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An Alternative Way to Display SF-36 Results for Individual Patients

To the Editor:

Standardized assessment of outcomes has become increasingly important in the comprehensive physical therapy and rehabilitation management of patients. Health care professionals measure outcomes to adjust treatments and to improve processes and results of care. Outcomes measurement has been substantially improved in the past decade by the creation of psychometrically sound, condition-specific and generic health status instruments. Although these instruments are now commonly included in clinical research, in our opinion they are not yet widely used in patient care. Possible reasons are the additional administrative load and difficulty in the interpretation of end scores.^1–3 Health status instruments, therefore, should be brief and yield scores that are easy to interpret.

Among the currently available instruments, the 36-Item Short-Form Health Survey (SF-36), covering physical, psychological, and social aspects of health status, has found wide acceptance, in part because of its brevity....

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