Anıl GÜLCÜ, Günbay DİRLİK, Derya ÇELİK, Emine Eda KURT

Nottingham Klavikula Skorunun Türk Populasyonunda Geçerliliği ve Doğrulanması

Amaç: Bu çalışmanın amacı Nottingham Klavikula Skorunun (NCS) geçerliliğini ve doğrulamasını Türk popülasyonunda değerlendirmektir. Yöntemler: Çalışmaya klavikula kırığı veya akromiyoklaviküler ayrılma nedeniyle ameliyat edilen 68 hasta (12 kadın, 56 erkek; ort. yaş: 37.1±13.3) dahil edildi. NCS'nin Türkçe versiyonu (NCS-Tr), Beaton ve arkadaşları tarafından önerilen aşamalara uygun olarak tasarlanmıştır. Her hasta, ölçekler arası korelasyon katsayısına dayalı test-tekrar test güvenilirliğini değerlendirmek için NCS-Tr'yi 7 ila 10 günlük aralıklarla iki kez tamamladı ve iç tutarlılık için Cronbach alfa değerlendirildi. Ayrıca Oxford Omuz Skoru (OSS), Kol, Omuz ve El Disabilities (DASH), Constant-Murley Skoru (CMS) ve Short Form-36 (SF-36) Sağlık Anketi testleri her katılımcı tarafından dolduruldu. NCS-Tr ile korelasyonu değerlendirin. Bulgular: NCS-Tr ana puanı 79.71 ± 20.37 idi. Diğer ortalama CMS, OSS ve DASH puanları sırasıyla 84,14 ± 21,47, 38,34 ± 12,43 ve 17,84 ± 22,47 idi. NCS-Tr'nin Türkçe bağlamına çevrilmesi ve uyarlanması büyük bir kültürel uyarlama gerektirmedi. İç tutarlılık yüksekti (Cronbach alfa: 0.933). Test-tekrar test tekrarlanabilirliği mükemmeldi (q=0.941, p<0.001). Sonuç: NCS-Tr, köprücük kemiği kırığı veya akromioklaviküler eklem ayrılması nedeniyle ameliyat olan Türk hastalarının fonksiyonel değerlendirmesi için hasta tarafından bildirilen sonuç ölçütlerinin değerlendirilmesinde geçerli, güvenilir, omuza özgü bir ölçektir.

Anahtar Kelimeler:

Hasta tarafından bildirilen sonuç ölçütleri, klavikula kırığı, akromiyoklaviküler ayrılma, Türkçe doğrulama

The Validation and Verification of the Nottingham Clavicle Score in the Turkish Population

Aim: The aim of this study was to evaluate the validation and verification of the Nottingham Clavicle Score (NCS) in the Turkish population. Methods: Sixty-eight patients (12 females, 56 males; mean age: 37.1±13.3 years) who underwent surgery due to clavicle fracture or acromioclavicular separation were included in the study. The Turkish version of the NCS (NCS-Tr) was designed in accordance with the stages recommended by Beaton et al. Each patient completed the NCS-Tr twice at 7 to 10-day intervals to evaluate the test-retest reliability based on the interrater correlation coefficient, and Cronbach’s alpha was evaluated for internal consistency. Additionally, the Oxford Shoulder Score (OSS), Disabilities of the Arm, Shoulder, and Hand (DASH), Constant-Murley Score (CMS), and Short Form-36 (SF-36) Health Survey tests were completed by each participant to assess the correlation with the NCS-Tr. Results: The main score of the NCS-Tr was 79.71 ± 20.37. The other mean scores of CMS, OSS, and DASH were 84.14 ± 21.47, 38.34 ± 12.43, and 17.84 ± 22.47 respectively. The translation and adaptation of the NCS-Tr for a Turkish context required no major cultural adaptation. Internal consistency was high (Cronbach’s alpha: 0.933). Test-retest reproducibility was excellent (q=0.941, p<0.001). Conclusion: The NCS-Tr is a valid, reliable, shoulder-specific scale in the assessment of patient-reported outcome measures for the functional assessment of Turkish patients undergoing surgery due to clavicle fractures or acromioclavicular joint separation.

Keywords:

Patient-reported outcome measures, clavicle fracture, acromioclavicular separation, Turkish validation,

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