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John R Martin¹, Paulo Castaneda¹, Haroon Kisana¹

¹University of Arizona College of Medicine, Phoenix, Arizona, U.S.A.

Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association

|October 21, 2023

概括

手术前的美国肩膀和肘部外科医生 (ASES) 评分预测旋转器袖口修复的结果. 较低的分数预示着更大的改善,而较高的分数与更好的患者可接受的症状状态和满意度相关.

科学领域:

整形外科手术整形外科手术
患者报告的结果

背景情况:

术前患者报告的结果 (PROs) 对于评估旋转手腕修复成功至关重要.
了解术后结果的预测因素可以指导患者的期望和治疗计划.

研究的目的:

调查手术前的PRO,特别是美国肩膀和肘部外科医生 (ASES) 评分,预测手术后的PRO和旋转手套修复后的患者满意度.

主要方法:

对348名接受初级旋转手腕修复的患者的回顾性分析.
接收器运行特征 (ROC) 分析以确定预测性ASES得分值.
在高于和低于值的组之间比较结果 (ASES分数,MCID,SCB,PASS,满意度).

主要成果:

手术前的ASES得分为63,可以预测获得实质性临床益处 (SCB).
手术前ASES<63的患者表现出明显更大的改善 (MCID,SCB,ΔASES),但最终得分较低.
手术前ASES> 63的患者报告了更高的最终ASES分数,更有可能达到患者可接受的症状状态 (PASS) 和更高的满意度.

结论:

手术前的ASES分数是旋转手腕修复后功能改善和患者满意度的重要预测指标.
虽然手术前分数较低表明相对改善的可能性更高,但较高的分数可以预测更好的整体满意度和症状状态.

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