修改关节功能障碍和骨关节炎结局评分的纵向分析和潜增长建模,用于关节置换 (HOOS-JR)
Emilie N Miley1, Michael A Pickering2, Scott W Cheatham2
1Department of Orthopaedic Surgery and Sports Medicine, University of Florida, Gainesville, FL 32607, USA.
Healthcare (Basel, Switzerland)
|May 24, 2024
概括
修改后的五项关节功能障碍和骨关节炎结局评分为关节置换 (HOOS-JR) 显示在全关节整形术 (THA) 后部分标尺不变. 患者在六个月内报告了大部分改善,女性更快地恢复.
科学领域:
- 整形外科 整形外科 整形外科
- 健康 结果 研究 研究 结果
- 生物统计学 生物统计学
背景情况:
- 关节置换的关节功能障碍和骨关节炎结局得分 (HOOS-JR) 是评估关节整形术 (THA) 结果的简短形式调查.
- 修改后的五项HOOS-JR尺度结构的纵向有效性需要评估.
- 了解THA后患者康复轨迹对于临床评估至关重要.
研究的目的:
- 评估修改后的五项HOOS-JR.的结构有效性和纵向不变性.
- 在多站点THA患者队列中,对HOOS-JR数据进行潜增长曲线 (LGC) 建模.
- 为了确定不同患者子组中恢复模式的异质性.
主要方法:
- 长度研究使用来自手术结果系统 (SOS) 数据库的数据.
- 确认因素分析 (CFAs) 评估了五个时间点的结构有效性和纵向不变性.
- 潜增长曲线 (LGC) 建模检查了恢复模式的异质性.
主要成果:
- 确认因素分析通常符合适应性指数 (CFI=0.964-0.982,IFI=0.965-0.986,SRMR=0.021-0.035). 根据该指数,该指数的适应性指数是:
- 在释放第五项的拦截约束后,实现了部分标量不变性.
- 患者报告的结果随着时间的推移显著改善,在手术前达到顶峰,在手术后2-3年达到最低;大多数改善发生在6个月内.
结论:
- 修改后的五项HOOS-JR在THA患者中证明了部分标量不变性.
- 在THA后长度观察到患者报告结果的显著变化.
- 女性报告了更大的手术前部残疾,但表现出更快的得分改善.
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