Evaluation of a disease-specific instrument for idiopathic clubfoot outcome

Frederick R Dietz; Margaret C Tyler; Kecia S Leary; Peter C Damiano

doi:10.1007/s11999-008-0700-y

Back

Evaluation of a disease-specific instrument for idiopathic clubfoot outcome

Journal article

Open access

Peer reviewed

Evaluation of a disease-specific instrument for idiopathic clubfoot outcome

Frederick R Dietz, Margaret C Tyler, Kecia S Leary and Peter C Damiano

Clinical orthopaedics and related research, Vol.467(5), pp.1256-1262

05/2009

DOI: 10.1007/s11999-008-0700-y

PMCID: PMC2664429

PMID: 19159116

Files and links (1)

url

https://europepmc.org/articles/pmc2664429View

Published (Version of record) Open Access

Abstract

In 2001, Roye et al. developed a disease-specific instrument (DSI) to measure outcomes of treatment for clubfoot. We assessed this instrument using a cohort of 62 patients, ages 5 through 12 years (mean, 8.6 years), with idiopathic clubfoot who were treated as infants by various methods. Treatment groups were defined by whether the patient received joint-invasive surgery (posterior or posteromedial release surgery) or joint-sparing treatment only (manipulation and casting with or without tendo-Achilles lengthening or anterior tibial tendon transfer). The DSI scales demonstrated internal consistency reliability of 0.74 to 0.85 using Cronbach's alpha. Higher (better) DSI scores were associated with "excellent" general health ratings and better health-related quality of life; lower DSI score were related to special healthcare needs. Patients treated using joint-sparing techniques only (eg, Ponseti technique) had higher DSI scores than those who had received joint-invasive surgery. DSI scores for patients who had received posterior or posterior medial release surgery were very similar to those reported by Roye et al. in New York for a comparable group of patients. Our findings suggest the DSI is sensitive to differences in treatment technique or underlying severity of disease. These data support the use of the Roye DSI as an outcome measure for idiopathic clubfoot in children. Level III, diagnostic study. See the Guidelines for Authors for a complete description of levels of evidence.

Disability Evaluation

Severity of Illness Index

Predictive Value of Tests

Reproducibility of Results

Health Status Indicators

Humans

Child, Preschool

Male

Musculoskeletal Manipulations

Treatment Outcome

Combined Modality Therapy

Clubfoot - diagnosis

Tendon Transfer

Achilles Tendon - surgery

Orthopedic Procedures

Quality of Life

Female

Surveys and Questionnaires

Clubfoot - therapy

Child

Casts, Surgical

Details

Title: Subtitle: Evaluation of a disease-specific instrument for idiopathic clubfoot outcome
Creators: Frederick R Dietz - Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. Frederick-dietz@uiowa.edu
Margaret C Tyler
Kecia S Leary
Peter C Damiano
Resource Type: Journal article
Publication Details: Clinical orthopaedics and related research, Vol.467(5), pp.1256-1262
Publisher: United States
DOI: 10.1007/s11999-008-0700-y
PMID: 19159116
PMCID: PMC2664429
ISSN: 0009-921X
eISSN: 1528-1132
Language: English
Date published: 05/2009
Academic Unit: Preventive and Community Dentistry; Health Management and Policy; Pediatric Dentistry; Public Policy Center (Archive); University College Courses
Record Identifier: 9983917685602771

Metrics

19 Record Views

34 Times Cited - Web of Science