Universität zu Köln

Fang, Christian, Platz, Andreas, Mueller, Lars, Chandy, Thomas, Luo, Cong-Feng, Munoz Vives, Josep Maria, Leung, Frankie and Babst, Reto ORCID: 0000-0002-7606-1358 (2020). Evaluation of an expectation and outcome measurement questionnaire in ankle fracture patients: The Trauma Expectation Factor Trauma Outcomes Measure (TEFTOM) Eurasia study. J. Orthop. Surg., 28 (1). LONDON: SAGE PUBLICATIONS LTD. ISSN 2309-4990

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Abstract

Background: 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 alpha > 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Fang, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Platz, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars UNSPECIFIED UNSPECIFIED UNSPECIFIED Chandy, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Luo, Cong-Feng UNSPECIFIED UNSPECIFIED UNSPECIFIED Munoz Vives, Josep Maria UNSPECIFIED UNSPECIFIED UNSPECIFIED Leung, Frankie UNSPECIFIED UNSPECIFIED UNSPECIFIED Babst, Reto UNSPECIFIED orcid.org/0000-0002-7606-1358 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-352307
DOI:	10.1177/2309499019890140
Journal or Publication Title:	J. Orthop. Surg.
Volume:	28
Number:	1
Date:	2020
Publisher:	SAGE PUBLICATIONS LTD
Place of Publication:	LONDON
ISSN:	2309-4990
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LOW-BACK-PAIN; COEFFICIENT-ALPHA; SATISFACTION; FULFILLMENT; REPLACEMENT; VALIDATION; SCORE Multiple languages Orthopedics; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/35230