Scores/Evaluations/Questionnaires

Transcription

1 cores/evaluations/questionnaires CORE - Which to use... 5 Paper Copies of cores... 5 core Licensing... 6 Fees... 6 Licenses required... 6 Oswestry pine ODI V2.1a... 6 OXFORD cores... 6 EQ5D Euroqol... 7 VR 12 and 36 VETERAN RAND 12 and F 12 and Dash and Quick Dash houlder cores... 7 Promis surveys... 7 Entering scores... 7 Follow Ups... 7 How the follow up periods are calculated... 7 Radiology follow-up... 9 LIT OF CORE AND AEMENT INCLUDED GENERIC QUETIONNAIRE AND URVEY ALL MODULE Patient atisfaction, Normal, and Pain VA Results/satisfaction Pain cores Pain Catastrophising core (PC) ANE/NORMAL and pain scores GROC Global Rating of Care Brief Resilience core QUALITY OF LIFE CORE F 12 and F 36 V Veterans Rand 12 and 36 surveys ( VR 12 and VR 36) EQ 5D 3 and 5 level QOL index Patient health questionnaire (PHQ-9) AQoL- 4D and 6D adult, and 6D Adolescent PROMI URVEY Promis V1a Pain Interference F8a Promis V1 Physical Function F Promis V1 Paediatric Peer Relationships F8a Promis V1 Paediatric function mobility F8a Promis 43 profile V Promis Global V 1.1 Global Health F Promis 29 V Pittsburg leep Quality Index KNEE CORE OCRATE User Manual 1

2 KOO Knee General and Arthroplasty Modules KOO Child Knee score KOO P KOO JR Joint Replacement WOMAC Knee General and Arthroplasty Modules Reduced WOMAC core Knee General and Arthroplasty Modules OXFORD Knee scores Knee General and Arthroplasty Modules High Activity Arthroplasty core Knee Arthroplasty Forgotten Joint core Knee ociety core Original and updated 2011 Version Knee General IKDC International Knee Documentation Committee core Knee General IKDC International Knee Documentation Committee core Paediatric version Brittberg/Peterson - Knee General Kujala Knee General Modified Cincinnati Knee core ACL QOL Knee General WOMET Knee General ACL History port and expectation survey Pre treatment ACL History port and expectation survey Post treatment Banff Patella Instability Instrument Norwich Patellar Instability core VIA Patella core Psycho-vitality core Hamstring Outcome core ACTIVITY CORE UCLA activity score houlder Activity Level core Intra Operative cores Knee General HIP CORE OXFORD Hip core Hip General and Arthroplasty Modules HOO Hip General and Arthroplasty Modules HOO P HOO JR WOMAC Hip General and Arthroplasty Modules Reduced WOMAC core Hip General and Arthroplasty Modules Harris Hip core Hip Arthroplasty Ceramic Hip Nose urvey Hip Arthroplasty High Activity Arthroplasty core Hip Arthroplasty Forgotten Joint core Modified Harris Hip core Hip General Non Arthritic Hip core - Hip General Hip Outcome core (HO) Hip General Vail Hip core Hip General OCRATE User Manual

3 HAGO Hip and Groin outcome score IHOT/MAHORN 12 and 33 scores Hamstring Outcome core Hip General Visa H Hamstring HOULDER CORE AE American houlder and Elbow ociety score Constant houlder score ROWE score ANE numeric VA ubjective houlder Value (V) DAH and Quick DAH Oxford houlder and Oxford houlder Instability core FLEX 36 houlder WORC WOI WOO imple houlder Test (T) Melbourne Instability core L Insalata houlder core Kerlan Jobe core for overhead throwing athletes PENN PADI houlder Instability everity core houlder Activity core OMO (ociety of military orthopaedic surgeons UA) cores FOOT AND ANKLE CORE Oxford Foot and Ankle core FAAM Foot and ankle ability measure FAO foot and ankle outcome score AFAO American Foot and Ankle core Ankle Fracture ymptoms coring cale Manchester Oxford Foot Questionnaire Oxford Foot and Ankle Questionnaire for Children VIA Achilles core Oxford ankle foot questionnaire- child and parent Manchester-Oxford Foot Questionnaire (Moxfq) Ankle Osteoarthritis cale Revised Foot Function Index PINE CORE Oswestry ODI V 2.1a VA Pain scores, Back and Leg, Neck and Arm Modified Lower Back Disability Questionnaire Revised Disability Index (for low back pain/dysfunction) OCRATE User Manual 3

4 R 22 and Vernon Mior Neck Disability Index Roland Morris Lower Back pain survey Tampa cale for Kinesiophobia OREBRO Musculoskeletal Pain Questionnaire JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ) JOA Back Pain Evaluation Questionnaire (JOABPEQ) Zurich Claudication core ciatica Bothersome and Frequency Index Neurogenic Claudication Outcome core DRAM distress and risk management Assessment method Zung Depression cale DAT Modified omatic Perception Questionnaire ODOM neck and back Patient Medical History Questionnaire Patient pine History Questionnaires - Pre and Post op HAND/WRIT/ELBOW CORE PRWE - Patient reported wrist evaluation PREE - Patient Reported Elbow Evaluation Oxford Elbow score houlder and Elbow/Hand Modules DAH and Quick DAH - houlder Kerlan Jobe core for Overhead Throwing Athletes QUALITY OF LIFE CORE VETERAN RAND 12 and PAEDIATRiC/Adolescent scores AAO Foot and ankle - see the foot and ankle section for more details Classifications/cores Radiology Classification codes ICR chondral grading, Outerbridge ICR OCD, Kellgren Lawrence Hip Arthroplasty Paprosky and Gross - bone loss classifications Hip Arthroscopy Method of classifying the pathology of the femoral head Index OCRATE User Manual

5 CORE - WHICH TO UE ocrates includes most of the commonly used and validated outcome scores and questionnaires the choice of which to use is up to the user. As new ones become available these will be added to the program. ome scores are specific to modules, e.g. the Non Arthritic Hip score is only used in the Hip General module since it s not relevant for arthroplasty surgery, there are separate Oxford scores for hip and knee arthroplasty as well as shoulder arthroplasty and instability. ome such as F12 and 36, EQ5D and patient satisfaction are generic and can be used for all modules. ocrates makes no recommendation as to which scores or questionnaires to use. It is the responsibility of the clinician to assess whether the evaluations they use are appropriate for the population they are following. Factors such as the demographics of the patient population, how much supervision is needed, how much time staff have to supervise and enter data, should be factored in to the decision about which to use. Fewer scores, completed properly, is probably better than more scores, incorrectly completed, or with errors in data entry. cores requiring surgeon input to enable a score to be calculated such as the IKDC and Harris Hip should be considered carefully since they require additional time at examination which may not be feasible in some practices. If you are relying on fellows or trainee surgeons this may also add to the variability of the results. Paper Copies of cores There are copies of the scores in the Forms folder on the web site. This can be accessed from the Home page of the program. The scannable forms can be printed for the relevant screen. If you find any discrepancies between the forms and the screen PLEAE tell us! We try our best not to make mistakes but there are several hundred forms and we are only human. Note: Most of the commonly used scores can be entered using scannable forms which populate the screen immediately - this speeds up data entry and reduces data entry errors. These are printed from the screen of the individual score. ee the chapter on Electronic data entry scan forms for how to scan them into ocrates. There are several scores/questionnaires with similar questions. If there is a need to give the patient more than one score to complete, it may require some explanation or you may find they don t complete all the questions due to apparent duplication. Note: You should not make any changes to any of the questions on any of the scores, as they are proprietary and are validated exactly as they are written. OCRATE User Manual 5

6 CORE LICENING Fees ome licensors have required ocrates Ortho to pay a license fee to reproduce their scores/surveys in ocrates. This has been a one off fee and ocrates Ortho has absorbed this into the cost of ocrates. There is one exception (DAH see below). ocrates Ortho reserves the right in the future to apply fees for any cost/fees charged by the licensors over and above what we can reasonably absorb into our ongoing costs. Licenses required The following scores require users to obtain a license to use them; you should obtain these directly from the licensors. The use of these scores in ocrates does not give you the right to use these scores without a obtaining a license. We have undertaken that our users will obtain their own individual licenses. The first time you use a score that needs a licence you will see this window with details of how to obtain the license. Please do the right thing or we may be required to limit access to these which will increase costs and administration. In most cases there will be no fee unless your use or research is commercially funded. cores which need licenses or where special conditions apply are: Oswestry pine ODI V2.1a The original version of the ODI requires permission to use and there may be a small fee. Contact the licensors or is as below. Note that there are two modifications of the ODI included in ocrates which have no restrictions or fees associated. However they are not called Oswestry scores as this infringes the original authors copyright. They are the Revised Disability Modified Low Back Pain. MAPI Research Trust,Lyon,France. contact@mapi-trust.org OXFORD cores Licenses apply to the Oxford Hip, Knee, Elbow, houlder, houlder instability, MOXFQ ankle score and Oxford Children s Ankle score. You can apply for a license by filling in the on line request on this link: or if your use doesn t fit with the details on the request form send an to healthoutcomes@isis.ox.ac.uk 6 OCRATE User Manual

