定义患者可接受的症状状态 (PASS) 后,全关节置换PROMIS的患者可接受的症状状态
Isabel Shaffrey1,2, Joseph Nguyen3, Matthew Conti1
1Foot and Ankle Department, Hospital for Special Surgery, New York, NY.
概括
这项研究使用患者报告结果测量信息系统 (PROMIS) 评分在全脚置换 (TAR) 患者中确定了患者可接受的症状状态 (PASS) 值. 在ART后实现PASS与疼痛得分有关,不一定是正常的功能水平.
科学领域:
- 整形外科手术 整形外科手术
- 患者报告的结果
- 生物统计学 生物统计学
背景情况:
- 患者报告的结果 (PROs) 对于评估全关节置换术 (TAR) 的成功至关重要.
- 患者可接受的症状状态 (PASS) 定义了患者对手术后症状的满意度的门.
- 建立基于PROMIS的PASS值对于评估TAR结果至关重要.
研究的目的:
- 为了确定患者可接受的症状状态 (PASS) 值,使用患者报告结果测量信息系统 (PROMIS) 在初级全脚置换 (TAR) 患者的得分.
- 确定影响TAR后PASS实现的关键因素.
主要方法:
- 一组127名初级TAR患者提供了手术前和2年术后的PROMIS分数.
- 用问题评估患者满意度,并使用以为基础的方法计算PASS值.
- 分析了手术前的变量,看看它们与实现PASS的相关性.
主要成果:
- 在PASS值和PROMIS域之间发现了强烈的关联,特别是疼痛干扰 (值<56.0),疼痛强度 (值<48.4) 和身体功能 (值>44.7).
- 实现PASS并没有受到人口因素 (年龄,种族,性别) 或临床因素 (ASA类,BMI,形严重程度) 的显著影响.
- 更糟糕的手术前身体功能和全球心理健康得分与满足手术后身体功能PASS的可能性较低有关.
结论:
- 手术后的PROMIS疼痛评分是实现全脚置换 (TAR) 后患者可接受的症状状态 (PASS) 的最强预测指标.
- 通过值通常低于人口规范,表明患者可以在不达到平均疼痛或身体功能水平的情况下获得满意度.
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