主观关节值是一种有效,可靠和响应的工具,用于评估初级全关节整形术中的关节功能
Vincent J Leopold1, Paul Milan Homm1, David Krüger2
1Department of Orthopaedic Surgery and Traumatology, Charité Berlin, University Hospital, Berlin, Germany.
The Journal of arthroplasty
|February 9, 2024
概括
主观关节值 (SHV) 是一种有效,可靠和响应的工具,用于在全关节整形术后评估关节功能. 这种单项评分简化了患者报告的结果,有助于临床决策.
科学领域:
- 整形外科手术 整形外科手术
- 患者报告的结果衡量患者报告的结果.
- 关节整形术的结果
背景情况:
- 患者报告的结果测量 (PROM) 对临床决策和研究至关重要.
- 像修改后的哈里斯部分数 (mHHS) 这样的多项分数可能会耗费大量时间.
- 主观部值 (SHV) 是对部功能的单项评估.
研究的目的:
- 评估SHV的心理测量特性 (有效性,可靠性,响应性).
- 确定SHV.的临床重要差异最小值 (MCID).
- 评估SHV在接受全关节整形手术的患者中的实用性.
主要方法:
- 预计将招募137名接受初级关节整形手术的患者.
- 在手术前和多个随访点 (6周至1年) 采集SHV和mHHS.
- 对有效性,可靠性,响应性,MCID和地板/天花板效应的评估.
主要成果:
- 在所有时间点中发现了SHV和mHHS之间的显著相关性.
- SHV 显示出良好的测试重复测试可靠性 (rs = 0.74) 和响应性 (rs = 0.24).
- 确定SHV的MCID为10.06%,其地板/天花板效应与mHHS相比较.
结论:
- SHV是一个有效的,可靠的,响应的单项评分,用于评估关节整形术后的关节功能.
- SHV有效地检测到关节功能的临床相关变化.
- 收集和解释的方便性支持在临床实践中实施SHV.
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