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PubMed2000

Large-sample confidence intervals for validity and reliability coefficients.

Large-sample confidence intervals (CI) for reliability, validity, and unattenuated validity are presented. The CI for unattenuated validity is based on the Bonferroni inequality, which relies on one CI for test-retest reliability and one for validity. Covered are four reliability-validity situations: (a) both estimates were from random samples; (b) reliability was from a random sample but validity was from a selected sample; (c) validity was from a random sample but reliability was from a selected sample; and (d) both estimates were from selected samples. All CIs were evaluated by using a simulation. CIs on reliability, validity, or unattenuated validity are accurate as long as selection ratio is at least 20% and selected sample size is 100 or larger. When selection ratio is less than 20%, estimators tend to underestimate their parameters.

Confidence Intervals↗
PubMed2003

Safety, reliability, and validity of a physiologic definition of bronchopulmonary dysplasia.

OBJECTIVE: Bronchopulmonary dysplasia (BPD) is the focus of many intervention trials, yet the outcome measure when based solely on oxygen administration may be confounded by differing criteria for oxygen administration between physicians. Thus, we wished to define BPD by a standardized oxygen saturation monitoring at 36 weeks corrected age, and compare this physiologic definition with the standard clinical definition of BPD based solely on oxygen administration. METHODOLOGY: A total of 199 consecutive very low birthweight infants (VLBW, 501 to 1500 g birthweight) were assessed prospectively at 36+/-1 weeks corrected age. Neonates on positive pressure support or receiving >30% supplemental oxygen were assigned the outcome BPD. Those receiving < or =30% oxygen underwent a stepwise 2% reduction in supplemental oxygen to room air while under continuous observation and oxygen saturation monitoring. Outcomes of the test were "no BPD" (saturations > or =88% for 60 minutes) or "BPD" (saturation < 88%). At the conclusion of the test, all infants were returned to their baseline oxygen. Safety (apnea, bradycardia, increased oxygen use), inter-rater reliability, test-retest reliability, and validity of the physiologic definition vs the clinical definition were assessed. RESULTS: A total of 199 VLBW were assessed, of whom 45 (36%) were diagnosed with BPD by the clinical definition of oxygen use at 36 weeks corrected age. The physiologic definition identified 15 infants treated with oxygen who successfully passed the saturation monitoring test in room air. The physiologic definition diagnosed BPD in 30 (24%) of the cohort. All infants were safely studied. The test was highly reliable (inter-rater reliability, kappa=1.0; test-retest reliability, kappa=0.83) and highly correlated with discharge home in oxygen, length of hospital stay, and hospital readmissions in the first year of life. CONCLUSIONS: The physiologic definition of BPD is safe, feasible, reliable, and valid and improves the precision of the diagnosis of BPD. This may be of benefit in future multicenter clinical trials.

Bronchopulmonary Dysplasia↗
PubMed2006

The International Standards for Neurological Classification of Spinal Cord Injury: reliability of data when applied to children and youths.

STUDY DESIGN: Intra-rater reliability study, cross-sectional design. OBJECTIVES: To determine reliability of the International Standards for Neurological Classification of Spinal Cord Injury (ISCSCI) motor and sensory exam in children. SETTING: Nonprofit pediatric hospital. METHODS: In all, 74 subjects had two trials of the motor and sensory exams. Intraclass correlation coefficients (ICC), 95% confidence intervals (CI) were generated for total motor (TM), pin prick (PP) and light touch (LT) scores for the entire sample, four age groups, severity and type of injury. Coefficients >0.90=high reliability; 0.75-0.90=moderate reliability and <0.75=inadequate reliability. RESULTS: Children 0.90 except for TM in complete injuries (0.808). CONCLUSION: The ISCSCI exams may have poor utility in children under 4 years. While reliability values for the motor and sensory exams met or exceeded recommended values, wide CI suggest poor precision of the motor exam in children under 15 years of age and sensory exams in children under 5 years.

Adolescent↗
PubMed1988

Interobserver reliability and perceptual ratings: more than meets the ear.

