Outcome measurement

Of marginal importance only 20 years ago, outcome measurement has become one of the most widely published topics in medical literature. Today, the surgeon’s perspective is no longer sufficient to evaluate global health condition of a patient. The patient cannot be reduced to an organ. Outcome measurement must take into consideration body structures and function (symptoms, organ function) as reviewed by a professional, the individual’s functional health status in terms of activity and evaluated by the patient himself, and his participation in his social environment. These principles are now being applied to our specialty and it is essential to know them to be able to collect, analyse and publish valid results.

My clinical research is focused on:

  • Promoting the use of evidence based outcome measurement tools
  • Understanding the limitations of our current outcome measurement protocols
  • Promoting the use of radar chart as a sound representation of global outcome

This review article defines the rules for using clinical outcome tools, provides the most widely used clinical and self-evaluation forms for our specialty as well as instructions for their use. Global outcome is usually obtained by arithmetic addition of scores; which is a simple but questionable method. The sieving and radar charts can be used for a more comprehensible representation showing areas of relative strength and relative weakness on a graph, as well as depicting general overall performance. The reliability of data is also affected by declaration of conflicts of interest, negligence or fraud. The level of evidence is questionable as long as a data verification system is not implemented.

Publications

– Outcome measurements in hand and upper limb surgery.
Dubert T.
Chir Main. 2014 May 15

– How to compact data in a global score? – Invited lecture
Dubert TFESSH annual meeting, Paris, June 19 -21st, 2014

– Outcome measurement – Invited lecture
Dubert T
49h Congress of the French Society for Surgery of the Hand, Paris, Decembre 19-21st , 2014

– Sifting through the results. A proposal for a new concept of outcome measurementDubert T
7th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)
Sydney – Australie – 11-15 mars 2007 

– Evaluation des résultats après  prise en charge d’une plaie de la main.Dubert T, Dinh A, Osman N Cahiers d’enseignement de la SOFCOT- Plaies de la Main – Elsevier : 234-241 Paris 2006

-Le QuickDASH, la référence actuelle pour l’auto-évaluation fonctionnelle des membres supérieursDubert T42  ème congrès de la Société française de Chirurgie de la Main. Paris 14-16 décembre 2006

– Sifting through the results: a proposal for a new concept of outcome measurement, in connection with a series of 72 endoscopice carpal tunnel releases.Dubert T, Kamoun L8 th Scientific Meeting Mayo Hand Club – Barcelone, 29 et 30 septembre 2006

-Sifting through the results: a proposal for a new concept of outcome measurement, in connection with a series of 72 endoscopice carpal tunnel releases.Dubert T, Kamoun L
Chir Main. 2005 Dec;24(6):305-9. French.

– The DASH score in the evaluation of resultsDubert TInternational Symposium on Advancements in upper extremity Trauma, Larissa , Greece april 7-9, 2005
– Comment seront évaluées nos pratiques?Dubert TSymposium de l’Institut de la Main, 19-20 mars 2004
– Analyse informatique des éléments du dossierDubert TSymposium de l’Institut de la Main, 19-20 mars 2004-Ring Finger Stage IV -Surgical Management and Functional Results M. Lazar , T. Dubert, P. Voche, N. Osman, A. DinhXXVI ème congrès du GAM, Paris 6 & 7 février 2004
– Le questionnaire DASH. Adaptation française d’un outil d’évaluation international.Dubert T, Voche P, Dumontier C, Dinh AChir Main. 2001 Aug;20(4):294-302.
– Le questionnaire d’évaluation DASH : présentation de la version française accréditée par l’AAOSOsman N, Dubert T, Voche P, Dumontier C, Dinh AJournées du président, Besan,çon, 18-19 mai 2001 
– Cross-cultural adaptation into french of the DASH Outcome Measure. Dubert T, Voche P, Dumontier C, Dinh ABrussels international Symposium on Advances in objective assessment of Hand/Upper extremity function and outcome. Bruxelles, avril 20-21, 2001
– Evaluation : Cotations cliniquesDubert TSymposium de l’Institut de la Main , Traumatismes ostéoarticulaires des doigts , Paris, 28 et 29 mars 1997
– MR Imaging Evaluation of the Callus After Flexor Tendon Repair.Dubert T, Drapé JL, Dumontier C, Valenti PPoster présenté au 51 th annual meeting of the American Society for Surgery of the Hand. Nashville , september 30-october 3, 1996