Is the EQ-5D-5L a responsive test to evaluate results in elective foot and ankle surgery?

Albert Ginés-Cespedosa; Daniel Cuellar; Cristián Villaroel; Albert Fontanellas; Gemma Gonzalez-Lucena; Daniel Bianco; Carlo Gamba; Gerardo Ledermann

doi:10.1016/j.fas.2023.04.002

Is the EQ-5D-5L a responsive test to evaluate results in elective foot and ankle surgery?

Foot Ankle Surg. 2023 Jun;29(4):341-345. doi: 10.1016/j.fas.2023.04.002. Epub 2023 Apr 6.

Authors

Albert Ginés-Cespedosa¹, Daniel Cuellar², Cristián Villaroel², Albert Fontanellas³, Gemma Gonzalez-Lucena¹, Daniel Bianco⁴, Carlo Gamba¹, Gerardo Ledermann⁵

Affiliations

¹ Attending Physician, Department of Orthopedic Surgery, Parc de Salut Mar, Barcelona, Spain.
² Foot Attending Physician, Department of Orthopedic Surgery, Parc de Salut Mar, Barcelona, Spain and Ankle Fellow Resident, Department of Orthopedic Surgery, Hospital Clinic, Barcelona, Spain.
³ Trauma and Orthopedics Resident, Department of Orthopedic Surgery, Parc de Salut Mar, Barcelona, Spain.
⁴ Attending Physician, Department of Orthopedic Surgery, Hospitales Universitarios San Roque, Las Palmas de Gran Canaria, Spain.
⁵ Foot Attending Physician, Department of Orthopedic Surgery, Parc de Salut Mar, Barcelona, Spain and Ankle Fellow Resident, Department of Orthopedic Surgery, Hospital Clinic, Barcelona, Spain; Attending Physician, Department of Orthopedic Surgery, Hospital de la Florida, Santiago de Chile. Electronic address: [email protected].

PMID: 37173173
DOI: 10.1016/j.fas.2023.04.002

Abstract

Purpose: To analyze the responsiveness and the minimally clinical important change (MCIC) of the EuroQol (EQ) 5D-5 L score in patients that had undergone foot/ankle surgery.

Methods: Patients that underwent elective foot/ankle surgery from January 2019 to December 2020 were included. They were assessed with the EQ-5D-5L, visual analogue pain scale and Manchester Oxford Foot Questionnaire (MOXFQ) preoperatively and 1 year postoperatively. The pre-post differences of all variables, Effect Size (ES) and MCIC were analyzed.

Results: 167 patients. All variables showed a significant pre-post improvement. The ES for EQ-index and EQ-VAS were 0.61 and 0.33 respectively. MCIC for EQ-index was 0.17 and EQ-VAS was 8.54. MOXFQ index ES was 1.46 and the MCIC was 23.8. VAS decreased from 59.4 to 26.62.

Conclusion: The EQ-5D-5L is a sensitive test to detect changes after elective foot and ankle surgery with good responsiveness relative to the ES values in the EQ-index.

Level of evidence: II.

Keywords: Clinical outcomes; Foot and ankle surgery; PROMS; Responsiveness.

MeSH terms

Ankle Joint / surgery
Ankle* / surgery
Clinical Relevance
Humans
Quality of Life*
Reproducibility of Results
Surveys and Questionnaires