7 EQ5D Euroqol Contact the Euroqol Group for a license. In most cases for non commercial use it will be free. Note, the EQ 5D surveys will not be available for data entry via the web for patients in ocrates. The only way a user can use a web interface is to use the Euroqol server. We have been advised that for us to set up access for the Euroqol server to access ours would open up potential security breaches, and be very costly. Thus, they will not be available in ocrates for data entry via ocrates web server. VR 12 and 36 VETERAN RAND 12 and 36 We have received permission to reproduce these surveys in ocrates providing users obtain the necessary licences. This can be obtained directly from ocrates Ortho by completing a form we will send you. Contact us on info@socratesortho.com The use of this score is limited by password access; users will be prevented from accessing these screens until they have been granted a license. For non-commercial use there will be no charge to users but some conditions apply which will be outlined in the license request. Permission to reproduce these instruments and supply licenses to users was kindly granted to us by the Center for the Assessment of Pharmaceutical Practices (CAPP), Department of Health Policy and Management, Boston University chool of Public Health, Boston UA. F 12 and 36 From August 2011 it will only be possible to enter the score totals into ocrates. A license and the scoring software must be obtained from to enable users to calculate the scores using their proprietary software. Dash and Quick Dash houlder cores Use of the DAH and QuickDAH, inclusive of translated versions of the DAH and QuickDAH without charge is limited to a clinician using them only for treatment or assessment of a patient, or a researcher using them for non-funded research. To clarify if you qualify for free use check the conditions applicable for your contemplated use contact Note: We are charged an annual fee for the use of the DAH surveys. In order to offset this cost and not pass it on to users who do not use this score there will be an annual fee of $250 for use of the DAH surveys. There will be a message to this effect on the Dash creen. A password will be required to access the score screens, this will be provided to users once they have agreed to pay the fee and comply with the conditions of use from the licensor. Promis surveys These surveys are provided free to users however users are required to register their use on the Promis website via the assessment centre. Their use in ocrates does not automatically register users or give them permission to use the surveys. ENTERING CORE ee chapter on Data Entry. FOLLOW UP How the follow up periods are calculated There are three main time points for the Patient and surgeon follow-ups and scores/evaluations. Note the Radiology and X-ray screens are an exception and are described at the end. OCRATE User Manual 7

8 Pre Injury: A pre injury score/assessment may be relevant for some scores or activity levels. It may be important to know what the patient was capable of doing prior to their injury, to compare with their post treatment score and it may also be important for their pre injury work status. Pre Operative (or therapy/study): This is important to gain a baseline score before and after surgery. Post Operative (or therapy/study): Measures work and functional status over time after surgery or treatment. The program will calculate these three periods in the following way. Pre Injury (or joint problem) If a date of injury or joint problem is entered (as in the next example) and an evaluation is entered prior to that date, the program will assume that this is a pre injury evaluation and label it as such. In the example below, an evaluation entered on 2/2/04 which was before the date of injury 2/3/04 will be considered Pre Injury. If you don t have dates you can just enter preinj into the follow up (F/U) field. Pre-Operative If an evaluation is entered which is before the date of surgery and there is no date of injury or joint problem entered, or the date is after the date of injury and before surgery, the program allocates the evaluation to preoperative. If there is a date of injury entered and this evaluation date is after that date and before the date of surgery, or there is no date of surgery yet entered, it will be pre-operative. If the date entered is the date of surgery, it will allocate it as pre-operative (except for the radiology evaluation). There are many same day procedures and often the patient may complete their evaluation the morning of their surgery thus it is considered pre-operative. Post-Operative Any entry after the day of surgery will be allocated as a post-operative follow-up. ee below for how you want to store these follow-ups. If it s in the first week it will show up as 0w as week one doesn t start until Day 8. 8 OCRATE User Manual

9 Radiology follow-up There are additional possibilities for the radiology follow-up since it is possible to have all of the following: Pre-injury Pre-operative can be any time prior to surgery date or pre op same day as surgery Intra operative e.g. X-rays to check alignment Immediate post-operative (same day as surgery) check post op position Post-operative after day of surgery The rules for Pre Injury, Pre-operative and Post-Operative are the same as for the other evaluations as above. For Intra operative and Immediate Post op, which will be on the same day of surgery when the date entered is the same day as surgery the following window will appear. Choose which time point you want the image or assessment stored. OCRATE User Manual 9

10 LIT OF CORE AND AEMENT INCLUDED LEGEND Y: these forms are available in the format of the column heading. can forms: forms available as a scannable PDF to capture data via a canner Patient/urg: P indicates the patient completes the form; is a surgeon completed form; C is combined HIP GENERAL WEB CORE CAN FORM Patient/ urgeon AAO Adolescent Health Assessment (Parent) Y y P AAO Adolescent Health Assessment (elf) Y y P AQOL4D y Y P AQOL6D Y Y P AQOL6D Adolescent Y Y P Clinical History and Examination Complications Y Euroqol EQ5D-3L Y P Euroqol EQ5D-5L Y P General urgical Details GROC Global Rating of Change Y Y P HAGO - Hip and Groin Outcome core Y Y P Hamstrings core Y P Hip Post Op Examination HOO - Hip Dysfunction and Osteoarthritis Outcome core Y Y P HOO (P) - hort Form Y Y P HOO JR Y Y P HO - Hip Outcome core Y Y P IHOT-12 (replaces MHOT 14) Y Y P IHOT-33 (replaces MHOT-33) Y Y P LITE (surgical details) Y Lower Extremity Functionality cale Y Y P Marx Y Y P Modified Harris Hip core Y Y P Non Arthritic Hip core Y Y P Non Operative Therapy Oxford Hip core Y Y P Pain and Normal Visual Analogue core Y Y P Pain Catastrophising core (PC) Y Y P Pathology and treatment L DG zones Pathology and treatment R DG and GZ zones Pathology and treatment L DG and GZ zones Pathology and treatment R DG Zones Patient Demographics and urgery Details Patient atisfaction, Normal, and Pain VA Postop Y Y P Patient atisfaction, Normal, and Pain VA Preop Y Y P Patient Work & port & History PreOp Y P Patient Work & port PostOp Y Y P 10 OCRATE User Manual

11 HIP GENERAL WEB CORE CAN FORM Patient/ urgeon Pediatric Health Assessment (Parent) Y P Pittsburgh leep Quality Index Y Y P Promis 43 Y Y P Promis v Global Y Y P Promis 29 Y Y P Radiology Rehab and Post Op OMO - U Military Patient History Y Y P UCLA Activity Y P VAIL Hip core Y Y P VA Pain core Y Y P Veteran Rand-12 General Health urvey Y Y P Veteran Rand-36 General Health urvey Y Y P WOMAC Hip Index Y Y P HIP ARTHROPLATY WEB CORE CAN FORM Patient/ urgeon AAO Adolescent Health Assessment (Parent) Y y P AAO Adolescent Health Assessment (elf) Y y P AQOL4D Y Y P AQOL6D Y Y P AQOL6D Adolescent Y Y P Ceramic Hip Noise core Y P Complications Y Euroqol EQ5D-3L Y P Euroqol EQ5D-5L Y P Forgotten Joint core (FJ12) y y P GROC Global Rating of Change Y Y P Harris Hip core Y Y C High Activity Arthroplasty core (HAA) Y Y P Hip PostOp Examination HOO - Hip Dysfunction and Osteoarthritis Outcome core Y Y P HOO (P) - hort Form Y Y P HOO JR Y Y P Lower Extremity Functionality cale Y Y P Oxford Hip core Y Y P Pain and Normal Visual Analogue core Y Y P Pain Catastrophising core (PC) Y Y P Patient Demographics and urgery Details Patient atisfaction, Normal, and Pain VA Postop Y Y P Patient atisfaction, Normal, and Pain VA Preop Y Y P Pediatric Health Assessment (Parent) Y P Pittsburgh leep Quality Index Y Y P Preop Examination Promis 43 Y Y P OCRATE User Manual 11

12 HIP ARTHROPLATY WEB CORE CAN FORM Patient/ urgeon Promis v Global Y P Promis 29 Radiology Cemented Radiology Resurfacing Radiology Uncemented Reduced WOMAC Y P Rehab and PostOp OMO - U Military Patient History Y Y P urgery Revision Details Y urgical Details Primary Y Tegner Activity core Y P UCLA Activity Y P VA Pain core Y Y P Veteran Rand-12 General Health urvey Y Y P KNEE GENERAL WEB CORE CAN FORM Patient/ urgeon AAO Adolescent Health Assessment (Parent) Y y P AAO Adolescent Health Assessment (elf) Y y P ACL Knee Postop Y Y P ACL Knee Preop Y Y P AQOL4D Y Y P AQOL6D Y Y P AQOL6D Adolescent Y Y P BANFF Patella Instability Instrument y y p Brittberg Y P Chondral Chondral Lesion Map Chondropenia core Complications Y CRA Cartilage Repair core Euroqol EQ5D-3L Y P Euroqol EQ5D-5L Y P GROC Global Rating of Change Y Y P Hamstrings core Y P IKDC Paediatric Y Y P IKDC Patient Y Y P IKDC urgeon Knee Arthroscopy urgery Details Y Knee ociety core (K) Y Y P Knee ociety core V * coming soon Y Y P Knee ymptoms Exam PostOp Knee ymptoms Exam PreOp KOO - Child Y y P KOO - Knee Injury and Osteoarthritis Outcome core Y Y P 12 OCRATE User Manual

13 KNEE GENERAL WEB CORE CAN FORM Patient/ urgeon KOO (P) - hort Form Y Y P KOO JR Y Y P Ligament Ligament and Meniscus Lower Extremity Functionality cale Y Y P Lysholm Y Y P Marx Y Y P Meniscus Meniscus Lesion Map Mocart Grading & core cale Modified Cincinnati Knee core Y Y P Non urgical Knee Norwich Patella Instability core y y p Osteotomy Other/Lite Oxford Knee core Y Y P Pain and Normal Visual Analogue core Y Y P Pain Catastrophising core (PC) Y Y P Patello Femoral Patient Demographics and urgery Details Patient History Work & port PreOp Y P Patient atisfaction, Normal, and Pain VA Postop Y Y P Patient Work & port PostOp Y Y P Pediatric Health Assessment (Parent) Y P Pittsburgh leep Quality Index Y Y P Promis 43 Y Y P Promis v Global Y P Promis 29 Psychovitality P Quality of Life Assessment in ACL Deficiency Y Y P Radiology Rehab and PostOp OMO - U Military Patient History Y Y P Tegner Y P UCLA Activity Y P VA Pain Y Y P VA Pain Expectations Y P Veteran Rand-12 General Health urvey Y Y P Veteran Rand-36 General Health urvey Y Y P VIA Knee core y y P WOMAC Knee Y Y P WOMET - Western Ontario Meniscal Evaluation Y Y P OCRATE User Manual 13

