Evidence map›Paper›PMID 23965178›Full record

ArticleThe Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

Validity and reliability of the Achilles tendon total rupture score.

Ann Ganestam, Kristoffer Barfod, Jakob Klit, Anders Troelsen

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Mapping functions in health-related quality of life: mapping from the Achilles Tendon Rupture Score to the EQ-5D.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018
    Trial
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  5. Soleus subtendon elongation is reduced by individual suturing of Achilles subtendons after rupture.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Article
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  11. Validity and reliability of the Thai version of the Achilles tendon total rupture score.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
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  18. Outcome after acute Achilles tendon rupture is not negatively affected by female sex and age over 65 years.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Ann GanestamDepartment of Orthopedics, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark. Electronic address: ganestam@hotmail.com.
Kristoffer Barfod
Jakob Klit
Anders Troelsen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The best treatment of acute Achilles tendon rupture remains debated. Patient-reported outcome measures have become cornerstones in treatment evaluations. The Achilles tendon total rupture score (ATRS) has been developed for this purpose but requires additional validation. The purpose of the present study was to validate a Danish translation of the ATRS. The ATRS was translated into Danish according to internationally adopted standards. Of 142 patients, 90 with previous rupture of the Achilles tendon participated in the validity study and 52 in the reliability study. The ATRS showed moderately strong correlations with the physical subscores of the Medical Outcomes Study 36-item Short-Form Health Survey (r = .70 to .75; p < .0001) and Victorian Institute of Sports Assessment-Achilles questionnaire (r = .71; p < .0001). Test-retest of the ATRS showed no significant difference in the mean (2.41; p = .07). The limits of agreement were ±18.53. A strong correlation was found between test and retest (intercorrelation coefficient .908); the standard error of measurement was 6.7, and the minimal detectable change was 18.5. The Danish version of the ATRS showed moderately strong criterion validity. For study and follow-up purposes, the ATRS seems reliable for comparisons of groups of patients. Its usability is limited for repeated assessment of individual patients. The development of analysis guidelines would be desirable.

Indexed as

Surveys and QuestionnairesAchilles TendonAdolescentAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedRecovery of FunctionReproducibility of ResultsRuptureSelf ReportTendon Injuries3anklecorrelationcriterion validityinjurylegShort-Form Health Survey

Identifiers

PMID23965178

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.