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Reliability, Validity and Responsiveness of the Slovenian Version of the Patient Evaluation Measure (PEM-Slo) in Patients with Wrist and Hand Disorders Cover

Reliability, Validity and Responsiveness of the Slovenian Version of the Patient Evaluation Measure (PEM-Slo) in Patients with Wrist and Hand Disorders

Open Access
|Oct 2023

Figures & Tables

Figure 1.

Receiver operating characteristics (ROC) curve for PEM with an 80.8% specificity and 76.2% sensitivity, area under curve (AUC) 0.869 (95%CI 0.769-0.969), cut-off value representing minimal clinically important difference (MCID) of 17.31.
Receiver operating characteristics (ROC) curve for PEM with an 80.8% specificity and 76.2% sensitivity, area under curve (AUC) 0.869 (95%CI 0.769-0.969), cut-off value representing minimal clinically important difference (MCID) of 17.31.

Correlations of different outcome measures with PEM at baseline (T1, n=51)_

PEM (r)p value
Grip strength0.4150.003
DASH0.757<0.001
EQ-5D-5L0.600<0.001
EQ-5D-5L-Mobility0.1850.193
EQ-5D-5L-Self-care0.547<0.001
EQ-5D-5L-Usual activities0.505<0.001
EQ-5D-5L-Pain0.575<0.001
EQ-5D-5L-Anxiety/Depression0.4170.002

Total scores of outcome measures at baseline (T1), second assessment (T2), and follow-up (T3) for all patients (n=51), observed change (T3)-(T1), standardised response mean (SRM) and effect size (ES)_

Outcome measureBaseline (T1) mean (SD) (range)Two to four days after T1 (T2) mean (SD) (range)Follow-up (T3) mean (SD) (range)Observed change (T3) - (T1) * mean (SD) (range)ESSRM
PEM44.1 (18.7)37 (17.9)22 (16.6)- 21 (14.8)1.251.42
(3.9-82.1)(3.9-69.2)(0-73.1)(-3.8- -68)
DASH41.6 (23.5)/23.4 (18.9)-18.8 (17.4)0.851.08
(5-91) (0-71.6)(-55.2- -21.6)
EQ-5D-5L0.7 (0.15)/0.799 (0.15)0.097 (0.125)0.660.78
(0.195-1) (0.522-1)(-0.193-0.506)
Grip strength (% of the unaffected hand)40.6 (26.4)/61.2 (26.2)19.7 (19.9)0.810.99
(7-99) (9-108)(-10-70)

Test-retest reliability of PEM-Part Two, PEM-Part Three, and PEM total expressed with intraclass correlation coefficient (ICC) with 95% confidence interval (95%CI)_

PEM item/question (Q)ICC (95%CI)
Part Two
Q10.599 (0.228-0.774)
Q20.791 (0.630-0.882)
Q30.824 (0.687-0.901)
Q40.789 (0.626-0.881)
Q50.798 (0.642-0.886)
Q60.684 (0.440-0.882)
Q70.848 (0.730-0.914)
Q80.871 (0.770-0.927)
Q90.714 (0.493-0.839)
Q100.825 (0.690-0.901)
Part Three
Q10.702 (0.471-0.832)
Q20.801 (0.647-0.888)
Q30.740 (0.539-0.853)
PEM total (Part Two and Part Three)0.874 (0.777-0.929)

Demographic and clinical data of patients (n=51), mean number of rehabilitation sessions, and timespan between assessments_

Patients Rehabilitation sessions Timespan between assessmentsNumber Number Days
Sample size (n)51
Mean age (years(range))53.3 (18-78)
Men (n(%))25 (49)
Distal forearm fracture (n(%))25 (48.1)
Carpal bones fracture (n(%))2 (3.8)
Wrist soft tissue injury (n(%))3 (5.8)
Metacarpal fracture (n(%))3 (5.8)
Finger fracture (n(%))7 (13.5)
Interphalangeal joint luxation (n(%))5 (9.6)
Tendon injury (n(%))2 (3.8)
Hand soft tissue injury (n(%))4 (7.7)
Dominant side affected (n(%))29 (56.9)
Treated surgically (n(%))16 (31.4)
Number of rehabilitation sessions (mean(range))10.2 (3-23)
Timespan from T1 to T2 (days) (mean(range))2.3 (2-4)
Timespan from T1 to T3 (days) (mean(range))22.2 (10-80)
DOI: https://doi.org/10.2478/sjph-2023-0028 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 198 - 206
Submitted on: Jun 6, 2023
Accepted on: Sep 22, 2023
Published on: Oct 4, 2023
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2023 Vida BOJNEC, Dragan LONZARIĆ, Živa KLARER REBEC, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.