14 KNEE ARTHROPLATY WEB CORE CAN FORM Patient/ urgeon AAO Adolescent Health Assessment (Parent) y y P AAO Adolescent Health Assessment (elf) Y y P AQOL4D Y Y P AQOL6D Y Y P AQOL6D Adolescent Y Y P Complications Y Euroqol EQ5D-3L Y P Euroqol EQ5D-5L Y P Forgotten Joint core (FJ12) y y P GROC Global Rating of Change Y Y P High Activity Arthroplasty core (HAA) Y Y P Knee ociety core (K) Y Y P Knee ociety core V * coming soon Y Y P KOO - Child Y y P KOO - Knee Injury and Osteoarthritis Outcome core Y Y P KOO (P) - hort Form Y Y P KOO JR Y Y P Kujala Y Y P Lower Extremity Functionality cale Y Y P Lysholm Y Y P Oxford Knee core Y Y P Pain and Normal Visual Analogue core Y Y P Pain Catastrophising core (PC) Y Y P Patient Demographics and urgery Details Patient atisfaction, Normal, and Pain VA Postop Y Y P Patient atisfaction, Normal, and Pain VA Preop Y Y P Pediatric Health Assessment (Parent) Y P Pittsburgh leep Quality Index Y Y P PostOp Examination Preop Examination Promis 43 Y Y P Promis v Global Y P Promis 29 Radiology Follow Up Reduced WOMAC Y P Rehab and PostOp OMO - U Military Patient History Y Y P urgeon follow up and comps urgery Details Primary Y urgery Revision Details Y Tegner Activity core Y P UCLA Activity Y P VA Pain Y Y P Veteran Rand-12 General Health urvey Y Y P 14 OCRATE User Manual

15 HOULDER WEB CORE CAN FORM Patient/ urgeon AAO Adolescent Health Assessment (Parent) Y y P AAO Adolescent Health Assessment (elf) Y y P AQOL4D Y Y P AQOL6D Y Y P AQOL6D Adolescent Y Y P Arthroplasty Details houlder Y P Arthroplasty Revision Details houlder Y Arthroplasty urgery Lite Details houlder P AE Rating cale - Patient Y Y C AE Rating cale - urgeon Y Complications Y Constant core Y Y C DAH - Disabilities of the Arm, houlder and Hand core Y Y P DAH Quick Y Y P Euroqol EQ5D-3L Y P Euroqol EQ5D-5L Y P Flex 36 houlder rating Y P GROC Global Rating of Change Y Y P L'insalata Y Y P MI - Melbourne houlder core Y Y P Oxford Instability core Y Y P Oxford houlder core Y Y P Pain Catastrophising core (PC) Y Y P Patient Demographics and urgery Details Patient History Work & port PreOp Y P Patient atisfaction, Normal, and Pain VA Postop Y Y P Patient atisfaction, Normal, and Pain VA Preop Y Y P Patient Work & port PostOp Y Y P Pediatric Health Assessment (Parent) Y P PENN houlder core Y Y P Pittsburgh leep Quality Index Y Y P Promis 43 Y Y P Promis v Global Y P Promis 29 Rehab and PostOp P ROWE houlder core Y ane (Normal) Pain Visual Analogue core Y Y P houlder Activity Level (Current) Y Y P houlder Activity Level (Preinjury) Y Y P houlder Instability Rating Y houlder urgery Details Combined houlder urgery Details Cuff Lite imple houlder Test (T) Y Y P OMO - U Military Patient History Y Y P omos Active Duty houlder core y P omos Biceps Functional core y P OCRATE User Manual 15

16 HOULDER WEB CORE CAN FORM Patient/ urgeon PADI - houlder Pain and Disability Index Y Y P urgeon Exam ROM Y UCLA houlder Rating Y VA Pain Y Y P Veteran Rand-12 General Health urvey Y Y P WOO - Western Ontario Arthritis of the houlder Index Y Y P WORC - Western Ontario Rotator Cuff Index Y Y P WOI - Western Ontario houlder Instability Index Y Y P GENERAL WEB CORE CAN FORM Patient/ urgeon AAO Adolescent Health Assessment (Parent) Y y P AAO Adolescent Health Assessment (elf) Y y P AQOL4D Y Y P AQOL6D Y Y P AQOL6D Adolescent Y Y P Complications Y DAT 10 Y Y P Euroqol EQ5D-3L Y P Euroqol EQ5D-5L Y P GROC Global Rating of Change Y Y P Pain and Normal Visual Analogue core Y Y P Pain Catastrophising core (PC) Y Y P Patient Demographics and urgery Details Patient History Work & port PreOp Y Y P Patient atisfaction, Normal, and Pain VA Postop Y Y P Patient atisfaction, Normal, and Pain VA Preop Y Y P Patient Work & port PostOp Y Y P Pediatric Health Assessment (Parent) Y P Pittsburgh leep Quality Index Y Y P Promis 43 Y Y P Promis v Global Y P Promis 29 OMO - U Military Patient History Y Y P VA Pain Y Y P Veteran Rand-12 General Health urvey Y P Veteran Rand-36 General Health urvey Y P ELBOW & HAND WEB CORE CAN FORM Patient/ urgeon AAO Adolescent Health Assessment (Parent) Y y P AAO Adolescent Health Assessment (elf) Y y P AQOL4D Y Y P AQOL6D Y Y P AQOL6D Adolescent Y Y P 16 OCRATE User Manual

17 ELBOW & HAND WEB CORE CAN FORM Patient/ urgeon AE - American houlder and Elbow ociety core Y Y B Complications Y DAH - Disabilities of the Arm, houlder and Hand core Y Y P DAH Quick Y Y P Euroqol EQ5D-3L Y P Euroqol EQ5D-5L Y P GROC Global Rating of Change Y Y P Mayo Elbow Y Y C Mayo Wrist Y Y C Oxford Elbow Y Y P Pain and Normal Visual Analogue core Y Y P Pain Catastrophising core (PC) Y Y P Patient Demographics and urgery Details Patient History Work & port PreOp Y Y P Patient atisfaction, Normal, and Pain VA Postop Y Y P Patient atisfaction, Normal, and Pain VA Preop Y Y P Patient Work & port PostOp Y Y P Pediatric Health Assessment (Parent) P Pittsburgh leep Quality Index Y Y P PREE - Patient Rated Elbow Evaluation Y Y P Promis 43 Y Y P Promis v Global Y P Promis 29 PRWE - Patient Rated Wrist Evaluation Y Y P Rehab and PostOp houlder Activity Level Y Y P OMO - U Military Patient History Y Y P VA Pain Y Y P Veteran Rand-12 General Health urvey Y Y P Veteran Rand-36 General Health urvey Y Y P FOOT & ANKLE WEB CORE CAN FORM Patient/ urgeon AAO Adolescent Health Assessment (Parent) Y y P AAO Adolescent Health Assessment (elf) Y y P AFAO - Foot and Ankle Outcome core Y Y P AFA - American Foot and Ankle cale Y P Ankle Chondral urgical Details n/a Ankle Fracture core Y Y P Ankle Osteoarthritis cale y y P AQOL4D Y Y P AQOL6D Y Y P AQOL6D Adolescent Y Y P Arthroplasty Revision Details Y Arthroplasty urgical Details Y OCRATE User Manual 17

18 FOOT & ANKLE WEB CORE CAN FORM Patient/ urgeon Complications Y Euroqol EQ5D-3L Y P Euroqol EQ5D-5L Y P FAAM - Foot and Ankle Ability Measure Y Y P FAO - Foot and Ankle Outcome core Y Y P Fusion Ankle Arthrodesis Details n/a Fusion Midfoot Arthrodesis Details n/a Fusion ubtalar Details n/a Fusion Triple Arthrodesis Details n/a GROC Global Rating of Change Y P Lower Extremity Functionality cale Y Y P Marx Y Y P Marx Activity core Y Y P MOX Foot Y y P Other Procedures n/a Oxford Ankle Foot Questionnaire - Child Y Y P Oxford Ankle Foot Questionnaire - Parent Y Y P Pain and Normal Visual Analogue core Y y P Pain Catastrophising core (PC) Y Y P Patient Demographics and urgery Details n/a Patient History Work & port PreOp Y Y P Patient atisfaction, Normal, and Pain VA Postop Y Y P Patient atisfaction, Normal, and Pain VA Preop Y Y P Patient Work & port PostOp Y Y P Pediatric Health Assessment (Parent) Y P Pittsburgh leep Quality Index Y Y P Promis 43 Y Y P Promis v Global Y P Promis 29 Rehab and PostOp Revised Foot Function - long y y P Revised Foot Function - short y y P OMO - U Military Patient History Y Y P Tegner Activity core Y P Tendon n/a Toes - Hallux Rigidis n/a Toes - Hallux Valgus n/a Toes - Lesser Toes n/a Trauma - Ankle n/a Trauma - Lisfranc n/a Trauma - Other n/a Trauma - Plafond Fracture n/a Trauma - Talus n/a UCLA Activity Y P VA Pain Y Y P 18 OCRATE User Manual

19 FOOT & ANKLE WEB CORE CAN FORM Patient/ urgeon Veteran Rand-12 General Health urvey Y Y P Veteran Rand-36 General Health urvey Y Y P VIA A Achilles tendon questionnaire y y P PINE WEB CORE CAN FORM Patient/ urgeon AAO Adolescent Health Assessment (Parent) Y y P AAO Adolescent Health Assessment (elf) Y y P AQOL4D Y Y P AQOL6D Y Y P AQOL6D Adolescent Y Y P Back & Leg Patient urvey PostOp Y P Back & Leg Patient urvey PreOp Y P Complications Y DAT 10 Y Y P DRAM Distress & Risk Assessment Y Y P Euroqol EQ5D-3L Y P Euroqol EQ5D-5L Y P GROC Global Rating of Change Y Y P HOO - Hip Dysfunction and Osteoarthritis Outcome core Y Y P Japanese Orthopaedic Association Back Pain Evaluation Y Y P Japanese Orthopaedic Association Cervical Myelopathy Evaluation Y Y P Military pecific Patient History Y P Modified Harris Hip core Y Y P Modified Low Back Pain Disability Questionnaire y y P Neck & Arm Patient urvey PostOp Y P Neck & Arm Patient urvey PreOp Y P Neurogenic Claudication Outcome y Y P ODI - Oswestry Disability Index Y Y P ODOM Back Y Y P ODOM Neck Y Y P Orebro Musculoskeletal Pain Questionnaire Y Y P Pain and Normal Visual Analogue core Y Y P Pain Catastrophising core (PC) Y Y P Patient Demographics and urgery Details Patient atisfaction, Normal, and Pain VA Postop Y Y P Patient atisfaction, Normal, and Pain VA Preop Y P Pediatric Health Assessment (Parent) Y P Pittsburgh leep Quality Index Y Y P Promis 43 Y Y P Promis v Global Y P Promis 29 y Rehab and PostOp Revised Disability Index for Low Back Pain/Dysfunction y y P Roland-Morris Back Pain and Disability core Y Y P OCRATE User Manual 19

