BACKGROUND The aim was to evaluate postsurgical outcome in elderly patients (> 70 years) after open reduction and internal fixation (ORIF) of proximal humeral fractures and compare the test-retest agreement of scores which are frequently used to assess the outcome of upper extremity disorders. METHODS Ninety patients (78.1 ± 5.2 years) with a minimum follow-up of 2 years (3.7 ± 0.9 years) following angular stable plate fixation of a proximal humeral fracture (2-part: 34, 3-part: 41, 4-part: 12) were enrolled. Two telephone-based interviews assessed Disabilities of the Arm, Shoulder and Hand Score (DASH), Oxford Shoulder Score (OSS), and Constant Score adjusted for interview assessment (CS) by two independent interviewers. Correlations, Bland-Altman analyses, Cross tabulation, and weighted Kappa measure of agreement (k) were calculated to assess differences and the test-retest agreement between the categories of each score. RESULTS In the first and second interview, we could state fair outcomes: CS 91 (range 40-100) and 65.5 (23-86), DASH 12.5 (0-64.2) and 18.3 (0-66.7), and OSS 58 (33-60) and 55 (25-60) points. The test-retest correlations were r = 0.67, r = 0.77, and r = 0.71 for CS, DASH, and OSS. Bland-Altman analyses showed absolute mean individual score differences of - 22.3, 4.9, and - 3.0 for CS, DASH, and OSS. Limits of agreement represented possible differences of 21.6%, 15.5%, and 9.0% of CS, DASH, and OSS. The category agreements were medium to high: CS 55.9% (k = 0.08), DASH 87.2% (k = 0.62), and OSS 99.3% (k = 0.74). CONCLUSION Patients showed good subjective outcomes. The test-retest agreement of the interview-adjusted CS was low, but telephone-based assessment of OSS and DASH present as an alternative to collect outcomes in elderly patients. TRIAL REGISTRATION (250/2011BO2).

中文翻译：

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老年患者角度稳定钢板固定后肱骨近端骨折后的中期结果-可以通过电话评估来评估哪些评分？

背景技术目的是评估老年患者（> 70岁）在肱骨近端骨折的切开复位内固定术（ORIF）后的手术结局，并比较经常用于评估上肢疾病结局的评分的测验-再测协议。方法90例患者（78.1±5.2年），在肱骨近端骨折的角度稳定钢板固定后至少随访2年（3.7±0.9年）（2部分：34、3部分：41、4部分） ：12）被录取。两次基于电话的访谈评估了手臂残疾，肩部和手部得分（DASH），牛津肩部得分（OSS）以及由两名独立访问者针对访谈评估（CS）进行调整后的常数得分。相关性，Bland-Altman分析，交叉列表，并计算一致性的加权Kappa量度（k），以评估每个分数类别之间的差异和重测一致性。结果在第一次和第二次采访中，我们可以说出公平的结果：CS 91（范围40-100）和65.5（23-86），DASH 12.5（0-64.2）和18.3（0-66.7）以及OSS 58（33） -60）和55（25-60）点。对于CS，DASH和OSS，重测相关性分别为r = 0.67，r = 0.77和r = 0.71。Bland-Altman分析显示CS，DASH和OSS的绝对平均个人得分差为-22.3、4.9和-3.0。协议限制表示CS，DASH和OSS可能有21.6％，15.5％和9.0％的差异。类别协议为中到高：CS 55.9％（k = 0.08），DASH 87.2％（k = 0.62）和OSS 99.3％（k = 0.74）。结论患者表现出良好的主观预后。经访谈调整后的CS的重测一致率较低，但目前存在基于电话的OSS和DASH评估，可作为收集老年患者结局的替代方法。试用注册（250 / 2011BO2）。