Comparison of four patient reported outcome measures in patients with ankle fracture: A study on patient preferences and psychometric properties

Per Hviid Gundtoft, Julie Ladeby Erichsen, Mads Terndrup, Lauritz Walsøe, Lasse Pedersen, Bjarke Viberg, Alice Ørts, Charlotte Abrahamsen

Abstract

BACKGROUND: The aim was to assess psychometric properties of Manchester Oxford Foot Questionnaire (MOXFQ), the Self-reported Foot and Ankle Score (SEFAS), the Olerud Molander Ankle Score (OMAS), and the Forgotten Joint Score (FJS) in adults with ankle fractures.

METHODS: Patients received all four questionnaires 6, 12, 14, 24, 52, and 104 weeks following an ankle fracture. According to COSMIN guidelines, statistical tests were performed to assess floor- and ceiling effects, structural validity, construct validity and reliability. Cognitive interview was performed with 9 patients.

RESULTS: MOXFQ showed best model fit in Confirmatory Factor Analysis. When testing construct validity, all hypotheses were accepted except for OMAS and FJS. All questionnaires had an almost perfect test-retest reliability (Interclass Correlation Coefficient 0.81 to 0.91) and Cronbach's alpha ranged from 0.76 to 0.95. MOXFQ was the best rated questionnaire.

CONCLUSION: All questionnaires performed well and we recommend MOXFQ for future use in ankle fracture studies.

LEVEL OF EVIDENCE: Level IV.

Original languageEnglish
JournalFoot and Ankle Surgery
ISSN1268-7731
DOIs
Publication statusE-pub ahead of print - 14 Jul 2024

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