20 PINE WEB CORE CAN FORM Patient/ urgeon ciatica Frequency and Bothersome Y Y P OMO - U Military Patient History Y Y P pine Combined LITE - POTOP Y P pine Combined LITE - PREOP Y P pine Medical History Y P urgeon Physical Examination Tampa cale for Kinesiophobia Y Y P VA Back & Leg Y Y P VA Neck & Arm Y Y P Vernon Moir Neck Disability Index Y Y P Veteran Rand-12 General Health urvey Y Y P Veteran Rand-36 General Health urvey Y Y P Zurich Claudication Questionnaire Y Y P 20 OCRATE User Manual

21 GENERIC QUETIONNAIRE AND URVEY ALL MODULE Patient atisfaction, Normal, and Pain VA Pre Op Patient satisfaction with medical care, how normal does their affected joint feel and a pain scale. All these questions are on a visual analogue score of The patient completes them either on a form by marking the scale, or on a line by using the slider in the electronic version. Post Op This includes the same 3 visual analogue scores above, and five additional questions - did the surgery relieve the pain and meet the patient s expectations, would they have it again, and were they able to manage their dayto-day functions and perform heavy work or sport. It was put together by a group of Australian surgeons over 10 years as a simple patient reported assessment of the success of surgery from the patient s perspective. It has been published in some journals with follow up data from studies, it has not been formally validated. OCRATE User Manual 21

22 Results/satisfaction This is a post op survey with the 3 questions below. The problems and results questions are asked in the UK registry. Pain cores All modules have the Visual Analogue Pain score included. Pain Catastrophising core (PC) This score is in all modules and is free for use. It was developed by Dr Michael ullivan PhD. It consists of 12 questions relating to how patients feel about their pain and coping with it, and has 4 sub scores 22 OCRATE User Manual

23 ANE/NORMAL and pain scores The ANE (ingle Assessment Numerical Evaluation) or the V (ubjective houlder Value) was originally developed for the shoulder but we had requests to add this to all modules. We added the VA pain scale also, so it possible to get both if this is selected. It now exists as a survey in all modules. NOTE: The patient satisfaction also has a VA scale for pain and How normal does your joint feel. Please be aware that if you are sending them both at the same time point, they will get these two questions twice. OCRATE User Manual 23

24 GROC Global Rating of Care This survey asks the patient if there has been any change in their symptoms since treatment/surgery. The choices are Better, ame, Worse if either better or worse the patient can then rate to what degree. Jaeschke R, inger J, Guyatt GH. Measurement of health status: ascertaining the minimal clinically important difference. Control Clin Trials 1989: Brief Resilience core This is in all modules. The BR is a reliable means of assessing resilience as the ability to bounce back or recover from stress and may provide unique and important information about people coping with health-related stressors. 24 OCRATE User Manual

25 QUALITY OF LIFE CORE There are several scores/questionnaires in ocrates which assess quality of life and pecific parameter that are important to patients QOL. F 12 and F 36 V2 These are included but it s only possible to add the calculated mental and physical scores into ocrates. Users must purchase the scoring software from the licensor (see page 7) It is only possible to enter the calculated scores into ocrates. Veterans Rand 12 and 36 surveys ( VR 12 and VR 36) Two surveys, a 12 and 36 question surveys. Originally developed as V1 of the 12 and 36 by the Rand corporation, and further validated by the Department of Health Policy and Management We have received permission to reproduce these surveys in ocrates providing users obtain the necessary licences. This can be obtained directly from ocrates Ortho by completing a form we will send you. Contact us on info@socratesortho.com. ee page 7 for more details. Permission to reproduce these instruments and supply licenses to users was kindly granted to us by the Center for the Assessment of Pharmaceutical Practices (CAPP), Department of Health Policy and Management, Boston University chool of Public Health, Boston UA. elected Publications for the VR-12 and VR-36: Kazis LE, Nethercot VA, Ren X, Lee A, elim A, Miller DR. Medication Effectiveness tudies in the United tates Veterans Administration Health Care ystem: A Model for Large Integrated Delivery ystems. Drug Development Research 2006; 67: Kazis LE, Miller DR, kinner KM, Lee A, Ren X, Clark JA, Rogers WH, piro III A, elim A, Linzer M, Payne M, Mansell D, Fincke BG. Applications of Methodologies of the Veterans Health tudy in the VA Health Care ystem: Conclusions and ummary. J Ambulatory Care Management 2006; 29(2): Kazis LE, Miller DR, Clark JA, kinner KM, Lee A, Ren X, piro III A, Rogers WH, Ware Jr. JE. Improving the response choices on the veterans F-36 health survey role functioning scales: results from the Veterans Health tudy. J Ambulatory Care Manage 2004; 27(3): elim AJ, Rogers W, Fleishman JA, Qian X, Fincke BG, Rothendler JA and Kazis LE. Updated U.. population standard for the Veterans RAND 12-item Health urvey (VR-12). Qual Life Res Feb;18(1): elim AJ, Berlowitz D, Kazis LE, Rogers W, Wright M, Qian, Rothendler JA, piro III. A, Miller D, elim BJ, and Fincke BG. Comparison of health outcomes for male seniors in the Veterans Health Administration and Medicare Advantage Plans. Health ervices Research Volume 45: , 2010 elim AJ, Rogers W, Qian X, Brazier J, Kazis LE. A preference-based measure of health: the VR-6D derived from the veterans RAND 12-Item Health urvey. Quality of Life Research: Volume 20, Issue 8 (2011), Page Jones D, Kazis L, Lee A, Rogers W, kinner K, Cassar L, Wilson N, Hendricks A. Health status assessments using the Veterans F-36 and F-12. Methods for evaluating outcomes in the Veterans Health Administration. Journal of Ambulatory Care Management 2001; 24(3):1-19. EQ 5D 3 and 5 level QOL index The EQ-5D surveys contain a descriptive system and the EQ visual analogue scale (EQ VA) The EQ- 5Ddescriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problem. The EQ- 5D-5L has the same questions but with 5 responses not 3. OCRATE User Manual 25

26 Patient health questionnaire (PHQ-9) A short nine question survey screening for depression. AQoL- 4D and 6D adult, and 6D Adolescent These are three quality of life scores for general use. These are the 4D (12 questions) 6D (20 questions) and the adolescent QOL 6D. ee. for more details. They are free to use, once the use has been registered. They are available as web scores and scannable forms. PROMI URVEY PROMI stands for Patient Reported Outcomes Measurement Information ystem, which is a system of highly reliable, precise measures of patient reported health status for physical, mental, and social well being. PROMI tools measure what patients are able to do and how they feel by asking questions. PROMI measures can be used as primary or secondary endpoints in clinical studies of the effectiveness of treatment, and PROMI tools can be used across a wide variety of chronic diseases and conditions and in the general population. The data collected in PROMI provide clinicians and researchers with important patient reported information about the effect of therapy that cannot be found in traditional clinical measures. When used with traditional clinical measures of health, PROMI tools allow clinicians to better understand how various treatments might affect what patients are able to do and the symptoms they experience. Not only can the reports be used to design treatment plans, but also can be used by patients and physicians to improve communication and manage chronic disease. 26 OCRATE User Manual

27 The uniqueness of PROMI lies in four key areas: 1. Comparability measures have been standardized so there are common domains and metrics across conditions, allowing for comparisons across domains and diseases. 2. Reliability and Validity all metrics for each domain have been rigorously reviewed and tested 3. Flexibility PROMI can be administered in a variety of ways, in a different forms 4. Inclusiveness PROMI encompasses all people, regardless of literacy, language, physical function or life course Permission to use and registering your study can be made via the Assessment Centre website. NOTE: ocrates users who plan to use any of the Promis surveys must register their study and usage with the PROMI website and comply with their terms and conditions of use. These surveys must not be modified in any way.. If there are users who want to use additional surveys please contact us. Promis V1a Pain Interference F8a An 8 question survey asking about the degree that pain has interfered with the patient s life. Promis V1 Physical Function F12 A 12 question survey asking about activities of daily living and activity Promis V1 Paediatric Peer Relationships F8a An 8 question survey for children assessing relationships with their peers. Promis V1 Paediatric function mobility F8a An 8 question survey for children assessing physical function and general mobility. Promis 43 profile V2.0 Promis Global V 1.1 Global Health F A 10 question survey on General Health Promis 29 V1.0 PITTBURG LEEP QUALITY INDEX This has been added to all modules. It is available as a scan form and a web score. OCRATE User Manual 27

28 28 OCRATE User Manual

29 KNEE CORE KOO Knee General and Arthroplasty Modules This is a patient-administered questionnaire developed as an instrument to assess the patient s knee function. It is intended to be used for knee injuries that can result in post-traumatic osteoarthritis (OA) and OA studies, i.e. ACL (Anterior Cruciate ligament) injury, meniscus injury, chondral injury, and patients undergoing joint replacement. Its consists of five subscales: Pain, ymptoms, Function in daily living (ADL), Function in sport and recreation (port/rec), and knee and hip related Quality of life QOL. There is no total score. The last week is taken into consideration when answering the questions. tandardized answer options are given and each question gets a score from 0 to 4. A normalized score (100 indicating no symptoms, and 0 indicating extreme symptoms) is calculated for each subscale. Note: This score also includes all the WOMAC Osteoarthritis Index questions and a WOMAC scores is also calculated by ocrates if all the questions have been entered. Both results will appear on the results column and separate graphs are generated. These forms can be scanned directly into the program. The KOO score is also available as scannable form in Portuguese, German, Austrian, panish, wedish, Norwegian Dutch and Polish. KOO Child Knee score Thanks to Dr E.M. Roos for permission to use this tool. For more information go to KOO P The KOO-P is a 7-item measure of physical functional derived from the items of the Function, daily living and Function, sports and recreational activity subscales of the KOO. The KOO-P is included in the international Consortium for Health Outcomes Measurement (ICHOM) tandard-set for Hip & Knee Osteoarthritis as a measure of functional status KOO JR Joint Replacement KOO JR is a 7 item questionnaire developed for TJR patients. WOMAC Knee General and Arthroplasty Modules The Womac score is a patient administered questionnaire which assesses pain, disability and joint stiffness in the knee using a battery of 24 questions. It is widely used and published. As well as being integrated into the KOO questionnaire it is also included as a standalone score in ocrates. Reduced WOMAC core Knee General and Arthroplasty Modules This is an abbreviated Womac core comprising of 12 of the original Womac questions. 5 are the standard WOMAC pain questions, the remaining 7 are from the function questions. The reduced version of the function dimension of the WOMAC retains excellent validity, reliability and responsiveness excerpt from the paper referenced below. It also highlights the fact that there is an increase in compliance when asking the respondent to complete an appreciably smaller set of questions OCRATE User Manual 29

