title: ["Münsteraner foot- and shoe score"--objectivation of patient satisfaction after provision with orthopedic shoes].
abstract: BACKGROUND
  Means to improve patient satisfaction and their compliance are essential for the successful outcome of medical interventions, e.g. supply of orthopedic shoes or orthoses in orthopedic patients. A useful validated questionnaire to monitor the subjective opinion of the patients is still lacking.
  
  
  METHODS
  In a randomised single blinded study we created a new questionnaire with two parts. Part one deals with ten questions on patient data and illness. Part two consists of 13 questions about pain, disabilities in activities of daily life (ADL), use of painkillers, satisfaction, history of ulceration, correction of shoes and orthoses, handling and compliance using a scale of 1-6. Questions were chosen by asking a group of experts (four experienced physicians of two universities and four shoemaker master-craftsmen). Then an items reduction was performed. The reliability was tested in a pre- and retest in 20 patients of our orthopedic clinic. Then the questionnaire was validated by comparing 40 patients of our orthopedic clinic (intervention group) with 180 subjects without orthopedic treatment (control group) chosen at random. The questionnaire was always done anonymously and without the help of the interviewer. Exclusion criteria for the control group were any kind of orthopedic treatment of the lower limb in the last 2 years, orthopedic shoes or lumbar sciatic pain. Exclusion criteria for both groups were minor or major amputations, inability to walk outdoors without help.
  
  
  RESULTS
  We demonstrated highly significant differences for each single question and the total score between orthopedic patients and healthy probands. Additionally, we saw significantly poorer scores for patients suffering from diabetes in the control group, patients with polyneuropathy and those without polyneuropathy, as well as for women vs. men. There was a high rate of diabetics (11 %) in the control group in analogy to the current literature.
  
  
  CONCLUSIONS
  The new questionnaire discriminates highly significantly between healthy and ill probands. Interindividually a screening of people at risk is possible or a comparison of different interventions. Intraindividually it could be used to monitor patient satisfaction after interventions. Objectivation of patient satisfaction is important to improve their compliance and outcome.
authors.affiliation: Technische Orthopädie, Uniklinik Münster, Albert-Schweitzer-Straße 33, Münster. ulrich_illgner@web.de
authors.forename: U
authors.initials: U
authors.lastname: Illgner
authors.forename: K
authors.initials: K
authors.lastname: Schnieder
authors.forename: H
authors.initials: H
authors.lastname: Seintsch
authors.forename: N
authors.initials: N
authors.lastname: Osada
authors.forename: H H
authors.initials: HH
authors.lastname: Wetz
mesh_terms: D000328:Adult; D000368:Aged; D017719:Diabetic Foot / Q000523:psychology / Q000534:rehabilitation*; D003929:Diabetic Neuropathies / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010349:Patient Compliance / Q000523:psychology; D017060:Patient Satisfaction; D011446:Prospective Studies; D055502:Secondary Prevention; D012775:Shoes; D011795:Surveys and Questionnaires