The Discrepancy between Patient and Clinician Reported Function in Extremity Bone Metastases

Table 4

Comparison of interobserver reliability.

	Patient score compared with clinician score	value	Patient score compared with clinician score	value
	Spearman correlation coefficient (95% confidence interval)		Intraclass correlation coefficient (95% confidence interval)
Overall MSTS score	0.74 (0.64–0.83)	<0.001	0.66 (0.43–0.79)	<0.001
Lower extremity MSTS score	0.71 (0.59–0.82)	<0.001	0.64 (0.42–0.78)	<0.001
Upper extremity MSTS score	0.82 (0.68–0.97)	<0.001	0.74 (0.25–0.90)	<0.001
MSTS common domains
Pain	0.50 (0.35–0.64)	<0.001	0.50 (0.36–0.62)	<0.001
Function	0.52 (0.38–0.66)	<0.001	0.43 (0.23–0.59)	<0.001
Emotional acceptance	0.16 (–0.35)	0.073	0.08 (–0.21)	0.105
Lower extremity specific domains
Use of supports	0.74 (0.62–0.86)	<0.001	0.72 (0.60–0.81)	<0.001
Walking ability	0.54 (0.39–0.68)	<0.001	0.47 (0.30–0.61)	<0.001
Gait	0.49 (0.34–0.63)	<0.001	0.48 (0.29–0.62)	<0.001
Upper extremity specific domains
Hand-positioning	0.84 (0.72–0.96)	<0.001	0.61 (0.29–0.81)	<0.001
Dexterity	0.51 (0.18–0.85)	0.003	0.51 (0.18–0.74)	0.003
Lifting ability	0.30 (–0.66)	0.110	0.16 (–0.46)	0.124

Bold indicates significant correlation (two-tailed value below 0.05).
95% confidence interval calculated through bootstrapping (1,000 resamples).