30 Whitehouse, arah L and Learmonth, Ian D and Crawford, Ross W (2007) Validation and Treatment of Missing Values for the Reduced WOMAC Function cale. Journal of Orthopaedic urgery (Hong Kong). OXFORD Knee scores Knee General and Arthroplasty Modules The Oxford scores are patient administered questionnaires which assesses pain, disability and joint stiffness in knee and hip osteoarthritis using a battery of 12 questions. Originally published in JBJ, with an update in 2007 to amend the scoring. These forms can be scanned directly into the program. This score requires users to obtain a license - contact II innovation group healthoutcomes@isis.ox.ac.uk VA 1-10 Pain ADL and Expectation core This is a patient administered questionnaire developed by Dr Juan Rodrigo et al. It consists of five questions with the patient being asked to grade from 1 10 their assessment of how they are doing. The questions relate to pain, how they feel their ability is to do strenuous work, sedentary activities, and normal daily living activities. The 5 th question asks whether the surgery met their expectations, and should be asked at the first visit after their immediate post operative period. Ref: CORR 2001, :146 Rodrigo et al. High Activity Arthroplasty core Knee Arthroplasty The High-Activity Arthroplasty core (HAA) was specifically developed to assess subtle variations in functional ability after lower limb arthroplasty with particular regard to highly functioning individuals. The score was a 4- item self-assessment measure covering the 4 domains of walking, running, stair climbing, and general activities, with a possible score ranging from 0 to 18 points. The score was validated in 22 patients (total hip arthroplasty [THA], n = 11; total knee arthroplasty [TKA], n = 11) by comparison with the Oxford, Knee ociety, Harris Hip, and hort WOMAC scores. The HAA was then administered to 152 high-functioning arthroplasty patients (THA, n = 99; TKA, n = 53), all younger than 66 years. The HAA produced a much wider range of scores, allowing greater differentiation of level of function between patients in assessing performance after TKA or THA. Ref: imon Talbot, FRAC, Gary Hooper, FRAC, Andrew tokes, FRAC and Rachel Zordan, Bc The Journal of Arthroplasty Volume 25, Issue 2, Pages (February 2010) Forgotten Joint core 30 OCRATE User Manual

31 This survey asks 12 questions about how often the patient is aware of their joint whilst undertaking various activities. It is free for use. Reference: The Forgotten Joint as the Ultimate Goal in Joint Arthroplasty: The Journal of Arthroplasty Volume 27, Issue 3, Pages e1, March 2012 H Behrend et al. Knee ociety core Original and updated 2011 Version Knee General The original K score consists of eight patient questions relating to pain and function, and a surgeon clinical assessment of Range of Motion, stability and alignment. The alignment relates to the anatomic axis, not the mechanical axis. NOTE: Varus should be entered as a minus value. Thus 7 degrees of varus is entered as -7. Valgus is entered as a positive number but it is not necessary to enter a + sign since the program assumes if there is no minus it is a positive number. The method we have used to score the K is the original method using one point for each 5 Degrees of motion as recommended by the Knee ociety. K 2011 This was released in ocrates in June 2013 with permission from the Knee ociety. Users need to obtain a license to use this score, and we can then issue a password which will allow access to the screen in ocrates. The score is different for the preop and post op time points, and ask questions about the patients expectations and whether they were met. For permission to use contact IKDC International Knee Documentation Committee core Knee General This score consists of patient questions relating to pain and function and a full clinical surgeon examination of the knee - assessment of stability, alignment and ROM. This score was developed by the following physicians. Thanks to the AOM for allowing us to reproduce this. IKDC International Knee Documentation Committee core Paediatric version This is very similar to the above score but has been adapted for use by children. Permission to reproduce this was kindly given to us by Dr Min Kocher. Brittberg/Peterson - Knee General This is a patient administered questionnaire consisting of 13 questions relating to pain and function plus three post-surgery relating to patient satisfaction. It uses the Visual Analogue scoring system and can be entered in 10 decimal points. OCRATE User Manual 31

32 Kujala Knee General Modified Cincinnati Knee core This is a modified shorter version of the original Cincinnati Knee score published by Noyes et al. This version was from the AJM ee below. It contains 12 questions about pain, function and activity level and a single VA scale asking the patient to rate how their knee feels. Lysholm Knee General This well-known and widely used score consists of eight questions and is scored out of 100. Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clinical Orthopaedic Related Research ep;( 198):43-9 ACL QOL Knee General This is patient-based, subjective outcome measure for chronic anterior cruciate ligament deficiency. It includes 32 items in 31 questions and used a VA response format. There are 5 items for symptoms and physical complaints, 4 for work related concerns, 12 in the recreational activity and sport participation or competition domain, 6 questions related to lifestyle, and 5 in the social and emotional domain. 32 OCRATE User Manual

33 WOMET Knee General The WOMET is a disease-specific tool designed to evaluate HRQOL in patients with meniscal pathology. It has 16 items representing the domains of physical symptoms (nine items), sports/recreation/work/lifestyle (four items), and emotions (three items).these are presented in a VA scale format. ACL History port and expectation survey Pre treatment This is a list of questions for patients with ACL injures which is completed prior to treatment. The questions relating to the history and cause of injury, sporting level and employment details, a VA scale for pain questions relating to anterior and patella pain and the patient s expectations about their return to post injury. ACL History port and expectation survey Post treatment These questions are filled in at a post op time point chosen by the users. The authors recommend completion at 12 month follow up. Questions are asked about pain, return to sport, both timing and level, and 12 VA scales measuring confidence level in sport and activities Both surveys were developed by Professor Julian Feller MBB FRAC (ORTH) Musculoskeletal Research Centre La Trobe University and Dr Kate Webster PhD. Banff Patella Instability Instrument This is a survey of 31 VA questions relating to patella femoral instability. Am J ports Med July ; OCRATE User Manual 33

34 Norwich Patellar Instability core This is a 25 question survey with six checkbox responses. There is no licence required to use it, but the author would appreciate notification that it is being used. Contact Dr Toby mith Toby.mith@uea.ac.uk VIA Patella core An index of severity of symptoms in patients with jumper's knee (patellar tendinosis) Paul J Visentini et al. The brief questionnaire assesses (i) symptoms, (ii) simple tests of function and (iii) ability to undertake physical activity. ix of the eight questions are scored on a visual analogue scale from 0-10 with 10 representing optimal health. The maximal VIA score for an asymptomatic, fully performing individual is 100 points and the theoretical minimum is 0 points. Psycho-vitality core This consists of six questions to be answered by the patient prior to surgery. Hamstring Outcome core A patient questionnaire to determine if risk factors for groin injuries among male soccer players could be identified. It consists of questions relating to Pain, ymptoms, Pain, soreness and quality of life, each of which has a sub score. We have also added this to the Hip general module. 34 OCRATE User Manual

35 Reference: Am J ports Med October 2010 Vol. 38 no OCRATE User Manual 35

36 ACTIVITY CORE These patient administered scores allow assessment of the patient s activity levels. This index can be recorded pre injury or normal level, pre op (after the injury or problem has occurred but before surgery) and then post operatively at any time point. Tegner Knee General and Foot & Ankle Rates the level of activity of the patient from From 0 being disability pension due to knee problems, to 10 being a high level competitive sportsperson. This is a well used and published activity score which features in many studies. Marx Knee General and Foot & Ankle Five questions relating to the frequency of which a patient is able to perform functions necessary in sporting activities, from less than once a month to 4 or more times a week. cores from UCLA activity score These patient administered scores allow assessment of the patient s activity levels. This index can be recorded pre injury or normal level, pre op (after the injury or problem has occurred but before surgery) and then post operatively at any time point. houlder Activity Level core Five questions relating to the frequency of activities relating to houlder Activities. Two additional questions ask about the level of sports participation. 36 OCRATE User Manual

37 INTRA OPERATIVE CORE KNEE GENERAL There are two methods of evaluating the chondral surfaces of the knee which are included in the program. C Chondropenia everity core Knee General This score was developed by Dr Bert Mandelbaum et al as a method of macroscopically assessing and quantifying the chondral surfaces of the knee and to monitor it over time. It assesses the medial and femoral tibial and femoral compartments, patella, trochlear and meniscus. The score is out of 100 and uses the ICR method of grading the chondral surfaces. CRA Cartilage Repair Assessment core cartilage defects knee This score was developed by the ICR to assess the appearance of the chondral surface and grafted region after cartilage repair procedures such as ACI, Mosaicplasty. Protocol A ACI, periosoteal grafting, marrow stimulation techniques, carbon implants, others. Protocol B Mosaicplasty, OAT, OC allograft, plugs, others. It results in the following score/grading. Ref: ICR evaluation documents OCRATE User Manual 37

