TY - JOUR
PY - 2021//
TI - A threshold QuickDASH score for estimating a diagnosis of major depression in patients with fingertip injuries in the American and Dutch population
JO - Hand (NY)
A1 - Oflazoglu, Kamilcan
A1 - Verheul, Elfi M.
A1 - Pong, Taylor M.
A1 - Ritt, Marco J. F. P.
A1 - Rakhorst, Hinne
A1 - Chen, Neal C.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - BACKGROUND: The aim was to determine the threshold Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score that estimates a diagnosis of major depression in patients with fingertip injuries in American and Dutch patients.
METHODS: In this observational cross-sectional study, 112 patients with a recent fingertip injury measured symptoms of depression with the Patient Health Questionnaire and upper extremity disability with the QuickDASH.
RESULTS: In the US cohort, 8 of 56 patients had an estimated diagnosis of major depression. A threshold value of QuickDASH of 50 showed a sensitivity of 88% and a specificity of 81%, with a negative predicting value (NPV) of 95% for an estimated diagnosis of major depression. In the Dutch cohort, 7 of 56 patients had an estimated diagnosis of major depression. The same threshold score of 50 had a sensitivity of 71%, a specificity of 63%, and an NPV of 94%.
CONCLUSIONS: We have found a correlation between experienced loss of function and an estimated diagnosis of major depression in patients with a fingertip injury. Referral to the primary care physician for further evaluation of depression in these patients is advised.
Language: en
LA - en SN - 1558-9447 UR - http://dx.doi.org/10.1177/15589447211060456 ID - ref1 ER -