MULTI-SUBSPECIALTY SF-36 Overview a generic, multi-purpose, short-form health survey consisting of 36 questions useful for login to view 3 more bullets example login to view 3 more bullets Structure consists of 8 scaled scores, which are the weighted sums of the questions in their section each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight 8 scales include vitality physical functioning bodily pain general health perceptions physical function emotional role functioning social role functioning mental health Veterans Rand 12-Item Health Survey (VR-12) Overview a shorter version developed from the SF-36 may be useful if only physical and mental health summary scores are of interest used to assess HRQOL and estimate disease burden Patient-Reported Outcomes Measurement Information System (PROMIS) Overview assesses disease-specific and general health questions adult and pediatric versions available utilizes computer adaptive testing software (CAT) and item response theory (IRT) reduced floor and ceiling effect Subspecialties validated for use in login to view 3 more bullets Outcome domains domains include login to view 3 more bullets Scoring results reported as T-scores EuroQol-5D (EQ-5D) Overview assesses generic health status/quality of life two components login to view 2 more bullets strong reliability and validity for numerous health conditions (disease non-specific) available in 170+ languages Scoring answers correlate to 243 health states or can be converted into the EQ-5D index/utility scores corresponding to 0 for death and 1 for perfect health ADULT RECON Harris Hip Score Tool for evaluating patient after total hip replacement scored 0-100 login to view 6 more bullets Four categories pain login to view 1 more bullet function login to view 1 more bullet function activities login to view 1 more bullet physical exam login to view 1 more bullet Score does not allow for individual differences based on age, health, or other personal issues that may affect the total score Knee Injury and Osteoarthritis Outcome Score (KOOS) Overview measures patients' opinions about their knee and related problems allows for short- and long-term follow-up intended for young and middle-aged individuals with post-traumatic osteoarthritis or traumatic conditions that may lead to OA; also applied to TKA patients 5 domains (pain frequency and severity during functional activities, symptoms including the severity of stiffness, swelling, mechanical symptoms, and range of motion, difficulty with ADLs, difficulty with sport and recreational activities, QOL) Scoring 42 items are scored 0-4 and the 5 domains are scored separately as the sum of all corresponding items scores are converted to a 0-100 scale, where 0 = extreme knee problems and 100 = no knee problems Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Overview designed to evaluate patients with hip and knee arthritis, including pain, stiffness, and joint function/mobility; also has been applied to patients with back pain, RA, JRA, SLE, and fibromyalgia login to view 1 more bullet consists of 24 items divided into 3 subscales; measures 5 items for pain, 2 for stiffness, and 17 for physical function use of patient-reported outcome measures provides better assessment of patient satisfaction Scoring most commonly, the sum of the scores in all 3 subscales are added (0-20 for pain, 0-8 for stiffness, and 0-68 for physical function) higher WOMAC scores correlate with worse pain, stiffness, and function FOOT & ANKLE Foot and Ankle Outcome Score Developed to assess the patients opinion about a variety of foot and ankle related problems commonly used in patients with login to view 3 more bullets Consists of 5 subscales: pain other symptoms function in daily living (ADL) function in sport and recreation foot and ankle-related Quality of Life (QOL) Scoring last week is taken into consideration when answering the questionnaire each question gets a score from 0 to 4 login to view 2 more bullets SHOULDER & ELBOW Constant Shoulder Outcome Score Scoring scored from 0-100 consists of four variables that are used to assess the function of the shoulder; right and left shoulders are assessed separately 4 variables include pain score login to view 1 more bullet functional assessment login to view 1 more bullet range of motion login to view 1 more bullet strength measures login to view 1 more bullet UCLA Shoulder Score Overview a shoulder scoring system Categories consists of 5 sections: login to view 5 more bullets Scoring score of >27 indicates good or excellent results maximum score is 35 Disabilities of the Arm, Shoulder, and Hand (DASH) Score Overview 30-item, self-report questionnaire measures physical function and symptoms in people with musculoskeletal disorders of the upper limb Scoring scored in two components login to view 2 more bullets DASH disability/symptom score = [(sum of n responses/n) - 1] x 25 login to view 2 more bullets optional module scoring login to view 2 more bullets Quick DASH Overview an abbreviated version of the original DASH consisting of 11 items assesses an individual's ability to complete tasks, absorb forces, and severity of symptoms utilizes a 5-point Likert scale Scoring cannot be completed if more than 1 item is missing scored the same as DASH, with higher scores correlating with a greater level of disability/severity (0-100) Oxford Shoulder Instability Score (OSIS) Overview short, shoulder-specific PRO consists of 12 questions (each with 5 response alternatives ranked least to most difficult) related to ADLs specifically relevant to patients with shoulder instability validated for measuring surgical and non-surgical therapeutic outcomes of patients with uni- and multi-directional shoulder instability Scoring responses from each question are added for a score ranging from 12 (best function) to 60 (worst function) SPINE ASIA Classification Clinical condition spinal cord injury Oswestry Disability Index (ODI) Clinical condition all conditions that affect low back pain Overview important tool that researchers and disability evaluators use to measure a patient's permanent functional disability considered the ‘gold standard’ of low back functional outcome tools Scoring consists of 10 sections, and for each section the total possible score is 5 if all 10 sections are completed the score is calculated as follows: login to view 1 more bullet if one section is missed or not applicable the score is calculated: login to view 1 more bullet interpretation of scores Neck Disability Index (NDI) Overview modification of the ODI 10 item questionnaire most commonly used self-reported measure for neck pain intended for patients with chronic neck pain, musculoskeletal neck pain, whiplash, and cervical radiculopathy Scoring each of the 10 sections are added together (each section has a possible score of 0-5), divided by 50, and multiplied by 100 to determine a percentage 0 points or 0% correlates with no activity limitations, whereas 50 points or 100% correlates with complete activity limitation/disability mJOA Clinical conditions cervical myelopathy A point scoring system (17 total) based on function in the following categories upper extremity motor function lower extremity motor function sensory function bladder function Nurick Classification Clinical condition cervical myelopathy A grading system based on several variables gait employment cord symptoms