在逐渐崩的脚形重建后,使用PROMIS定义患者可接受的症状状态
Stone R Streeter1, Sophie Kush1, Agnes Cororaton2
1Weill Cornell Medical College, 1300 York Avenue, New York, NY 10021, USA.
概括
定义患者可接受的症状状态 (PASS) 对于逐渐崩的脚形 (PCFD) 重建至关重要. 这项研究使用PROMIS分数确定了PASS值,帮助外科医生管理期望并优化PCFD治疗.
科学领域:
- 整形外科 整形外科 整形外科
- 脚和脚手术 脚和脚手术
- 患者报告的结果
背景情况:
- 患者可接受的症状状态 (PASS) 定义了患者对治疗结果的满意度的门.
- 为逐渐崩的脚形 (PCFD) 重建建立PASS对于临床实践和研究至关重要.
研究的目的:
- 定义患者可接受的症状状态 (PASS) 门,用于逐渐崩的脚形 (PCFD) 重建.
- 利用患者报告结果测量信息系统 (PROMIS) 的得分和定问题来确定这些门.
主要方法:
- 对109名接受灵活PCFD重建的患者进行了回顾性队列研究.
- 收集了手术前和2年术后的PROMIS分数和问题答案.
- 用人接收机运行特征 (ROC) 曲线分析以确定 PASS 值.
主要成果:
- 对于 PROMIS 物理功能 (PF) 和疼痛干扰 (PI) 领域的确立的 PASS 值.
- 与人口规范相比,PF的PASS门较低,PI的门较高.
- 较高的手术前PROMIS PF分数和较低的手术前PROMIS PI分数与获得PASS相关.
结论:
- 定义的PASS值可以指导PCFD的未来成果研究.
- 这些发现有助于外科医生优化PCFD治疗策略.
- 结果有助于更好地管理患者对PCFD手术结果的期望.
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