38 HIP CORE OXFORD Hip core Hip General and Arthroplasty Modules The Oxford scores are patient administered questionnaires which assesses pain, disability and joint stiffness in knee and hip osteoarthritis using a battery of 12 questions. It was originally published in JBJ, with an update in 2007 to amend the scoring. These forms can be scanned directly into the program. This score requires users to obtain a license - contact II innovation group healthoutcomes@isis.ox.ac.uk HOO Hip General and Arthroplasty Modules This is a patient-administered questionnaire developed as an instrument to assess the patient s hip function. It is intended to be used for hip injuries that can result in post traumatic osteoarthritis (OA) and OA studies, i.e. FAI, chondral injury, and patients undergoing joint replacement. Its consists of five subscales; Pain, ymptoms, Function in daily living (ADL), Function in sport and recreation (port/rec), and hip related Quality of life QOL. There is no total score. The last week is taken into consideration when answering the questions. tandardized answer options are given and each question gets a score from 0 to 4. A normalized score (100 indicating no symptoms, and 0 indicating extreme symptoms) is calculated for each subscale. Note: This score also includes all the WOMAC Osteoarthritis Index questions and a WOMAC scores is also calculated by ocrates if all the questions have been entered. Both results will appear on the results column and separate graphs are generated. These forms can be scanned directly into the program. Thanks to Dr E.M. Roos for permission to use this tool. For more information go to HOO P The HOO-P is a 5-item measure of physical functional derived from the items of the Function, daily living and Function, sports and recreational activity subscales of the HOO. HOO JR HOO JR is a 7 item questionnaire developed for TJR patients. WOMAC Hip General and Arthroplasty Modules 38 OCRATE User Manual

39 The Womac score is a patient administered questionnaire which assesses pain, disability and joint stiffness in the hip using a battery of 24 questions. It is widely used and published. As well as being integrated into the KOO questionnaire it is also included as a standalone score in ocrates. Reduced WOMAC core Hip General and Arthroplasty Modules This is an abbreviated Womac core comprising of 12 of the original Womac questions. 5 are the standard WOMAC pain questions, the remaining 7 are from the function questions. The reduced version of the function dimension of the WOMAC retains excellent validity, reliability and responsiveness excerpt from the paper referenced below. It also highlights the fact that there is an increase in compliance when asking the respondent to complete an appreciably smaller set of questions Whitehouse, arah L and Learmonth, Ian D and Crawford, Ross W (2007) Validation and Treatment of Missing Values for the Reduced WOMAC Function cale. Journal of Orthopaedic urgery (Hong Kong). Harris Hip core Hip Arthroplasty Developed by Dr W Harris 1967, for assessment of patient undergoing arthroplasty procedures of the Hip. This is combination of patient questions and surgeon input Range of Motion assessments. Ceramic Hip Nose urvey Hip Arthroplasty This survey was developed by surgeons from the by the Melbourne Orthopaedic Group ( MOG) to assess the type and frequency of any nose experienced by patients with Ceramic on Ceramic bearing THR. OCRATE User Manual 39

40 Reference : Bone Joint 2013;95-B: B/2/160.abstract High Activity Arthroplasty core Hip Arthroplasty The High-Activity Arthroplasty core (HAA) was specifically developed to assess subtle variations in functional ability after lower limb arthroplasty with particular regard to highly functioning individuals. The score was a 4- item self-assessment measure covering the 4 domains of walking, running, stair climbing, and general activities, with a possible score ranging from 0 to 18 points. The score was validated in 22 patients (total hip arthroplasty [THA], n = 11; total knee arthroplasty [TKA], n = 11) by comparison with the Oxford, Knee ociety, Harris Hip, and hort WOMAC scores. The HAA was then administered to 152 high-functioning arthroplasty patients (THA, n = 99; TKA, n = 53), all younger than 66 years. The HAA produced a much wider range of scores, allowing greater differentiation of level of function between patients in assessing performance after TKA or THA. Ref: imon Talbot, FRAC, Gary Hooper, FRAC, Andrew tokes, FRAC and Rachel Zordan, Bc The Journal of Arthroplasty Volume 25, Issue 2, Pages (February 2010) Forgotten Joint core This survey asks 12 questions about how often the patient is aware of their joint whilst undertaking various activities. It is free for use. Reference: The Forgotten Joint as the Ultimate Goal in Joint Arthroplasty: The Journal of Arthroplasty Volume 27, Issue 3, Pages e1, March 2012 H Behrend et al. Modified Harris Hip core Hip General 40 OCRATE User Manual

41 The original Harris Hip score was modified for patients undergoing arthroscopic procedures to the hip. This patient group primarily has symptoms relating to pain and function, thus the ROM questions were eliminated and the score recalculated to include only the pain and function questions. Non Arthritic Hip core - Hip General This score was developed to assess a more active and younger patient population than those with arthritic disease. Hip Outcome core (HO) Hip General Martin RL, Philippon MJ: Evidence of Reliability and Responsiveness for the Hip Outcome core (HO). The Journal of Arthroscopic and Related urgery. 24:2008 Vail Hip core Hip General 10 questions relating to pain and function for patients undergoing hip arthroscopic procedures. Developed by Dr s M Philippon MD and Karen Briggs PhD. HAGO Hip and Groin outcome score The Copenhagen hip and groin outcome score (HAGO) consists of six separate subscales assessing pain, symptoms, physical function in daily living, physical function in sport and recreation, participation in physical activities and hip and/or groin-related quality of life. IHOT/MAHORN 12 and 33 scores The International Hip Outcome Tool (IHOT-33) is a 33-item patient-reported measure of health-related quality of life. [1] It was designed to measure the impact of hip disease in young active patients and to measure the effect of treatment of this disease. The IHOT 12 was developed and validated as a shorter version of the International Hip Outcome Tool (IHOT-33) that could be easily used in routine clinical practice to measure health related quality of life, and changes after treatment, in young active patients with hip disorders. The original short version consisted of 14 questions, but was modified to 12 in late The scores have also been known as MHOT or MAHORN scores. The IHOT 12 was presented at the International ociety for Hip Arthroscopy (IHA) meeting Paris References: Mohtadi et al. The development and validation of a self-administered quality of life outcome measure for young, active patients with hip pathology: the International Hip Outcome Tool. A short version of the International Hip Outcome Tool (IHOT-12) for use in routine clinical practice 1 Damian R. Griffin, BM BCh, MA, MPhil, FRC; 1 Nicholas Parsons PhD; 2 Nicholas G.H. Mohtadi, MD Mc FRCC; 3 Marc R. afran MD; Multicenter Arthroscopy of the Hip Outcomes Research Network (MAHORN) Thanks to Dr Nick Mohtadi, and Professor Damian Griffin for permission to reproduce these instruments. The instruments consist of 12 or 33 VA scales where patients mark the severity of their pain and symptoms from being the worst/most severe symptoms, 100 no symptoms or pain. OCRATE User Manual 41

42 IHA web site Hamstring Outcome core Hip General A patient questionnaire to determine if risk factors for groin injuries among male soccer players could be identified. It consists of questions relating to Pain, ymptoms, Pain, soreness and quality of life, each of which has a sub score. We have also added this to the Knee general module. Reference: Am J ports Med October 2010 Vol. 38 no Visa H Hamstring Development and validation of a new visa questionnaire (VIA-H) for patients with proximal hamstring tendinopathy Angelo Cacchio, Fosco De Paulis, Nicola Maffulli Br J ports Med 2014;48: OCRATE User Manual

43 HOULDER CORE AE American houlder and Elbow ociety score. This has a patient and a surgeon section, and they can be filled in separately. The patient part has a score, the surgeon part is based on examination and ROM with no actual score. It s not uncommon for patients to miss questions, and this wasn t originally taken into account in the first publication. We contacted Dr Gary Gartsman and Richard Hawkins who consulted with Dr Karon Cook PhD. The algorithm they have allowed us to use if there are missing responses is. The VA pain must be answered. Of the other questions as long as there are 50% completed the mean of those answered can be used to calculate the total score. Constant houlder score The original Constant score has been revised, the newer score is what we have included in ocrates. Anyone with the old scores can enter just the scores calculated by the old method, see data entry section for instructions. OCRATE User Manual 43

44 ROWE score This score consists of 5 questions from both patient and surgeons perspective. ANE numeric VA One VA line from We have also added the VA pain scores to the same form. 44 OCRATE User Manual

45 ubjective houlder Value (V) Note, the ANE and the V are the same, How normal does your shoulder feel on a scale from One was developed in the U, the other in Europe. We have added this to a scan form which includes a VA pain score as well. DAH and Quick DAH DAH stands for "Disabilities of the Arm, houlder and Hand." The DAH Outcome Measure is a 30-item, self-report questionnaire designed to measure physical function and symptoms in people with any of several musculoskeletal disorders of the upper limb. The tool gives clinicians and researchers the advantage of having a single, reliable instrument that can be used to assess any or all joints in the upper extremity. A shorter version called the QuickDAH is also available. Both tools are valid, reliable and responsive and can be used for clinical and/or research purposes. However, because the full DAH Outcome Measure provides greater precision, it may be the best choice for clinicians who wish to monitor arm pain and function in individual patients. Use of the DAH and QuickDAH, inclusive of translated versions of the DAH and QuickDAH without charge is limited to, a clinician using them only for treatment or assessment of a patient or a researcher using them for non-funded research. To clarify if you qualify for free use or whether you must obtain written permission (and the conditions applicable to your contemplated use) contact Note: We are charged an annual fee for the use of the DAH surveys. In order to offset this cost and not pass it on to users who do not use this score there will be an annual fee of $250 for use of the DAH surveys. There will be a message to this effect on the Dash creen. A password will be required to access the score screens, this will be provided to users once they have agreed to pay the fee and comply with the conditions of use from the licensor. OCRATE User Manual 45

46 Oxford houlder and Oxford houlder Instability core These scores requires users to obtain a license - contact II innovation group healthoutcomes@isis.ox.ac.uk FLEX 36 houlder Flexilevel cale of houlder Function (FLEX-F). This scale includes three testlets that target low, medium, and high shoulder function. Patients are asked a routing question and depending on how difficult they find this task they answer either the easy, moderate, or difficult questions. The scoring has been adapted so that regardless of the set of questions they answer the scores can be compared. WORC WOI WOO 46 OCRATE User Manual

47 These 3 scores were originally written and calculated assuming that all questions would be completed by patients as the original validation was done in a supervised environment. However, in many cases these surveys are completed by mail, unsupervised, and more recently via the internet. After discussion with users and in line with most of the modern scoring instruments we decided to use an algorithm to enable the total score to be calculated providing there weren t too many missing answers. This is the method we use to calculate a total score if there are missing answers. If there are more than this no total score can be calculated. WORC no more than two missing questions from section A (6 questions) B and C (4 questions), and one missing from D (4 questions) and E (3 questions), WOI - no more than four missing questions from section A (10 questions) two from B and C (5 questions) and one from D (2 questions) WOO - no more than two missing questions from section A (6 questions)b (5 questions) and C (5 questions) and one from D (3 questions). imple houlder Test (T) This is a patient questionnaire of 12 questions relating to pain and function with Yes / No answers. Developed by the University of Washington eattle WA Melbourne Instability core Journal of houlder Elbow urgery, Vol 14 (1); This instability score has 24 questions relating to work sports, pain and function. L Insalata houlder core Kerlan Jobe core for overhead throwing athletes OCRATE User Manual 47

