Observational studyBMC medical research methodology2023
Minimal important difference, patient acceptable symptom state and longitudinal validity of oxford elbow score and the quickDASH in patients with tennis elbow.
Observational study in BMC medical research methodology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02425982 (Finnish Tennis Elbow Trial Pilot Study), which is not on this map. Cited by 9 papers.
What it found
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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.
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.
Finnish Tennis Elbow Trial Pilot Study
Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- Trial
- Estimating minimal clinically important differences in primary elective total elbow arthroplasty using distribution-based methods.Journal of shoulder and elbow arthroplasty · 2026Article
- Article
- Return to Sports and Clinical Outcomes After Medial Ulnar Collateral Ligament Reconstruction With Semitendinosus Allograft in Overhead Athletes: A Retrospective Case Series.Orthopaedic journal of sports medicine · 2026Article
- Risk factors for complications and poor function after open reduction and fixation of olecranon fractures.JSES reviews, reports, and techniques · 2025Article
- Residual articular incongruity is not a predictor of poor functional outcomes in operatively treated intra-articular elbow fractures.JSES international · 2025Article
- Sex difference in musculoskeletal disabilities among Korean fishers: a cross-sectional study.Annals of occupational and environmental medicine · 2025Article
- Good outcomes of bipolar radial head arthroplasty for comminuted radial head fractures : a cohort study of 64 patients with an average 5.2-year follow-up.Bone & joint open · 2025Article
- Patient Acceptable Symptom State for the Oxford Elbow Score After Primary Elbow Arthroplasty Due to Acute Distal Humeral Fracture.Patient related outcome measures · 2025Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Oxford Elbow Score (OES) and the short version of Disabilities of Arms, Shoulder and Hand (QuickDASH) are common patient-reported outcomes for people with elbow problems. Our primary objective was to define thresholds for the Minimal Important Difference (MID) and Patient-Acceptable Symptom State (PASS) for the OES and QuickDASH. The secondary aim was to compare the longitudinal validity of these outcome measures.
methodsWe recruited 97 patients with clinically-diagnosed tennis elbow for a prospective observational cohort study in a pragmatic clinical setting. Fifty-five participants received no specific intervention, 14 underwent surgery (11 as primary treatment and 4 during follow-up), and 28 received either botulinum toxin injection or platelet rich plasma injection. We collected OES (0 to 100, higher is better) and QuickDASH (0 to 100, higher is worse), and global rating of change (as an external transition anchor question) at six weeks, three months, six months and 12 months. We defined MID and PASS values using three approaches. To assess the longitudinal validity of the measures, we calculated the Spearman's correlation coefficient between the change in the outcome scores and external transition anchor question, and the Area Under the Curve (AUC) from a receiver operating characteristics (ROC) analysis. To assess signal-to-noise ratio, we calculated standardized response means.
resultsDepending on the method, MID values ranged from 16 to 21 for OES Pain; 10 to 17 for OES Function; 14 to 28 for OES Social-psychological; 14 to 20 for OES Total score, and - 7 to -9 for QuickDASH. Patient-Acceptable Symptom State (PASS) cut offs were 74 to 84 for OES Pain; 88 to 91 for OES Function; 75 to 78 with OES Social-psychological; 80 to 81 with OES Total score and 19 to 23 with Quick-DASH. OES had stronger correlations with the anchor items, and AUC values suggested superior discrimination (between improved and not improved) compared with QuickDASH. OES also had superior signal-to-noise ratio compared with QuickDASH.
conclusionThe study provides MID and PASS values for OES and QuickDASH. Due to better longitudinal validity, OES may be a better choice for clinical trials.
trial registrationClinicalTrials.gov NCT02425982 (first registered April 24, 2015).
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Registered trials
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.