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Symposium

Selection of Outcome Measures for Patients With Hip Fracture

Bryant, Dianne M MSc, PhD*; Sanders, David W MD, MSc, FRCSC; Coles, Chad P MD, FRCSC; Petrisor, Brad A MSc, MD, FRCSC§; Jeray, Kyle J MD, FRCSC; Laflamme, George Yves MD, FRCSC

Author Information

From the *School of Physical Therapy, Faculty of Health Sciences, University of Western Ontario, London, Ontario; Division of Orthopaedic Surgery, Faculty of Medicine and Dentistry, University of Western Ontario; and Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada; †Division of Orthopaedic Surgery, London Health Sciences Centre, University of Western Ontario, London, Ontario; ‡Dalhousie University, Halifax, Nova Scotia, Canada; §Division of Orthopaedic Surgery, Hamilton Health Sciences Center, McMaster University, Hamilton, Ontario, Canada; ¶Academic Services/Department of Orthopedic Surgery, Greenville Hospital System, University Medical Center, Greenville, South Carolina; and ∥Sacre-Coeur Hospital, University of Montreal, Montreal, Quebec, Canada.

Accepted for publication November 19, 2007.

All authors agree that there is no commercial associations that might pose a conflict of interest in connection with the submitted article. All authors agree that there were no funding sources supporting the Work.

Reprints: Dianne M. Bryant, MSc, PhD, Elborn College, Room 1438, University of Western Ontario, 1201 Western Road, London, Ontario, Canada N6G 1H1 (e-mail:[email protected]).

Journal of Orthopaedic Trauma23(6):p 434-441, July 2009. |DOI:10.1097/BOT.0b013e318162aaf9

Abstract

In designing a study protocol relating to hip fracture treatment and outcomes, it is important to select appropriate outcome instruments. Before beginning the process of instrument selection, investigators must gain a comprehensive understanding of the condition of interest and have a thorough knowledge of the expected benefits and harms of the proposed intervention. Adequate evidence of an intervention's effectiveness includes indication of impact on the patient's health. We provide a brief discussion about different ways that health and health measurement have been defined, including the International Classification of Function, Disability and Health (ICF), health-related quality of life (HRQOL), and cost-to-benefit analyses. We outline important properties (reliability, validity, sensitivity to change, and responsiveness) that a measurement instrument must demonstrate before being considered an acceptable means to measure outcome. Potential outcome measures relevant to patients with hip fracture are summarized, and important points to consider in the selection of outcome measures for a hypothetical research question in a hip fracture population are discussed.

© 2009 Lippincott Williams & Wilkins, Inc.

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Journal of Orthopaedic Trauma23(6):434-441, July 2009.
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