What is the Majeed Pelvic Score?
The Majeed Pelvic Score (MPS) is a pelvis-specific 7-question measure designed specifically for patients that experience pelvic fractures. Scored on a scale of 16-100, the MPS encompasses five primary dimensions of recovery including pain, sitting, sexual intercourse, work, and standing. The standing dimension contains three questions including information regarding walking aids, unaided gait, and walking distance.
Each dimension of the MPS is weighted differently, with standing and pain contributing most to the final MPS total score (maximum of 36 and 30 points, respectively). From the final health score, the final patient health state (i.e. excellent, good, fair, and poor) is determined with group cutoffs based on work status prior to injury.
- Working prior to injury:
- Excellent: >85
- Good: 70-84
- Fair: 55-69
- Poor: <55
- Not working prior to injury
- Excellent >70
- Good: 55-69
- Fair: 45-54
- Poor: <45
Strengths
The MPS is one of the few validated pelvis-specific patient-reported outcomes. At a brief 7 questions, the Majeed score can be completed quickly in the clinic setting or at the patient’s homes, taking an average of two to three minutes to complete. The MPS has been validated in patients with acute pelvic ring injuries, as well as patients with chronic sacroiliac pain, with limited ceiling and floor effects and acceptable responsiveness. Its significant correlation with both the Short Form-36 and Oswestry Disability Index indicates criterion validity.
Considerations
Despite the validation and use of the MPS in current literature regarding chronic and acute pelvic ring injuries, there are a few considerations to be taken prior to its utilization. The reporting of the MPS scoring methodology in current literature is inconsistent, with few studies outlining the range of most severe function, adjusted scores for pre-injury work status, or definitions of the categories ranging from excellent to poor. Thus, comparisons to literature-based normative values must be performed judiciously. Furthermore, a few studies have demonstrated considerable ceiling effects (greater than 15% of patients reaching the maximum score), which may limit its utility in the later stages of recovery from pelvic ring injuries.
Costs and Licensing
There is no cost or licensing required to utilize the MPS. It is readily available to any who wishes to implement it into practice.
Conclusion
The Majeed Pelvic Score has demonstrated utility in acute and chronic pelvic ring injuries in people of all ages. Its easy-to-understand composition and simple score calculation make it an excellent tool for capturing the recovery curve early on in the care of patients with pelvic ring injuries.
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Sources: 1. Prognostic factors and quality of life after pelvic fractures. The Brabant Injury Outcome Surveillance (BIOS) study, 2. Differences in the Majeed Pelvic Score Between Injured and Uninjured Patients, 3. What Outcomes Are Important for Patients After Pelvic Trauma? Subjective Responses and Psychometric Analysis of Three Published Pelvic-Specific Outcome Instruments 4. Psychometric properties including reliability, validity and responsiveness of the Majeed pelvic score in patients with chronic sacroiliac joint pain 5. Inaccuracies in the Use of the Majeed Pelvic Outcome Score: A Systematic Literature Review
