ArticleHand (New York, N.Y.)2015
A threshold disability score corresponds with an estimated diagnosis of clinical depression in patients with upper extremity disease.
Article in Hand (New York, N.Y.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 17 citations in OpenAlex.
- A Threshold QuickDASH Score for Estimating a Diagnosis of Major Depression in Patients With Fingertip Injuries in the American and Dutch Population.Hand (New York, N.Y.) · 2023Observational
- Validation of a Simple Instrument of Fast Application to Track Disability in Leprosy Patients.Revista brasileira de ortopedia · 2023Article
- Which Psychological Variables Are Associated With Pain and Function Before Surgery for de Quervain's Tenosynovitis? A Cross-sectional Study.Clinical orthopaedics and related research · 2019Article
- Depression and Anxiety among Patients with Atraumatic Lateral Epicondylitis and Ulnar-Sided Wrist Pain.Journal of wrist surgery · 2019Article
- QuickDASH Score Is Associated With Treatment Choice in Patients With Trapeziometacarpal Arthrosis.Hand (New York, N.Y.) · 2017Article
- Factors Associated with Patient Delay in Scaphoid Nonunions.Journal of hand and microsurgery · 2015Article
- Mental Health Among People Presenting for Care of Physical Symptoms: The Factors Associated with Suicidality and Symptoms of Depression and Anxiety are Similar Across Specialties.Chronic stress (Thousand Oaks, Calif.)Article
- Association Between Upper-Extremity Health Condition and Depressive Status in an Elderly General Population.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study was to assess whether there is a threshold Disability of Arm, Shoulder and Hand (DASH) score among patients with common hand diagnoses that corresponds with an estimated diagnosis of clinical depression.
methodsTwo hundred sixty-nine patients with one of five common upper extremity disorders completed a measure of upper extremity-specific disability (QuickDASH or DASH) and a questionnaire assessing depressive symptoms (Patient Health Questionnaire (PHQ) or Center for Epidemiologic Studies Depression scale (CES-D). A receiver operating characteristic (ROC) analysis of the discriminatory value of a threshold DASH score for an estimated diagnosis of clinical depression was assessed. The threshold DASH score with the highest positive predictive value for an estimated diagnosis of clinical depression was selected. In bivariate analysis, the association between demographic factors, disease factors, and an estimated diagnosis of clinical depression was examined.
resultsThe area under the ROC curve for a threshold DASH value diagnostic of an estimated diagnosis of clinical depression was 0.75, indicating clinical usefulness for a threshold DASH score as a screening test for depression. The highest positive predictive value of 72 % occurred at a threshold QuickDASH/DASH score of 55. In bivariate analysis, only diagnosis and years of education were significantly different between patients with and without an estimated diagnosis of clinical depression.
conclusionA DASH score of 55 or greater in patients with common upper extremity disorders has an acceptable area under the curve and positive predictive value for an estimated diagnosis of clinical depression. LEVEL OF EVIDENCE: Level 3, diagnostic study.
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