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肩膀手术的趋势患者报告的结果措施

Rajpal Narulla^1,2, Mark Song², Sascha Karunaratne³

¹Department of Orthopaedic Surgery, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.

JSES international

|July 10, 2023

概括

骨科手术中的患者报告结果测量 (PROM) 正在扩大. 这项审查发现,在上肢出版物中,它们的使用增加了102%,采用了多样化和地理上不同的评分系统.

科学领域:

整形外科手术整形外科手术
临床研究临床研究
患者报告的结果

背景情况:

患者报告的结果测量 (PROM) 是现代骨科手术不可或缺的一部分.
随着PROM在临床实践和研究中的使用不断扩大,需要了解当前的趋势.
PROM使用的最终方向和标准化仍然不清楚.

研究的目的:

在主要上肢骨科出版物中系统地审查和识别PROMs的使用趋势.
分析一段时间内PROM使用的流行率,多样性和地理差异.

主要方法:

对2013年1月至2020年1月期间发表的文章进行了回顾性系统审查.
纳入标准集中在6个高影响力的上肢整形学期刊上,特别是关于肩膀关节整形,不稳定性,旋转手套手术和PROM使用的文章.
从PubMed,Medline和Embase数据库中提取数据.

主要成果:

报告PROM的文章增加了102%,从2013年的57篇增加到2019年的115篇.
在607个符合条件的文章中,共记录了1593个PROM使用情况,采用了63种不同的评分系统.
在PROM偏好的地理差异被注意到,美国肩膀和肘部外科医生得分在北美和亚洲占主导地位,欧洲的Constant-Murley得分占主导地位.

结论:

在上肢手术中使用PROM正在增加,无论是患病率还是多样性.
在PROM的选择和应用中存在显著的地理差异.
对单一最佳PROM达成共识可能是不必要的;相反,建议为特定的研究问题选择理想的PROM.

关键词:

关节质整术是指关节质整术.不稳定不稳定不稳定.这些是PROMs.患者报告的结果衡量患者报告的结果.旋转器袖口的旋转器袖口是什么意思在肩膀上进行了手术.

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