Single Assessment Numeric Evaluation score in shoulder pathologies: cross-cultural adaptation and validation into Russian

Abstract

Background. Single Assessment Numeric Evaluation (SANE) Score is a single-answer scale widely used within the global medical community. However, to date, it has not been adapted and validated into Russian, particularly as a tool to assess orthopedic shoulder conditions. The aim of the study is to conduct a cross-cultural adaptation and validation of the Russian version of the SANE score as an assessment tool of orthopedic shoulder conditions. Methods. The study included a total of 160 patients with various shoulder pathologies, of which 101 (63%) males and 59 (37%) females. The median age was 45 (37-52) years. At the first stage of the study, we performed cross-cultural adaptation of the SANE score into Russian. The second stage was the validation of the obtained score. Its reliability, validity and responsiveness were evaluated. Reliability was assessed by “test-retest” method. It allowed to measure an intra-class correlation coefficient (ICC) between the SANE score results obtained at the time of the first appointment and again in 14 days. The validity assessment was based on the comparison of the SANE and ASES (have already been adapted into Russian) score results. Responsiveness was assessed using statistical analysis for two dependent samples and calculation of the Guyatt’s Responsivity Index (GRI). Floor and ceiling effects were evaluated as the percentage of patients who reported either minimum or maximum scores. Results. The psychometric properties assessment has revealed good indicators of reliability (ICC = 0.77), validity (a strong direct correlation between SANE and ASES scores = 0.707; a moderate strength inverse correlation with ASES “Intensity of pain” subsection = 0.542) and responsiveness (GRI = 1.861). Floor and ceiling effects accounted for 1% and 3%, respectively, (all below 15%). Conclusions. Adapted to assess the shoulder conditions, the Russian version of the SANE score has good psychometric properties. Its advantage is the combination of completion speed and ease of use with a high-quality integrated subjective assessment of the patients’ set of complaints.