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J Wrist Surg 2021; 10(04): 303-307
DOI: 10.1055/s-0041-1725173
Scientific Article

Cross-Cultural Adaptation and Validation of the Translated Patient-Rated Wrist Evaluation Score

Bárbara Gómez-Eslava 
1   Division of Hand and Upper Limb Surgery, Department of Orthopedics and Traumatology, Hospital Universitario San Ignacio-Pontificia Universidad Javeriana, Bogotá, Colombia
,
Maria Cristina Rodriguez-Ricardo 
2   Hand Surgery Private Practice, Barranquilla, Colombia
,
Juan Camilo Serpa
3   Department of Orthopedic Surgery, Hospital de Suba, Bogota, Colombia
,
Raschid Fajury
3   Department of Orthopedic Surgery, Hospital de Suba, Bogota, Colombia
,
Luis A. García-González 
1   Division of Hand and Upper Limb Surgery, Department of Orthopedics and Traumatology, Hospital Universitario San Ignacio-Pontificia Universidad Javeriana, Bogotá, Colombia
› Author Affiliations Funding None.
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Abstract

Introduction The purpose of this study is to perform a cross-cultural adaptation and validation of the translated Patient-Rated Wrist Evaluation (PRWE) score exclusively for pathologies of the wrist.

Materials and Methods A methodological study of cross-cultural validation of clinical scores was performed through a test–retest reliability analysis, internal consistency, response to change, and criterion validity assessment.

Results The test was applied to 57 patients with 139 surveys. Stability evaluated through Lin's concordance correlation coefficient was 0.98, with 95% confidence interval (CI) = 0.97–0.99; Cronbach's alpha was > 0.91; the difference in score was 24.26 (standard deviation: 26.59); the standardized response mean was 0.912; the effect size was 0.924; the Spearman's coefficient between the differences of PRWE and DASH—Disabilities of the Arm, Shoulder, and Hand—scores was r = 0.899, with 95% CI = 0.811–0.947; Spearman's nonparametric correlation test between PRWE and DASH was 0.82, with 95% CI = 0.711–0.890.

Conclusions We successfully validated the Spanish translation of the PRWE scale. It showed valid and reliable interpretation of functional status and response to treatment after distal radius fracture, for Colombian population.

Level of Evidence This is a level II, methodological study for scale validation.

Keywords

PRWE - clinical assessment scale - transcultural validation - upper limb - wrist fracture

Ethical Approval

This project was reviewed and approved by the Joint Institutional Ethics in Research Committee of San Ignacio University Hospital and Pontificia Universidad Javeriana.




Publication History

Received: 10 November 2020

Accepted: 21 January 2021

Article published online:
11 March 2021

© 2021. Thieme. All rights reserved.

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