{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:31:47Z","timestamp":1787502707854,"version":"build-2736575974"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100010600","name":"Tampere University Hospital","doi-asserted-by":"crossref","award":["MJ006P"],"award-info":[{"award-number":["MJ006P"]}],"id":[{"id":"10.13039\/501100010600","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100010600","name":"Tampere University Hospital","doi-asserted-by":"crossref","award":["MJ006P"],"award-info":[{"award-number":["MJ006P"]}],"id":[{"id":"10.13039\/501100010600","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Tampere University"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Disability of the Arm, Shoulder and Hand Outcome Measure (DASH) is a validated patient-reported outcome measure (PROM) for many upper extremity musculoskeletal disorders. In patients with severe traumatic conditions, limited evidence exists regarding the equivalence between DASH and its shortened version, QuickDASH, which is more feasible in clinical practice. The rationale of this study was to analyze the concurrent validity of QuickDASH with respect to DASH in patients with traumatic upper extremity amputation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study is based on a consecutive cohort of traumatic upper extremity amputation patients treated with replantation or revision (completion) amputation at Tampere University Hospital between 2009 and 2019. We estimated the concurrent validity of QuickDASH with respect to DASH by correlation coefficients, mean score differences, Bland\u2013Altman plots, and distribution density. Additionally, we assessed internal reliability with Cronbach\u2019s alpha coefficients and item-total correlations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We found a very strong linear correlation between DASH and QuickDASH scores (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.97 [CI 95% 0.97\u20130.98],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The mean difference between DASH and QuickDASH was minor (MD\u2009=\u2009-1, SD 4 [CI95% from -1 to 0]\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). The mean sub-score for the activity domain was higher for QuickDASH than DASH (MD\u2009=\u2009-3 [CI95% from -4 to -3]\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.000) and lower for the symptom domain (MD\u2009=\u20097 [CI95% from 6 to 9]\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.000). The Bland and Altman plot showed good agreement between DASH and QuickDASH scores, but there was measurement error in QuickDASH with high scores (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009-0.20, [CI95% from -0.31 to -0.09],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>QuickDASH demonstrates higher total scores than the full DASH and emphasizes rating of activity over symptoms. Still, on average the differences in total scores are likely less than the MCID of DASH, and consequently, this study shows that QuickDASH can be recommended instead of the full DASH when assessing a traumatic condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>Retrospectively registered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12891-024-07183-w","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T02:02:36Z","timestamp":1705975356000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Concurrent validity study of QuickDASH with respect to DASH in patients with traumatic upper extremity amputation"],"prefix":"10.1186","volume":"25","author":[{"given":"Joonas","family":"Py\u00f6rny","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ida Neerg\u00e5rd","family":"Sletten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarkko","family":"Jokihaara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,23]]},"reference":[{"key":"7183_CR1","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L","volume":"29","author":"PL Hudak","year":"1996","unstructured":"Hudak PL, Amadio PC, Bombardier C, Beaton D, Cole D, Davis A, et al. Development of an upper extremity outcome measure: the DASH (Disabilities of the Arm, Shoulder, and Hand). Am J Ind Med. 1996;29:602\u20138. https:\/\/doi.org\/10.1002\/(SICI)1097-0274(199606)29:6%3c602::AID-AJIM4%3e3.0.CO;2-L.","journal-title":"Am J Ind Med"},{"key":"7183_CR2","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1177\/175899830100600401","volume":"6","author":"DE Beaton","year":"2001","unstructured":"Beaton DE, Davis AM, Hudak P, Mcconnell S. The DASH (Disabilities of the Arm, Shoulder and Hand) Outcome Measure: what do we know about it now? Br J Hand Ther. 2001;6:109\u201318. https:\/\/doi.org\/10.1177\/175899830100600401.","journal-title":"Br J Hand Ther"},{"key":"7183_CR3","doi-asserted-by":"publisher","first-page":"1038","DOI":"10.2106\/JBJS.D.02060","volume":"87","author":"Beaton DE, Wright JG, Katz JN, Group TUEC","year":"2005","unstructured":"Beaton DE, Wright JG, Katz JN, Group TUEC. 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This study was completed in accordance with the Helsinki Declaration as revised in 2013. All data in this methodological study was collected from a retrospective cohort study that aimed to investigate outcomes after upper extremity amputation injuries, not an interventional or experimental trial. Furthermore, our study is a diagnostic study (not a clinical trial); therefore, it is not registered. Patients who were willing to participate completed the patient-reported outcome measures and a study-specific questionnaire. Written informed consent was waived by Tays Research Service, Tampere University Hospital, Tampere, Finland, because it is not needed for this type of study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"86"}}