The core outcomes for open lower limb fracture study Article Swipe
YOU?
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· 2023
· Open Access
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· DOI: https://doi.org/10.1302/2046-3758.126.bjr-2022-0280.r1
Aims A core outcome set for adult, open lower limb fracture has been established consisting of ‘Walking, gait and mobility’, ‘Being able to return to life roles’, ‘Pain or discomfort’, and ‘Quality of life’. This study aims to identify which outcome measurement instruments (OMIs) should be recommended to measure each core outcome. Methods A systematic review and quality assessment were conducted to identify existing instruments with evidence of good measurement properties in the open lower limb fracture population for each core outcome. Additionally, shortlisting criteria were developed to identify suitable instruments not validated in the target population. Candidate instruments were presented, discussed, and voted on at a consensus meeting of key stakeholders. Results The Wales Lower Limb Trauma Recovery scale was identified, demonstrating validation evidence in the target population. In addition, ten candidate OMIs met the shortlisting criteria. Six patients, eight healthcare professionals, and 11 research methodologists attended the consensus meeting. Consensus was achieved for the EuroQol five-dimension five-level questionnaire (EQ-5D-5L) and the Lower Extremity Functional Scale (LEFS) to measure ‘Quality of life’ and ‘Walking, gait and mobility’ in future research trials, audit, and clinical assessment, respectively. No instrument met consensus criteria to measure ‘Being able to return to life roles’ and ‘Pain or discomfort’. However, the EQ-5D-5L was found to demonstrate good face validity and could also be used pragmatically to measure these two outcomes, accepting limitations in sensitivity. Conclusion This study recommends the LEFS and EQ-5D-5L to measure the core outcome set for adult open lower limb fracture. Cite this article: Bone Joint Res 2023;12(6):352–361.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1302/2046-3758.126.bjr-2022-0280.r1
- https://boneandjoint.org.uk/article/10.1302/2046-3758.126.BJR-2022-0280.R1/pdf
- OA Status
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- Cited By
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- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4378800728Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1302/2046-3758.126.bjr-2022-0280.r1Digital Object Identifier
- Title
-
The core outcomes for open lower limb fracture studyWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-06-01Full publication date if available
- Authors
-
Alexander L. Aquilina, Harry Claireaux, Christian O. Aquilina, Elizabeth Tutton, Ray Fitzpatrick, Matthew L. Costa, Xavier L GriffinList of authors in order
- Landing page
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https://doi.org/10.1302/2046-3758.126.bjr-2022-0280.r1Publisher landing page
- PDF URL
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https://boneandjoint.org.uk/article/10.1302/2046-3758.126.BJR-2022-0280.R1/pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://boneandjoint.org.uk/article/10.1302/2046-3758.126.BJR-2022-0280.R1/pdfDirect OA link when available
- Concepts
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Physical therapy, Quality of life (healthcare), Population, Medicine, Physical medicine and rehabilitation, Core (optical fiber), Scale (ratio), Test (biology), Face validity, Psychology, Psychometrics, Computer science, Clinical psychology, Nursing, Paleontology, Quantum mechanics, Physics, Environmental health, Telecommunications, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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4Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 1, 2023: 1Per-year citation counts (last 5 years)
- References (count)
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33Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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