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在骨关节炎的虚拟绩效测量:患者护理的创新转型

Helen Razmjou^1,2,3, Suzanne Denis^1,2, Susan Robarts^1,2

¹Bone and Joint Program, Holland Orthopedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Canada.

Osteoarthritis and cartilage open

|October 13, 2023

概括

膝关节骨关节炎的新虚拟性能测量 (VPM) 是可靠和有效的. 这个数字工具准确地评估功能,有可能改变远程患者护理,并减少面对面的测试负担.

科学领域:

整形外科整形外科整形外科
数字健康数字健康
康复医学康复医学康复医学

背景情况:

膝关节关节骨关节炎 (OA) 显著影响患者的功能和生活质量.
准确评估功能限制对于有效的OA管理和治疗决策至关重要.
目前的面对面评估对患者来说可能是耗时和繁重的.

研究的目的:

开发和验证膝关节OA患者的虚拟绩效测量 (VPM) 评分.
确定VPM在评估功能限制时的可靠性和有效性.
评估患者对VPM的体验和满意度.

主要方法:

开发了一个VPM使用40个视频跨越越越来越困难的10个功能任务.
收集了来自100名膝关节OA患者 (平均年龄65±9,70%为女性) 的数据.
评估了VPM可靠性 (克朗巴赫α=0.92,ICC=0.82) 和对临床,放射和性能测量的有效性 (r=0.46-0.66).

主要成果:

该VPM表现出良好的内部一致性 (克朗巴赫α=0.92) 和测试复试可靠性 (ICC=0.82).
因子分析确定了VPM中的三个不同的领域.
VPM得分与现有测量结果有中等的相关性,对于膝关节关节整形候选症的良好预测有效性 (AUC=0.90).

结论:

虚拟绩效测量 (VPM) 是评估膝关节OA患者的可靠和有效工具.
这种数字VPM为远程功能评估提供了一个有希望的方法,可能会改变OA护理.
VPM可以减少需要耗时的面对面评估的需求,并改善患者获得护理的机会.

关键词:

准确度准确度准确度准确度准确度混合动力是一个混合动力.绩效指标是指性能指标.可靠性可靠性可靠性有效性有效性是有效性的.虚拟的虚拟的虚拟的虚拟的虚拟

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