在接受全膝关节关节整形手术的日本患者中,与KOOS相比,JKOOS+的响应性得到改善
Stephen Lyman1, Go Omori2, Norimasa Nakamura3
1Department of Medical Education, School of Medicine, Kyushu University, Fukuoka, Japan; Hospital for Special Surgery, New York, NY, USA.
概括
在接受全膝关节整形术 (TKA) 的患者中,日本膝关节结局得分 (JKOOS+) 与西方措施相比,表现出更好的反应能力. 其新的日语日常生活活动 (JADL) 领域在评估日本膝关节关节炎结果方面显著改善.
科学领域:
- 整形外科 整形外科 整形外科
- 医学统计 医学统计
- 康复科学 康复科学 康复科学
背景情况:
- 现有的膝关节患者报告结果测量 (PROMs) 可能会表现出西方偏见,因为它们在西方社会中的发展.
- 文化相关的PROM对于在不同人群中准确评估膝盖状况至关重要.
- 日本版本的膝关节损伤和骨关节炎结局得分 (JKOOS+) 是为了解决这一文化差距而开发的.
研究的目的:
- 评估JKOOS+在接受全膝关节整形手术 (TKA) 的日本患者中的响应能力.
- 为了比较新的日语日常生活活动 (JADL) 域与原来的日本ADL域的响应性.
- 评估JKOOS+中独特的膝盖曲 (KF) 域的响应能力.
主要方法:
- 在日本,有114名预定接受TKA的患者在基线和1年后完成了牛津膝关节评分 (OKS) 和JKOOS+.
- 使用效果大小和标准化响应平均值 (SRM) 测量响应,>0.8被认为是充足的.
- 修改后的Jacknife测试被用来比较JADL和ADL域的响应性.
主要成果:
- 大多数JKOOS+领域的响应充足,除了体育和娱乐领域,这对TKA患者来说不那么重要.
- 与原始ADL域相比,JADL域的响应性显著更高 (效果大小:1.51比1.45;SRM:1.67比1.57).
- 新的膝盖 Flexion (KF) 域显示出足够的响应能力,尽管比大多数其他域更少.
结论:
- 具有JADL域的JKOOS+对于接受TKA的日本膝关节骨关节炎患者来说,是一种比西方开发的措施更具响应性的患者报告结果测量方法.
- JKOOS+ KF域有效地评估了日本TKA患有骨关节炎的患者的膝盖曲困难.
- 文化适应的PROM可以提高特定患者群体的结果评估的准确性.
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