48 PENN 24 questions relating to pain satisfaction and function of the shoulder. The PENN shoulder score, Reliability and Validity, Brian G Leggit PT M OC et al. Journal of Orthopaedic and ports Physical Therapy. Missing questions we have been given permission by Dr Lori Michener PT, PhD who was a part of the team that validated the original Penn houlder core to allow for missing responses. Pain one missing pain question is allowed, take the average of the other 2 pain ratings, and assign that to the missing one. Up to 5 missing function questions allowed, and the mean of those answered assigned to the missing ones to calculate the score. PADI Roach KE, Budiman-Mak E, ongsiridej N, Lertratanakul Y. Development of a shoulder pain and disability index. arthritis care res dec;4(4): The houlder Pain and Disability Index (PADIi) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upperextremity use. houlder Instability everity core Reference:J Bone and Joing urg (Br) 32007;89 = B F,Balg P Boileau This is a surgeon completed instability severity index to assess the likely prognosis of surgery. houlder Activity core 48 OCRATE User Manual

49 The activity rating is a numerical sum of scores for five activities rated on a five point frequency scale from never performed (0 points) to daily (4 points). Patients were scored on the following criteria: carrying an object 8lb or heavier by hand, handling objects overhead, weight training with arms, swinging motion (i.e, hitting tennis or golf ball), and lifting objects 25 lbs or heavier. Two additional multiple choice questions provide a score assessing participation in contact and overhead sports. OMO (OCIETY OF MILITARY ORTHOPAEDIC URGEON UA) CORE Two scores have been developed for OMO. Active Duty core this questionnaire is to assess the patient with shoulder problems signs and symptoms, and their fitness for active duty.. This can be used by civilian users. Reference: Dr John Tokish John.Tokish@amedd.army.mil Biceps Outcomes a 12 question post-operative score developed by the U military ( OMO) to assess the patient s perception of their outcome following biceps surgery or treatment OCRATE User Manual 49

50 FOOT AND ANKLE CORE Oxford Foot and Ankle core The Oxford Ankle Foot Questionnaire was developed to assess child - or parent (proxy) - reported health status for children with foot and ankle problems, aged between 5 and 16. There is a separate set of questions for the child and the parent. This score requires users to obtain a license - contact II innovation group healthoutcomes@isis.ox.ac.uk FAAM Foot and ankle ability measure The FAAM was developed to meet the need for a self-reported evaluative instrument that comprehensively assesses physical function of individuals with musculoskeletal disorders of the leg, foot, and ankle. These results indicate that the FAAM is a reliable, valid, and responsive measure of self-reported physical function for individuals participating in physical therapy, with or without operative intervention, for a broad range of musculoskeletal disorders of the leg, foot, and ankle. FAO foot and ankle outcome score FAO was developed to assess the patients opinion about a variety of foot and ankle-related problems. FAO has this far been used in patients with lateral ankle instability, Achilles tendinosis, and plantar fasciitis. FAO content is based on the Knee injury and Osteoarthritis Outcome core (KOO), content validity was confirmed by 213 patients with ankle instability. FAO consists of 5 subscales; Pain, other ymptoms, Function in daily living (ADL), Function in sport and recreation (port(rec), and foot and ankle-related Quality of Life (QOL). The last week is taken into consideration when answering the questionnaire. tandardized answer options are given (5 Likert boxes) and each question gets a score from 0 to 4. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. The result can be plotted as an outcome profile 50 OCRATE User Manual

51 AFAO American Foot and Ankle core Foot and Ankle Int Jul;15(7) : Clinical rating systems for the ankle and hindfoot, midfoot, hallux and lesser toes. urgeon and patient completed form to assess the function, pain and alignment of the foot and ankle. Ankle Fracture ymptoms coring cale A nine question survey for assessing pain and function after ankle fractures. The best score is 100, the worst 0. No licensing required for non commercial use. Manchester Oxford Foot Questionnaire 16 questions relating to pain and function of the ankle. A patient-based questionnaire to assess outcomes of foot surgery: Validation in the context of surgery for hallux valgus. Jill Dawson, Jane Coffey, Helen Doll, Grahame Lavis, Paul Cooke, Mark Herron and Crispin Jenkinson OCRATE User Manual 51

52 MOXFQ University of Oxford, Department of Public Health (HRU), Old Road Campus, Oxford OX37LF, UK This score requires users to obtain a license - contact II innovation group healthoutcomes@isis.ox.ac.uk Oxford Foot and Ankle Questionnaire for Children The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) is a child or parent (proxy) reported self-report health status PRO. The OxAFQ-C is used to measure subjective well-being for child patients (aged 5-16) affected by foot and ankle conditions using issues that are considered important to children. Typical clinical assessments fail to capture the child patient s perspective and may not accurately reflect how children function in their usual environments. The OxAFQ-C was therefore designed to supplement clinical assessments to evaluate the effectiveness of interventions for ankle/foot. Isis Innovation Limited, All rights reserved This score requires users to obtain a license - contact II innovation group healthoutcomes@isis.ox.ac.uk VIA Achilles core This score was developed by the Victorian Institute of port, Melbourne Australia specifically to assess the outcome of achilles tendinopathy. Oxford ankle foot questionnaire- child and parent. The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) is a child or parent (proxy)- reported self-report health status measure questionnaire. The OxAFQ-C is used with child patients (aged 5-16) affected by foot and ankle conditions to measure issues that are considered important to children. Manchester-Oxford Foot Questionnaire (Moxfq) This is a 16 question survey published by the University of Oxford public health group. Ankle Osteoarthritis cale A reliable and validated instrument that specifically measures patient symptoms and disabilities related to ankle arthritis. Foot and Ankle International: Vol 19 No 7 July Authors: Robyn Domsic B. Charles altzman MD University of Iowa Hospital. Revised Foot Function Index This is a revision of the original Foot Function Index. There is a long (68 questions) and short version (34 questions) When requesting permission to reproduce the instrument in ocrates Dr Mak advised us that it has been further revised, and the latest revisions as per his instructions are included in the version of ocrates released April Foot and Ankle International: Vol 27 No 7 July Authors:Dr Elly Budiman-Mak MD MPH M et al. Loyola University tritch choll of Medicine elly.mak@va.gov 52 OCRATE User Manual

53 PINE CORE Oswestry ODI V 2.1a This is the validated authentic version of the Oswestry pine core. ODI Jeremy Fairbank 1980, All rights reserved Fairbank J, Pynsent PB. The Oswestry Disability Index. pine 2000; 25(22): Fairbank JCT, Couper J, Davies JB, O Brien JP. The Oswestry Low Back Pain Disability Questionnaire. Physiotherapy. 1980;66: This score requires users to obtain a license to use it from MAPI Research Trust, Lyon, France. contact@mapi-trust.org It allows for as many as 9 missing responses in the scoring algorithm provided to us by the licensors. VA Pain scores, Back and Leg, Neck and Arm All these questions are on a visual analogue score of The patient completes them either on a form by marking the scale, or on line by using the slider. Modified Lower Back Disability Questionnaire This is a modification of the original Oswestry V 2.1a. ee below. OCRATE User Manual 53

54 It allows for 2 missing responses in the scoring algorithm provided to us by the licensors. Revised Disability Index (for low back pain/dysfunction) This is a further revision of the original Oswestry with the question relating to sexual activities replaced by social activities. It allows for 2 missing responses in the scoring algorithm. R 22 and 30 A 22 and 30 question survey developed by the coliosis Research ociety. Vernon Mior Neck Disability Index The NDI is a simple 10-item questionnaire used to assess patients with neck pain. Vernon H, Moir (1991) The neck disability index: A study of reliability and validity. Journal of Manipulative Physiological Therapeutics 14: OCRATE User Manual

55 Roland Morris Lower Back pain survey Original English version: Roland MO, Morris RW. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low back pain. pine 1983; 8: Tampa cale for Kinesiophobia The TK is a 17-item checklist that was developed as a measure of fear of movement/(re)injury. Kinesiophobia is defined by the developers as an irrational, and debilitating fear of physical movement and activity resulting from a feeling of vulnerability to painful injury or (re)injury (Kori et al., 1990). The scale is based on the model of fear avoidance, fear of work related activities, fear of movement/re-injury (Vlaeyan et al., 1995). Miller, Kori and Todd 1991 OREBRO Musculoskeletal Pain Questionnaire Linton J, Boersma K. Early identification of patients at risk of developing a persistent back problem: the predictive validity of the Orebro Musculoskeletal Pain Questionnaire. Clin J Pain Mar-Apr;19(2):80-6. The Örebro Musculoskeletal Pain Questionnaire (ÖMPQ) is a screening tool which assesses the risk of developing long-term disability or fail to return to work following a musculoskeletal injury. It consists of 21 questions which address psycho-social factors including beliefs and expectations that may influence recovery and return to work. JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ) JOA Back Pain Evaluation Questionnaire (JOABPEQ) Zurich Claudication core Reference Article: tucki G, Daltroy L, Liang MH, et al. Measurement properties of a self-administered outcome measure in lumbar spinal stenosis. pine 1996; 21: Definition The Zurich Claudication Questionnaire is a disease-specific self-report outcome instrument commonly used in trials to measure treatment outcomes in patients with lumbar spinal stenosis (L). The Zurich Claudication Questionnaire quantifies severity of symptoms, physical function characteristics, and patient's satisfaction after treatment. It was designed to complement existing generic measures of lumbar spine disability and health status OCRATE User Manual 55

