Universität zu Köln

Papen, A., Schoettker-Koniger, T., Schaefer, A., Morrison, F., Hollinger, B., Burkhart, K. J., Nietschke, R., Zimmerer, A., Maffulli, N., Migliorini, F. and Schneider, Marco M. (2022). Reliability, validity and critical appraisal of the cross-cultural adapted German version of the Mayo Elbow Performance Score (MEPS-G). J. Orthop. Surg. Res., 17 (1). LONDON: BMC. ISSN 1749-799X

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Abstract

Background The Mayo Elbow Performance Score (MEPS) is a rating system consisting of four dimensions to evaluate elbow performance. It is a common tool for assessment of elbow impairments worldwide. We determined the validity and reliability of its German version (MEPS-G) after cross-cultural adaptation. Methods Six investigators examined 57 patients with elbow pathologies. The MEPS-G was compared to validated elbow scores such as the German versions of DASH, the Oxford Elbow Score, pain level and subjective elbow performance on a VAS. Inter-rater reliability (IRR) and validity of the score and its dimensions were also reviewed. Verification was performed using the intraclass correlation coefficient (ICC), the prevalence and bias with adjusted Kappa (PABAK) and the Spearman correlation. Results The IRR of the MEPS-G score was moderate (ICC (2.1) = 0.65). The IRR of the four individual dimensions was moderate to high (K-PABAK = 0.55 -0.81). Validity for the sum score (r = 0.52-0.65) and the dimensions pain (r = 0.53-0.62), range of motion (r = 0.7) and stability (r = - 0.61) was verified. The function subscale reached insufficient validity (r = 0.15-0.39). Conclusion The MEPS-G is not sufficiently valid, which is consistent with its English version. The patient-based dimensions were a weakness, demonstrating high risk of bias. There is no general recommendation for the utilization of the MEPS-G as outcome measurement for patients with elbow pathologies.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Papen, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schoettker-Koniger, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schaefer, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Morrison, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hollinger, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Burkhart, K. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Nietschke, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Zimmerer, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Maffulli, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Migliorini, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schneider, Marco M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-691037
DOI:	10.1186/s13018-022-03210-5
Journal or Publication Title:	J. Orthop. Surg. Res.
Volume:	17
Number:	1
Date:	2022
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1749-799X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language REPORTED OUTCOME MEASURES; CLINICAL RATING SYSTEMS; UPPER EXTREMITY; MEASUREMENT SCALES; PAIN; VALIDATION; HEALTH; TRENDS Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69103