Comparison of the European Foot and Ankle Score (EFAS) and the American Orthopedic Foot and Ankle Society Score (AOFAS) in patients with foot and ankle surgery.

IF 1.9 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2025-04-23 DOI:10.1016/j.fas.2025.04.008

Victoria Julia Frank, Philipp Lichte, Natalia Gutteck, Bertil Bouillon, Dariusch Arbab

{"title":"Comparison of the European Foot and Ankle Score (EFAS) and the American Orthopedic Foot and Ankle Society Score (AOFAS) in patients with foot and ankle surgery.","authors":"Victoria Julia Frank, Philipp Lichte, Natalia Gutteck, Bertil Bouillon, Dariusch Arbab","doi":"10.1016/j.fas.2025.04.008","DOIUrl":null,"url":null,"abstract":"Background: Both EFAS and AOFAS are questionnaires used in evaluating postoperative outcome of foot and ankle surgeries. The EFAS is a Patient Reported Outcome Measure (PROM), whereas the AOFAS also contains a physician reported subset and is the most commonly used questionnaire worldwide. Our study compared psychometric properties of both scores in patients with foot or ankle surgery.Methods: We compared validity and reliability of the EFAS and AOFAS questionnaires in 126 foot and ankle surgical patients. Internal consistency, test-retest reliability, floor and ceiling effects, construct validity, responsiveness and minimal important change were analyzed.Results: The AOFAS and EFAS show similar psychometric properties overall with the EFAS showing better internal consistency than the AOFAS with a smaller standard error of the mean (SEM), while the AOFAS showed a higher sensitivity to change.Conclusions: Both the EFAS and the AOFAS show comparable psychometric properties. The EFAS performs better regarding SEM and internal consistency. Furthermore EFAS is a PROM without investigator bias and should therefore be preferred.Level of evidence: III.","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot and Ankle Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.fas.2025.04.008","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Both EFAS and AOFAS are questionnaires used in evaluating postoperative outcome of foot and ankle surgeries. The EFAS is a Patient Reported Outcome Measure (PROM), whereas the AOFAS also contains a physician reported subset and is the most commonly used questionnaire worldwide. Our study compared psychometric properties of both scores in patients with foot or ankle surgery.

Methods: We compared validity and reliability of the EFAS and AOFAS questionnaires in 126 foot and ankle surgical patients. Internal consistency, test-retest reliability, floor and ceiling effects, construct validity, responsiveness and minimal important change were analyzed.

Results: The AOFAS and EFAS show similar psychometric properties overall with the EFAS showing better internal consistency than the AOFAS with a smaller standard error of the mean (SEM), while the AOFAS showed a higher sensitivity to change.

Conclusions: Both the EFAS and the AOFAS show comparable psychometric properties. The EFAS performs better regarding SEM and internal consistency. Furthermore EFAS is a PROM without investigator bias and should therefore be preferred.

Level of evidence: III.

查看原文本刊更多论文

欧洲足踝评分（EFAS）与美国骨科足踝社会评分（AOFAS）在足踝手术患者中的比较

背景：EFAS和AOFAS都是评估足踝关节手术术后疗效的问卷。EFAS是一种患者报告的结果测量（PROM），而AOFAS也包含医生报告的子集，是世界上最常用的问卷。我们的研究比较了两种评分在足部或踝关节手术患者中的心理测量特性。方法：对126例足踝外科患者的EFAS问卷和AOFAS问卷进行效度和信度比较。分析了内部一致性、重测信度、下限和上限效应、结构效度、反应性和最小重要变化。结果：AOFAS与EFAS总体上表现出相似的心理测量性质，EFAS比AOFAS具有更好的内部一致性，平均标准误差（SEM）更小，而AOFAS对变化的敏感性更高。结论：EFAS和AOFAS具有相似的心理测量特性。EFAS在SEM和内部一致性方面表现更好。此外，EFAS是一种没有研究者偏见的PROM，因此应该首选。证据水平：III。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.