56 in the evaluation of patients with L. This tool is diversely referred to as the wiss pinal tenosis Questionnaire, the Zurich Claudication Questionnaire and the Brigham pinal tenosis Questionnaire, which all of them are exactly the same. tructure / Content The scale relates to symptoms over the past month. There are 12 questions for all patients, and a further 6 questions to measure treatment outcome (for those who have had treatment). The Zurich Claudication Questionnaire consists of three subscales: 1. ymptom severity scale (questions I-VII) further subdivided into pain domain (questions I-IV) and a neuroischemic domain (questions V-VII): Possible range of the score is 1 to Physical function scale (questions VIII-XII): Possible range of scores is 1 to Patient's satisfaction with treatment scale(questions XIII-XVIII): the range of the scale is 1 to 4 coring Method /Interpretation The result is expressed as a percentage of the maximum possible score. The score increases with worsening disability. ciatica Bothersome and Frequency Index This is two separate scales using a scale of 0-6 to rate the severity and frequency of symptoms. 56 OCRATE User Manual

57 Neurogenic Claudication Outcome core Reference: Weiner and Fraser pine ;24:62-6 DRAM distress and risk management Assessment method This score combines the Modified Zung Depression cale and the Modified omatic Perception Questionnaire. Zung Depression cale OCRATE User Manual 57

58 A self-rating depression scale was devised as an attempt to quantitate the symptoms of depression, using the diagnostic criteria of the presence of a pervasive depressed affect, and its physiological and psychological concomitants as test items. This is included in the DRAM combined with the Modified omatic Perception Questionnaire. The responses are mixed so that for some the best result is the first one, other the last. DAT 10 This is a 10 question drug abuse screening test. Modified omatic Perception Questionnaire This is 23 question survey (only 13 answers make up the score) assessing the patient s physical signs and symptoms. This is combined with the Zung to make up the DRAM score. ODOM neck and back This is post-operative or post-treatment questionnaire which assesses the patients view of their outcome. Patient Medical History Questionnaire A survey is included which covers the basic medical history of the patient. It captures current and past diseases, relevant family history, smoking, comorbidities, medications allergies etc. This is web enabled survey, an example of the interface is below. The patient responses are imported into ocrates with the relevant details also cross populated onto the surgeon examination screen. Read the pine 58 OCRATE User Manual

59 chapter of the manual for more details. Word document copies are available in the Forms folder on the client section of the web site. Patient pine History Questionnaires - Pre and Post op. These surveys consist of are questions asking the patients about their spine condition problem. They include details of history, pain, location, other symptoms, treatments tried, previous spine surgery etc. The patient responses are imported into ocrates with the relevant details also displayed on the surgeon examination screen. Read the pine chapter of the manual for more details. There are two detailed surveys - one for back and leg symptoms, the other for neck and arm. There is also a combined lite survey, which asks questions about back /leg, neck /arm and mid back symptoms. Word document copies are available in the Forms folder on the client section of the web site. HOWEVER, it is not envisaged that these data would ever be completed by the patient on paper and manually entered, it would take a very long time to enter the data. OCRATE User Manual 59

60 HAND/WRIT/ELBOW CORE PRWE - Patient reported wrist evaluation The Patient-rated Wrist Evaluation (PRWE) was developed to assess pain in the wrist joint and functional difficulties in activities of daily living resulting from injuries affecting wrist joint area. The PRWE is a 15 item patient-reported questionnaire. It has two subscales: 1) Pain subscale - 5 items 2) Function subscale - 10 items Joy C. MacDermid, Bc PT, Mc, PhD chool of Rehabilitation cience, McMaster University, Hamilton, Ontario, Canada Clinical Research Lab, Hand and Upper Limb Centre, t. Joseph s Health Centre, London, Ontario, Canada macderj@mcmaster.ca or jmacderm@uwo.ca PREE - Patient Reported Elbow Evaluation Based on the previously validated and reliable Patient-Rated Wrist Evaluation (PRWE), the PREE was designed to measure elbow pain and disability. The pain items are identical to the PRWE with the term elbow replacing wrist. The specific activities items in the function subscale were based on the multi-dimensional Mayo Elbow Performance Index (MEPI) which has been proven to be a valid outcome scale for elbow pathology. Information from biomechanical and clinical literature were also used to generate additional items for the function domain. The usual activities items in the function subscale were adapted from the PRWE with the term elbow replacing wrist. The questionnaire format has five pain questions and fifteen function questions. Joy C. MacDermid, Bc PT, Mc, PhD chool of Rehabilitation cience, McMaster University, Hamilton, Ontario, Canada Clinical Research Lab, Hand and Upper Limb Centre, t. Joseph s Health Centre, London, Ontario, Canada macderj@mcmaster.ca or jmacderm@uwo.ca Oxford Elbow score houlder and Elbow/Hand Modules The Oxford scores are patient administered questionnaires which assesses pain, disability and joint stiffness in knee and hip osteoarthritis using a battery of 12 questions. Originally published in JBJ, with an update in 2007 to amend the scoring. These forms can be scanned directly into the program. This score requires users to obtain a license - contact II innovation group healthoutcomes@isis.ox.ac.uk DAH and Quick DAH - houlder DAH stands for "Disabilities of the Arm, houlder and Hand." The DAH Outcome Measure is a 30-item, self-report questionnaire designed to measure physical function and symptoms in people with any of several musculoskeletal disorders of the upper limb. The tool gives clinicians and researchers the advantage of having a single, reliable instrument that can be used to assess any or all joints in the upper extremity. A shorter version called the QuickDAH is also available. Both tools are valid, reliable and responsive and can be used for clinical and/or research purposes. However, because the full DAH Outcome Measure provides greater precision, it may be the best choice for clinicians who wish to monitor arm pain and function in individual patients. Use of the DAH and QuickDAH, inclusive of translated versions of the DAH and QuickDAH without charge, is limited to a clinician using them only for treatment or assessment of a patient or a researcher using them for non funded research. To clarify if you qualify for free use or whether you must obtain written permission (and the conditions applicable to your contemplated use) contact 60 OCRATE User Manual

61 Note: We are charged an annual fee for the use of the DAH surveys. In order to offset this cost and not pass it on to users who do not use this score there will be an annual fee of $250 for use of the DAH surveys. There will be a message to this effect on the Dash creen. A password will be required to access the score screens, this will be provided to users once they have agreed to pay the fee and comply with the conditions of use from the licensor. Kerlan Jobe core for Overhead Throwing Athletes Mayo Elbow and Wrist scores These 2 scores have both patient and surgeon questions relating to pain and function to derive a best score of 100. OCRATE User Manual 61

62 QUALITY OF LIFE CORE F-36 and F-12 v2 It is only possible to enter the totalled scores for these surveys into ocrates. The license and scoring software must be obtained directly from the licensors VETERAN RAND 12 and 36 These are an almost identical and free alternative to the F 12 and 36 V2. Access to these two scores is limited by a password. Once users have permission to use these let us know and we will issue you a password. Contact details are: Center for the Assessment of Pharmaceutical Practices Department of Health Policy and Management Boston University chool of Public Health Contact person: Anna Tobin aitobin@bu.edu The following is taken from the above web site. The "Veterans RAND 36-Item Health urvey" (VR-36 and formerly the Veterans F-36) was developed from the original RAND version of the 36-Item Health urvey version 1.0 (also known as MO F-36) at the RAND Corporation as part of the Medical Outcomes tudy. 1 The VR-12 ("Veterans RAND 12-Item Health urvey," formerly the Veterans F-12) was derived from the VR While the names of these assessment tools have changed, the content of the instruments has not. There is no cost to use the VR-36 and VR-12. However, so that the developers can monitor the use of these instruments, researchers must obtain permission by requesting to use the instrument in a letter on institutional letterhead to Dr. Lewis Kazis. The letter should state that the requestor agrees to the terms and conditions given by the RAND Corporation and indicate that the user plans to give appropriate acknowledgements for the VR-12 and/or VR An abstract of the project should be included with the request. EQ5D Euroqol All Joints EQ-5D is a standardised instrument for use as a measure of health outcome. Applicable to a wide range of health conditions and treatments, it provides a simple descriptive profile and a single index value for health status. It contains 5 questions and VA relating to the patient s general health. There are 2 versions, one with 3 levels of responses, the other 5. They are labelled EQ5D 3L and EQ5D 5L Requires a license to use contact Note, the EQ 5D surveys will not be available for data entry via the web for patients. The only way a user can use a web interface is to use the Euroqol server. We have been advised that for us to set up access for the Euroqol server to access ours would open up potential security breaches, and be very costly. Thus, they will not be available in ocrates for data entry via ocrates web server. PAEDIATRIC/ADOLECENT CORE There are a number of paediatric and adolescent scores included in ocrates. As we find out about them we add them so if you are a user and have a specific need for an additional one please let us know. KNEE - see the knee section for more details of these. KOO Child IKDC Adolescent 62 OCRATE User Manual

63 AAO There is a parent and a self-rated questionnaire published by the American Association of orthopaedic surgeons. These relate to the general health and activity levels of children. Foot and ankle - see the foot and ankle section for more details Oxford parent and child ankle score. OCRATE User Manual 63

64 CLAIFICATION/CORE Radiology Kellgren Lawrence Grading ystem Knee General This is a radiological classification of knee OA. Engh core Hip Arthroplasty A score to evaluate the fixation and stability of cementless hips. CORR No Hip Resurfacing Radiographic Analysis Parameters and a fixation score relating to resurfacing arthroplasty were developed to follow the radiographic appearance of these implants over time. MOCART MRI scale and score Marlovits, inger P, Zeller P, Mandl I, Haller J, Trattnig. Magnetic resonance observation of cartilage repair tissue (MOCART) for the evaluation of autologous chondrocyte transplantation: determination of interobserver variability and correlation to clinical outcome after 2 years. Eur J Radiol 2006 ; 57 ( 1 ): A grading and scoring classification of Articular cartilage using MRI This screen is in the Knee General module> Radiology follow up. 64 OCRATE User Manual

65 OCRATE User Manual 65

66 CLAIFICATION CODE ICR chondral grading, Outerbridge ICR OCD, Kellgren Lawrence Descriptions and graphics where appropriate can be displayed by clicking on the small info icons - in the example below, they are on the chondral surgery screen. After clicking on the icon next to the Classification name, a description of the classification will be displayed. There is also an electronic copy in the information folder. 66 OCRATE User Manual

67 Hip Arthroplasty Paprosky and Gross - bone loss classifications Hip Arthroscopy Method of classifying the pathology of the femoral head. OCRATE User Manual 67