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临床上最相关的下肢功能尺度的心理测量属性:一个系统的审查
Yongni Zhang1, Yaning Zang2, RobRoy L Martin3,4
1Duquesne China Health Institute, Duquesne University, Pittsburgh, PA, USA.
Disability and rehabilitation
|August 13, 2024
概括
本综述总结了下肢功能尺度 (LEFS) 的最小可检测变化 (MDC) 和最小临床重要差异 (MCID) 值. 这些发现有助于临床医生在不同患者群体和语言中解释LEFS结果数据.
科学领域:
- 康复科学 康复科学 康复科学
- 临床测量 临床测量
- 整形外科 整形外科 整形外科
背景情况:
- 下肢功能尺度 (LEFS) 被广泛用于评估下肢疾病患者的功能.
- 建立可靠和可解释的变化得分,如最小可检测变化 (MDC) 和最小临床重要差异 (MCID),对于临床决策至关重要.
研究的目的:
- 对LEFS的MDC和MCID值进行系统的审查和综合现有文献.
- 为临床医生提供跨不同人群,语言和时间框架的这些值的全面摘要.
主要方法:
- 在主要数据库 (PubMed,Embase,Medline,CINAHL) 进行了系统的文献搜索,直到2023年8月.
- 包括在任何患者群体或语言中报告LEFS的MDC或MCID的研究.
- 提取的数据包括测试复试可靠性,MDC,MCID和评估间隔.
主要成果:
- 24项研究报告了LEFS的MDC值,5项研究报告了LEFS的MCID值.
- 在11种语言版本和各种诊断中确定了广泛的MDC值,测试间隔从1天到12个月.
- 报道了三种语言版本的MCID值,包括AUC,特异性和灵敏度等指标,跨越4周至12个月的时间框架.
结论:
- 本综述为临床实践中适用的LEFS提供了定义的MDC和MCID值.
- 临床医生可以利用已识别的值来有效地在各种临床场景中解释LEFS结果数据.
- 这些发现增强了LEFS作为临床环境中的功能结果衡量的实用性.
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