The purpose of this study was to examine the reliability of ratings of perceptual characteristics for 10 ataxic dysarthric subjects. The influence of the occurrence of "deviant" speech parameters on the calculation of reliability coefficients was also explored. Results indicated that overall interobserver agreement levels for minimally trained judges compared favorably to reliability coefficients reported in previous studies. Furthermore, levels of overall agreement were above levels of agreement expected on the basis of chance alone. In contrast to overall interobserver agreement, much lower levels of interobserver agreement were obtained when "occurrence reliability" coefficients were calculated for deviant dimensions alone. However, occurrence reliability coefficients surpassed the level of agreement expected on the basis of chance alone for all subjects. Based on the results of this investigation, recommendations are made for modifying standard practices for obtaining interobserver reliability for perceptual ratings of speech characteristics.

Adolescent↗
PubMed1995

Comparing reliability of perceptual ratings of roughness and acoustic measure of jitter.

Acoustic analysis is often favored over perceptual evaluation of voice because it is considered objective, and thus reliable. However, recent studies suggest this traditional bias is unwarranted. This study examined the relative reliability of human listeners and automatic systems for measuring perturbation in the evaluation of pathologic voices. Ten experienced listeners rated the roughness of 50 voice samples (ranging from normal to severely disordered) on a 75 mm visual analog scale. Rating reliability within and across listeners was compared to the reliability of jitter measures produced by several voice analysis systems (CSpeech, SoundScope, CSL, and an interactive hand-marking system). Results showed that overall listeners agreed as well or better than "objective" algorithms. Further, listeners disagreed in predictable ways, whereas automatic algorithms differed in seemingly random fashions. Finally, listener reliability increased with severity of pathology; objective methods quickly broke down as severity increased. These findings suggest that listeners and analysis packages differ greatly in their measurement characteristics. Acoustic measures may have advantages over perceptual measures for discriminating among essentially normal voices; however, reliability is not a good reason for preferring acoustic measures of perturbation to perceptual measures.

Female↗
PubMed2001

The reliability of self-reported age of onset of tobacco, alcohol and illicit drug use.

AIMS: To examine the reliability of self-reported age of first substance use experiences among national samples of adult and child respondents. DESIGN: Survey responses from seven waves of the National Longitudinal Survey of Youth (NLSY) were examined. PARTICIPANTS: Adult and child NLSY respondents reporting age of first tobacco, alcohol, marijuana, cocaine and/or crack use during two or more survey interviews. MEASUREMENTS: Four indicators of reliability: intraclass correlation coefficients (ICC), mean and absolute mean differences in reported age and reports consistent within 1 year. FINDINGS: The adjusted mean ICC for all comparisons was 0.69. The adjusted mean difference in self-reported age of first substance use was -0.52 years and the adjusted absolute mean difference was 2.00 years. The adjusted percentage of all comparisons reporting ages consistent within 1 year was 55.28%. More consistent reports were provided by adults, and in response to questions posed over 2 years as opposed to longer time intervals. Respondent answers to questions concerned with first use of marijuana were generally found to be most reliable; questions concerned with first use of crack were least reliable and reports of tobacco, alcohol and cocaine were intermediate. Logistic regression analyses also identified age, race, gender, education and poverty status as predictors of consistent reporting. CONCLUSIONS: Self-reports of age of first substance use experiences, as currently collected via survey questionnaires, are of sufficient reliability for most current epidemiological applications. For inquiries where age of substance use onset is itself a research focus, however, researchers should invest additional effort in improving the reliability of measurement.

Adolescent↗
PubMed2000

Reliability of the amsterdam clinical challenge scale (ACCS): a new instrument to assess the level of difficulty of patient cases in medical education.

INTRODUCTION: In problem-based medical curricula, consideration should be given to the level of difficulty of patient cases used for training and assessment. The Amsterdam Clinical Challenge Scale (ACCS) has been developed to assess the degree of difficulty of patient cases in a systematic and reproducible manner. To determine the reliability of the instrument two research questions were addressed: (1) How many judges are required, on the basis of the total score of the ACCS, to obtain a reliable estimate of the difficulty of a single case? (2) How many cases and/or how many judges are needed to reach an acceptable level of reliability of the total score of the ACCS? METHOD: Four judges scored 36 patient scripts reflecting a wide range of patient problems encountered in general practice. Each script was scored four times. In the reliability analysis, the generalizability theory was applied. RESULTS: The results show that the judges did, indeed, use the whole range of difficulty ratings. When the ACCS is applied to a single case, eight or more judges are needed to reach an acceptable level of reliability. When more cases are involved, fewer judges are needed; for 10 or more cases one judge will be sufficient. CONCLUSIONS: Given the typical length, for example of an objective structured clinical examination, the ACCS makes it possible to provide a reliable estimate of the level of difficulty of such a test with only a limited number of judges.

