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Ketola H, Kask G, Barner-Rasmussen I, et al. Measuring functional outcome in upper extremity soft-tissue sarcoma: Validation of the Toronto extremity salvage score and the QuickDASH patient-reported outcome instruments. J Plast Reconstr Aesthet Surg. 2021;doi: 10.1016/j.bjps.2021.11.081.
Ketola, H., Kask, G., Barner-Rasmussen, I., Tukiainen, E., Blomqvist, C., Laitinen, M. K., Kautiainen, H., Kiiski, J., & Repo, J. P. (2021). Measuring functional outcome in upper extremity soft-tissue sarcoma: Validation of the Toronto extremity salvage score and the QuickDASH patient-reported outcome instruments. Journal of plastic, reconstructive & aesthetic surgery : JPRAS, . https://doi.org/10.1016/j.bjps.2021.11.081
Ketola, Helena, et al. "Measuring functional outcome in upper extremity soft-tissue sarcoma: Validation of the Toronto extremity salvage score and the QuickDASH patient-reported outcome instruments." Journal of plastic, reconstructive & aesthetic surgery : JPRAS vol. (2021). doi: https://doi.org/10.1016/j.bjps.2021.11.081
Ketola H, Kask G, Barner-Rasmussen I, Tukiainen E, Blomqvist C, Laitinen MK, Kautiainen H, Kiiski J, Repo JP. Measuring functional outcome in upper extremity soft-tissue sarcoma: Validation of the Toronto extremity salvage score and the QuickDASH patient-reported outcome instruments. J Plast Reconstr Aesthet Surg. 2021 Dec 01; doi: 10.1016/j.bjps.2021.11.081. Epub 2021 Dec 01. PMID: 34996722.
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J Plast Reconstr Aesthet Surg. 2021 Dec 01; doi: 10.1016/j.bjps.2021.11.081. Epub 2021 Dec 01.

Measuring functional outcome in upper extremity soft-tissue sarcoma: Validation of the Toronto extremity salvage score and the QuickDASH patient-reported outcome instruments.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

Helena Ketola, Gilber Kask, Ian Barner-Rasmussen, Erkki Tukiainen, Carl Blomqvist, Minna K Laitinen, Hannu Kautiainen, Juha Kiiski, Jussi P Repo

Affiliations

  1. Department of Plastic Surgery, Helsinki University Hospital, University of Helsinki, P.O. Box 266, FI-00029 HUS, Finland. Electronic address: [email protected].
  2. Department of Orthopedics and Traumatology, Helsinki University Hospital and University of Helsinki, P.O. Box 266, FI-00029 HUS, Finland.
  3. Department of Plastic Surgery, Helsinki University Hospital, University of Helsinki, P.O. Box 266, FI-00029 HUS, Finland.
  4. Comprehensive Cancer Center, Helsinki University Hospital and University of Helsinki, P.O. Box 180, FI-00029 HUS, Finland.
  5. Department of General Practice and Helsinki University Hospital, University of Helsinki, Unit of Primary Health Care, PO Box 20, FI-00014 Helsinki, Finland.
  6. Department of Musculoskeletal Surgery and Diseases, Tampere University Hospital and University of Tampere, Faculty of Medicine and Life Sciences, Teiskontie 35, FI-33521 Tampere, Finland.
  7. Department of Orthopaedics and Traumatology, Unit of Musculoskeletal Surgery, Tampere University Hospital and University of Tampere, Faculty of Medicine and Life Sciences, Teiskontie 35, FI-33521 Tampere, Finland.

PMID: 34996722 DOI: 10.1016/j.bjps.2021.11.081

Abstract

Interest in functional outcome (FO) and health-related quality of life (HRQL) in extremity soft-tissue sarcoma (STS) patients has increased. The aim of this study was to validate two FO questionnaires for upper extremity STS patients: the Toronto Extremity Salvage Score (TESS) and short version of the Disability of Arm, Shoulder and Hand (QuickDASH), based on Finnish population data. A multi-center study was conducted at two academic sarcoma centers. Surgically treated upper extremity STS patients were invited to participate. Patients completed the TESS and the QuickDASH with HRQL questionnaires the 15D and the QLQ-C30. The scores were analyzed and compared. Fifty-five patients with a mean follow-up period of 4.7 years were included. Mean age was 63 years (standard deviation [SD] 14.6). The mean score for TESS was 88.5 (SD 15.1) and for QuickDASH 17.8 (SD 19.6). The QuickDASH had a statistically significantly better score coverage. A ceiling effect was noted, 27% and 20% for TESS and QuickDASH, respectively. The TESS and QuickDASH scores were strongly correlated (r= -0.89). The TESS score strongly correlated with the QLQ-C30 (r = 0.79) and the 15D score (r = 0.70). The QuickDASH score correlated strongly with the QLQ-C30 score (r=-0.71) and moderately with the 15D score (r= -0.56). The TESS score had a statistically significantly stronger correlation with the 15D score than QuickDASH (p<0.005). Both the TESS and the QuickDASH provide reliable scores for assessing FO in upper extremity STS patients. The QuickDASH has a better coverage, whereas TESS showed a stronger correlation to HRQL scores.

Copyright © 2021 Elsevier Ltd. All rights reserved.

Keywords: Outcome measures; Patient reported outcome measures; Sarcoma; Soft-tissue sarcoma; Validation

Conflict of interest statement

Declaration of Competing Interest The authors declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

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