score was predictive of the TOM ‘outcome’ score. We recommend researchers and clinicians to utilize TEFTOM when patient expectation measurement is concerned for orthopaedic trauma patients.-
dc.languageeng-
dc.publisherSAGE Publications: Creative Commons. The Journal's web site is located at https://journals.sagepub.com/home/osj-
dc.relation.ispartofJournal of Orthopaedic Surgery-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectORIF-
dc.subjectpatient expectation-
dc.subjectpatient-reported outcome-
dc.subjectpredictive validity-
dc.subjectTEFTOM-
dc.titleEvaluation of an expectation and outcome measurement questionnaire in ankle fracture patients: The Trauma Expectation Factor Trauma Outcomes Measure (TEFTOM) Eurasia study-
dc.typeArticle-
dc.identifier.emailFang, C: cfang@hku.hk-
dc.identifier.emailLeung, F: klleunga@hkucc.hku.hk-
dc.identifier.authorityFang, C=rp02016-
dc.identifier.authorityLeung, F=rp00297-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1177/2309499019890140-
dc.identifier.pmid31916492-
dc.identifier.scopuseid_2-s2.0-85077559248-
dc.identifier.hkuros310620-
dc.identifier.volume28-
dc.identifier.issue1-
dc.identifier.spagearticle no. 2309499019890140-
dc.identifier.epagearticle no. 2309499019890140-
dc.identifier.isiWOS:000506603000001-
dc.publisher.placeUnited States-
dc.identifier.issnl1022-5536-

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