Clinical Competence↗
PubMed2003

Reliability and validity of the direct observation clinical encounter examination (DOCEE).

CONTEXT: The College of Medicine and Medical Sciences at the Arabian Gulf University, Bahrain, replaced the traditional long case/short case clinical examination on the final MD examination with a direct observation clinical encounter examination (DOCEE). Each student encountered four real patients. Two pairs of examiners from different disciplines observed the students taking history and conducting physical examinations and jointly assessed their clinical competence. OBJECTIVES: To determine the reliability and validity of the DOCEE by investigating whether examiners agree when scoring, ranking and classifying students; to determine the number of cases and examiners necessary to produce a reliable examination, and to establish whether the examination has content and concurrent validity. SUBJECTS: Fifty-six final year medical students and 22 examiners (in pairs) participated in the DOCEE in 2001. METHODS: Generalisability theory, intraclass correlation, Pearson correlation and kappa were used to study reliability and agreement between the examiners. Case content and Pearson correlation between DOCEE and other examination components were used to study validity. RESULTS: Cronbach's alpha for DOCEE was 0.85. The intraclass and Pearson correlation of scores given by specialists and non-specialists ranged from 0.82 to 0.93. Kappa scores ranged from 0.56 to 1.00. The overall intraclass correlation of students' scores was 0.86. The generalisability coefficient with four cases and two raters was 0.84. Decision studies showed that increasing the cases from one to four improved reliability to above 0.8. However, increasing the number of raters had little impact on reliability. The use of a pre-examination blueprint for selecting the cases improved the content validity. The disattenuated Pearson correlations between DOCEE and other performance measures as a measure of concurrent validity ranged from 0.67 to 0.79. CONCLUSIONS: The DOCEE was shown to have good reliability and interrater agreement between two independent specialist and non-specialist examiners on the scoring, ranking and pass/fail classification of student performance. It has adequate content and concurrent validity and provides unique information about students' clinical competence.

Bahrain↗
PubMed2003

Twelve month test-retest reliability of a Japanese version of the Structured Clinical Interview for DSM-IV Personality Disorders.

The purpose of the present study was to examine the long-interval test-retest reliability of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (4th edn; DSM-IV) Axis II Personality Disorders (SCID-II) Japanese version. One hundred and twenty outpatients with anxiety disorders completed the self-report SCID-II personality questionnaire (SCID-II-PQ) and structured interviews, and then again 12 months later. In the SCID-II-PQ, 70.8% and 71.7% of the patients had a personality disorder (PD) at the first evaluation and second evaluation 12 months later, respectively, and Cohen's kappas ranged from 0.29 for paranoid PD to 0.83 for histrionic PD, and overall kappa was 0.56. In the SCID-II interviews, 47.5% and 41.7% of the patients fulfilled the criteria for PD at the first and the second evaluations, respectively. At least one PD was identified in 49 subjects (40.8%), of whom 65.3% had one PD, 30.6% had two PD, 2% had three PD, and 2% had four PD; the most frequently diagnosed PD were from cluster C (60.9%). The overall base rate of 12 PD was 7%, and overall kappa was 0.87. Cohen's kappas ranged from 0.86 for obsessive-compulsive PD to 0.93 for avoidant PD and schizoid PD, and were comparable with those in the previous interrater studies. The test-retest reliability of the SCID-II-PQ was moderately good, and after the SCID-II interview the test-retest reliability of the SCID-II appeared to be of almost perfect reliability. This first long-interval, large-sample, non-Western-language research on the test-retest reliability of the SCID-II for DSM-IV indicated its usefulness and excellent reliability.

Adult↗
PubMed1998

Reliability and correlation of measurements during and after bladder neck surgery. The Continence Program for Women Research Group.

