{"doi":"10.1302/0301-620x.94b2.27634","title":"Responsiveness of the Manchester–Oxford foot questionnaire (MOXFQ) compared with AOFAS, SF-36 and EQ-5D assessments following foot or ankle surgery","abstract":"<jats:p> The responsiveness of the Manchester–Oxford Foot Questionnaire (MOXFQ) was compared with foot/ankle-specific and generic outcome measures used to assess all surgery of the foot and ankle. We recruited 671 consecutive adult patients awaiting foot or ankle surgery, of whom 427 (63.6%) were female, with a mean age of 52.8 years (18 to 89). They independently completed the MOXFQ, Short-Form 36 (SF-36) and EuroQol (EQ-5D) questionnaires pre-operatively and at a mean of nine months (3.8 to 14.4) post-operatively. Foot/ankle surgeons assessed American Orthopaedic Foot and Ankle Society (AOFAS) scores corresponding to four foot/ankle regions. A transition item measured perceived changes in foot/ankle problems post-surgery. Of 628 eligible patients proceeding to surgery, 491 (78%) completed questionnaires and 262 (42%) received clinical assessments both pre- and post-operatively. The regions receiving surgery were: multiple/whole foot in eight (1.3%), ankle/hindfoot in 292 (46.5%), mid-foot in 21 (3.3%), hallux in 196 (31.2%), and lesser toes in 111 (17.7%). Foot/ankle-specific MOXFQ, AOFAS and EQ-5D domains produced larger effect sizes (&gt; 0.8) than any SF-36 domains, suggesting superior responsiveness. In analyses that anchored change in scores and effect sizes to patients’ responses to a transition item about their foot/ankle problems, the MOXFQ performed well. The SF-36 and EQ-5D performed poorly. Similar analyses, conducted within foot-region based sub-groups of patients, found that the responsiveness of the MOXFQ was good compared with the AOFAS. </jats:p><jats:p> This evidence supports the MOXFQ’s suitability for assessing all foot and ankle surgery. </jats:p>","journal":"The Journal of Bone and Joint Surgery. 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Dawson","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"base_score":4.927253685157205,"endowment":4.927253685157205,"datacite_reuse_total":2,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"22323689","pmcid":null,"openalex_id":"https://openalex.org/W2156119078","authors":[],"funders":[],"total_grants":0,"fwci":7.0874,"citation_percentile":0.97737557,"influential_citations":4,"citation_trend":[{"year":2012,"count":4},{"year":2013,"count":4},{"year":2014,"count":11},{"year":2015,"count":9},{"year":2016,"count":7},{"year":2017,"count":6},{"year":2018,"count":7},{"year":2019,"count":13},{"year":2020,"count":12},{"year":2021,"count":12},{"year":2022,"count":13},{"year":2023,"count":10},{"year":2024,"count":11},{"year":2025,"count":12},{"year":2026,"count":6}],"oa_status":"closed","license":"https://online.boneandjoint.org.uk/TDM","oa_locations":[{"url":"https://online.boneandjoint.org.uk/doi/pdf/10.1302/0301-620X.94B2.27634","host_type":"publisher"},{"url":"https://online.boneandjoint.org.uk/doi/full-xml/10.1302/0301-620X.94B2.27634","host_type":"publisher"},{"url":"https://doi.org/10.1302/0301-620x.94b2.27634","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/22323689","host_type":"repository"},{"url":"https://ora.ox.ac.uk/objects/uuid:0b356343-02bd-4a9c-9c1b-33d2c8a26cdd","host_type":"repository"},{"url":"https://ora.ox.ac.uk/objects/uuid:2d0ffa96-16a9-46e9-a53f-3b580751070a","host_type":"repository"},{"url":"https://ueaeprints.uea.ac.uk/id/eprint/37260/","host_type":"repository"}],"fields_of_study":["Foot and Ankle Surgery","Orthopedic Surgery and Rehabilitation","Lower Extremity Biomechanics and Pathologies","Medicine","Adolescent","Adult","Aged","Aged, 80 and over","Ankle","England","Female","Foot","Health Status Indicators","Humans","Male","Middle Aged","Postoperative Pain","Patient Satisfaction","Surveys and Questionnaires","Treatment Outcome","Young Adult"],"mesh_terms":["Adolescent","Adult","Aged","Aged, 80 and over","Ankle","England","Female","Foot","Health Status Indicators","Humans","Male","Middle Aged","Pain, Postoperative","Postoperative Pain","Surveys and Questionnaires","Treatment Outcome","Patient Satisfaction","Young Adult"],"keywords":["Ankle","Foot (prosody)","Medicine","Foot and ankle surgery","Physical therapy","Surgery"],"sdg_mappings":[],"linked_datasets":[{"doi":"10.6084/m9.figshare.11979411.v1","title":"Additional file 1 of A randomised, multi-centre trial of total ankle replacement versus ankle arthrodesis in the treatment of patients with end stage ankle osteoarthritis (TARVA): statistical analysis plan","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.11979411","title":"Additional file 1 of A randomised, multi-centre trial of total ankle replacement versus ankle arthrodesis in the treatment of patients with end stage ankle osteoarthritis (TARVA): statistical analysis plan","publisher":"figshare","resource_type":"JournalArticle"}],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-06-13T04:51:40.988997Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}