根据手术前的功能评分来确定全膝关节整形术的适用性:我们是否在更早的时间进行手术?
Peter Dust1, Jan Kruijt2, Nikolaos A Stavropoulos2
1From the Division of Orthopaedic Surgery, McGill University, Montréal, Que. (Dust, Huk, Zukor, Antoniou, Bergeron); the Department of Orthopaedic Surgery, Hôpital du Suroît, Salaberry-de-Valleyfield, Que. (Kruijt); and the Department of Orthopaedic Surgery, General Hospital of Karpenissi, Karpenissi, Greece (Stavropoulos) peter.dust@mail.mcgill.ca.
接受全膝关节整形术 (TKA) 的患者没有比过去更高的术前功能水平. 对于TKA候选人的功能状态在不同患者人口统计和时间段中保持一致.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 生物统计学 生物统计学
背景情况:
- 膝关节整形术 (TKA) 率的增加超过了人口增长和肥胖趋势.
- 研究患者的功能状态作为TKA的指标.
- 检查TKA的手术前功能水平是否随着时间的推移而变化.
研究的目的:
- 评估患者功能状态在TKA征兆中的作用.
- 为了确定患者现在的术前功能是否比过去更高.
- 分析影响TKA手术前功能状态的因素.
主要方法:
- 对MEDLINE,Embase和Cochrane数据库进行系统审查和元分析.
- 功能状态通过36项简短形式健康调查的物理组件摘要 (PCS) 评分进行评估.
- 在1991-2015年的数据上进行的元回归和子组分析.
主要成果:
- 分析了来自257个独立组的57,844名患者的数据.
- 术前PCS平均得分为31.1;在研究中观察到显著的差异.
- 招生年份,年龄,性别或地区对手术前PCS得分没有显著影响.
结论:
- 接受TKA的患者显示了与历史数据相比的术前功能水平.
- 人口因素 (年龄,性别,地点) 不影响TKA候选人的功能值.
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