OBJECTIVES: To assess the reliability of seven intraoperative measurements of the effects of bladder neck suspension and correlate these measurements with postoperative dynamic urethral obstruction, quantified as the cough-pressure transmission ratio. PATIENTS AND METHODS: Sixty women undergoing surgery for bladder neck hypermobility had seven measurements performed in duplicate: (i) the endoscopic appearance of the bladder neck: (ii) the bladder neck-retropubic surface distance (BN-RP distance); (iii) urethral axis; (iv) slow urethral pressure profilometry (UPP); (v) fast UPP; (vi) straining UPP; and (vii) dynamic UPP. Reliabilities were assessed by computing the intraclass correlation coefficient (R) for continuous data or Kappa statistic (K) for ordinal data. Pearson correlation coefficients were used to assess the relationships between the intra-operative measures and postoperative pressure transmission. RESULTS: The intra-operative reliabilities for maximum pressure, length and area from the three UPP techniques were high (R=0.88-0.98) as were those for urethral axis measurements (R=0.98). In contrast, reliabilities were poor for pressure transmission ratios (R=0.15-0.33), BN-RP distance (R=0.55), and endoscopic appearance (K=0.10). There were significant correlations of the pressures from the UPPs and intra-operative pressure transmission ratios with postoperative pressure transmission ratios; however, the poor intra-operative reliability of intra-operative pressure transmission limits their usefulness. None of the other measures correlated significantly with postoperative pressure transmission ratios. CONCLUSIONS: Of the measures studied, only intra-operative UPPs had both high reliability and good postoperative correlations.

Aged↗
PubMed2003

Experience and training as determinants of grading reliability when assessing the severity of contact lens complications.

PURPOSE: A study was conducted to investigate the influence of experience and training on grading reliability when assessing the severity of contact lens complications. METHODS: Twenty-three optometry students who were unfamiliar with the use of grading scales each used the Efron Grading Tutor computer program to ascertain grading reliability at an 'initial' experimental session and a 'final' session 3 weeks later. Twelve subjects (the 'trained' group) were given a tutorial on grading techniques and were asked to complete two grading exercises between the initial and final sessions. The other 11 subjects (the 'untrained' group) received no such training between the two sessions. Differences in grading reliability between the initial and final grading sessions were evaluated. RESULTS: Grading reliability was superior (lower) for the combined subject cohort at the final session (mean +/- standard deviation 0.33 +/- 0.12) compared with the initial session (0.46 +/- 0.25) (p = 0.004). However, there was no difference in the improvement in grading reliability between the two groups. CONCLUSIONS: Grading reliability improves statistically with some experience, although perhaps not to a clinically meaningful extent. No added benefit can be derived from supplemental training.

Clinical Competence↗
PubMed2001

Reliability of stationary dynamometer muscle strength testing in community-dwelling older adults.

OBJECTIVES: To determine the 1-week test-retest reliability of stationary dynamometer scores in the measurement of muscle strength in older adults and to determine the reliability of composite scores obtained by combining right and left lower limb strength scores for each muscle group. DESIGN: In separate sessions, 1 therapist performed repeated measurements of muscle force production. SETTING: Outpatient physical therapy clinic of a large teaching hospital. PARTICIPANTS: A convenience sample of 25 volunteers aged 70 to 87 years residing independently in the community and who did not have significant health problems. INTERVENTION: On 2 separate occasions, 1 week apart, bilateral isometric force measurements were obtained for the flexor and extensor muscle groups of the ankle, knee, and hip joints. MAIN OUTCOME MEASURES: For test-retest reliability of individual and composite scores, the intraclass correlation coefficients (ICCs) and 90% confidence intervals were determined. RESULTS: The mean scores for ankle dorsiflexion, knee flexion and extension, and hip flexion exhibited excellent reliability with ICCs ranging from.90 to.76 for the individual lower limb scores and.91 to.84 for the composite scores. Scores for the remaining muscle groups exhibited good reliability with ICCs ranging from.74 to.71 for the composite scores. CONCLUSION: The stationary dynamometer is a reliable tool to use in determining lower limb muscle force production in elderly adults.

Aged↗
PubMed2002

Test-retest reliability of isokinetic muscle strength of the lower extremities in patients with stroke.

OBJECTIVE: To i the test-retest reliability of isokinetic strength measurements of 3 muscle groups of the lower extremities in stroke patients. DESIGN: Isokineth tests of bilateral hip flexors, knee extensors, and ankle plantarflexors at 2 angular velocities, performed during 2 sessions scheduled 1 week apart for each subject. SETTING: Outpatilitation clinic of a local hospital in Taiwan. PARTICIPANTS: Nts with mild spastic hemiparesis secondary to stroke and with poststroke onset time of at least 6 months. All subjects could communicate and voluntarily move the affected lower extremity. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: The maximal peak torque, total work, and average power of the 3 muscle groups on the affected side examined during each test were quantified by using the normalization and the deficit methods. The normalization method divides the measured strength value by the patient's body weight, whereas the deficit method divides the difference between the strengths of the unaffected and affected extremities by the strength of the unaffected extremity. RESULTS: The normalized strength measures for muscles on the affected side showed good to excellent test-retest reliability (intraclass correlation coefficient [ICC] range,.62-.94; P<.05), whereas the deficit strength measures did not always show good reliability (ICC range,.13-.91). The knee extensors and ankle plantarflexors, but not the hip flexors, on the affected side showed better test-retest reliability of isokinetic strength generated at faster velocity (ICC range,.73-.94) than that generated at slower velocity (ICC range,.62-.88). The normalized peak torque (ICC range,.76-.94) and total work (ICC range,.83-.91) were more reliable than the normalized average power (ICC range,.62-.90) for all 3 muscle groups on the affected side. CONCLUSIONS: Quantitative assessment of muscle strength of the affected lower extremity in patients with mild spastic hemiparesis secondary to stroke is feasible using isokinetic testing. However, the test-retest reliability of isokinetic strength measures is affected by the quantifying method, testing velocity, and strength measures.

Adult↗
PubMed2002

Inter- and intrarater reliability of the Ashworth Scale and the Disability Assessment Scale in patients with upper-limb poststroke spasticity.

OBJECTIVE: To evaluate the reliability of the Ashworth Scale and the Disability Assessment Scale (DAS) in poststroke patients with upper-limb spasticity and functional disability. DESIGN: Single-center trial. SETTING: University medical center. PARTICIPANTS: Nine patients > or = 6 months poststroke with upper-limb spasticity and impairment in the areas of hygiene, dressing, limb posture, or pain were included in the analysis. INTERVENTIONS: Ten experienced medical professionals rated each patient in randomized order twice on the same day (results based on mean of evaluations at times 1 and 2). Elbow, wrist, finger, and thumb flexion tones were assessed by using the Ashworth score (range, 0-4), and functional disability was assessed using the DAS (range, 0-3). MAIN OUTCOME MEASURES: Intra- and interrater reliability of the Ashworth Scale and DAS. RESULTS: For the Ashworth parameters, 38 of 40 evaluations indicated excellent (weighted kappa > or = .75) or good (weighted kappa > or = .4) intrarater reliability. For DAS parameters, 31 of 40 evaluations indicated excellent or good intrarater reliability. The interrater reliability was also good for both the Ashworth Scale (Kendall W=.598-.792) and DAS (Kendall W=.494-.772) with statistically significant agreement found among raters (all P<.001). CONCLUSIONS: In patients with upper-limb spasticity after stroke, the Ashworth Scale and DAS had good intra- and interrater reliability when used by trained medical professions.

Adult↗
PubMed2003

Measurement reliability of functional tasks for persons who self-propel a manual wheelchair.

OBJECTIVE: To evaluate the reliability of 4 functional tasks relevant to wheelchair seating. DESIGN: Within-subject and between-rater comparisons. SETTING: Rehabilitation center in Canada. PARTICIPANTS: Two separate convenience samples of 10 male wheelchair users. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The 4 functional tasks were timed forward wheeling, ramp ascent, forward vertical reach distance, and ramp descent, scored by an ordinal performance scale. To determine test-retest reliability, the participants performed each task twice on the same day. To determine interrater reliability, 5 experienced therapists independently scored each participant. The ramp descent task was replaced with a 1-stroke push distance task due to difficulties with the interpretation of the ordinal performance scale. RESULTS: Testing of all tasks was completed within 45 minutes, allowing for rest periods. There were no adverse incidents. One individual with C6 quadriplegia 4 months after spinal cord injury was unable to complete the ramp ascent. Estimates for test-retest reliability of all 4 functional tasks were excellent (r=.99). Interrater reliability was calculated for all tasks except the 1-stroke push and found to be excellent (intraclass correlation coefficient=.99). CONCLUSIONS: The final 4 functional tasks are practical, safe, and reliable tests that may be used for clinical evaluation of wheelchair seating. Further research involving comparative assessments of wheelchair seating options is required to determine the discriminative ability of the tests.

Adult↗
PubMed2003

Accuracy and reliability of arthroscopic estimates of cartilage lesion size in a plastic knee simulation model.

PURPOSE: The goal of the study was to determine the accuracy and reliability of arthroscopic percent area estimates in a plastic knee simulation model. A second goal was to determine the effect of lesion location within the knee and lesion size on accuracy and reliability. TYPE OF STUDY: Cross-sectional study of arthroscopic estimates of cartilage lesion size. METHODS: Three experienced arthroscopists performed 3 sets arthroscopic percent area estimates in 5 different plastic knees. Each knee had lesions drawn on 5 surfaces (patellar, medial and lateral femoral condyle, medial and lateral tibial plateaus). Accuracy and reliability were studied using Bland and Altman limits of agreement (LOA) and intraclass correlation coefficients. RESULTS: There was a strong tendency to overestimate lesion size by over 100% on the femoral and patellar surfaces. Intraobserver and interobserver reliabilities were generally poor. The range for the 95% LOA (+/- 1.96 standard deviation [SD] of the difference scores) between repeated measurements was almost 6 times the size of the lesion itself. Reliability of estimates was poorest for the largest lesions and worse at femoral, lateral tibial, and patellar sites. CONCLUSIONS: Assessments of arthroscopic measurements using LOA found that accuracy and reliability were generally poor, although results were better at the medial tibial plateau and for smaller lesions. In spite of these problems, arthroscopy remains a promising measurement tool because it permits physical assessment of cartilage integrity. This study sets the foundations for improvement in techniques of arthroscopic measurement of cartilage lesion size.

Anthropometry↗
PubMed2002

Intrarater and interrater reliability of the Eaton classification of basal joint arthritis.

The Eaton classification is a radiographic rating used to define the severity of basal joint arthritis. Despite widespread use, the intrarater and interrater reliability has never been determined. Seven men and 33 women, mean age 60 years (range, 31-88 y) were clinically diagnosed with basal joint arthritis. Forty radiographs of these patients' basal joints (21 right and 19 left) were staged according to Eaton, stages I through IV. Three hand surgeons with a Certificate of Added Qualification and 3 orthopedic surgical residents reviewed the films on 2 separate occasions at least 1 week apart. The results of intrarater and interrater reliability were assessed by using kappa statistical analysis, with results classified as poor (0-.50), moderate (.51-.75), or excellent (>.75). The overall mean intrarater and interrater reliability was moderate,.657 and.529, respectively. The hand surgeons' intrarater reliability (.666) was slightly better than the residents (.648). There was a greater difference in the mean interrater reliabilities among the hand surgeons (.601) than the orthopedic residents (.487). These results are similar to those found when other orthopedic radiographic classifications have been evaluated for interrater and intrarater reliability.

Adult↗
PubMed2002

Clinimetric properties of the AUSCAN Osteoarthritis Hand Index: an evaluation of reliability, validity and responsiveness.

OBJECTIVE: To assess the reliability, validity and responsiveness of the Australian/Canadian (AUSCAN) Osteoarthritis Hand Index in both Likert (LK) and Visual Analogue (VA)-scaled formats. METHODS: Two separate studies were conducted; the first addressing reliability and validity issues and the second addressing index responsiveness. In a group of 50 patients with osteoarthritis (OA) of the hand, test-retest reliability was assessed at a 1-week interval and internal consistency from single administrations of the Index. Construct validity was evaluated against several other outcome measures including the Functional Index for Hand Osteoarthritis (FIHOA), separate patient and physician global assessments, Doyle Index, grip strength, pinch grip, and Health Assessment Questionnaire. A 6-week washout retreatment design was used in a group of 44 OA hand patients to assess index responsiveness and comparative responsiveness against the FIHOA. RESULTS: Reliability and construct validity coefficients confirm the reliability and construct validity of both the AUSCAN LK3.0 and AUSCAN VA3.0 Indices. The washout retreatment study establishes index responsiveness and suggests that the AUSCAN LK3.0 and AUSCAN VA3.0 Indices may be more responsive than the FIHOA. CONCLUSIONS: The patient self-completed AUSCAN LK3.0 and AUSCAN VA3.0 Indices are reliable, valid and responsive and can be recommended as primary outcome measures for future hand OA clinical trials.

Adult↗