术后哈里斯关节评分与哈里斯关节评分 关节置换中的差异:要报告什么?
Nikolai Ramadanov1,2, Maximilian Voss1,2, Robert Hable3
1Center of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane, Brandenburg an der Havel, Germany.
在术后报告哈里斯关节分数 (HHS) 或HHS差异 (HHSdiff) 给出了关节置换结果的类似结果. 这一系统性审查在随机对照试验中没有发现这两种方法之间的相关差异.
科学领域:
- 整形外科手术 整形外科手术
- 临床结果研究研究
- 基于证据的医学基于证据的医学.
背景情况:
- 哈里斯关节评分 (HHS) 是评估关节功能和手术成功的标准指标.
- 评估关节置换结果需要可靠的科学信息.
- 该研究涉及临床试验中报告HHS的常见做法.
研究的目的:
- 系统地审查随机对照试验 (RCT),报告关节置换中的HHS.
- 为了比较报告术后HHS与HHS差异 (HHSdiff) 的结果.
- 确定报告方法是否影响对治疗组差异的评估.
主要方法:
- 在PubMed,CNKI和Epistemonikos数据库中进行系统的文献搜索.
- 包括41个RCT,涉及3572名患者.
- 通过Hartung-Knapp-Sidik-Jonkman方法使用平均差异 (MD) 和95%置信区间 (CI) 的统计分析.
主要成果:
- 在报告术后的HHS和HHS之间没有发现显著差异.
- 这一发现在多个术后时间点 (0-0.5,3,6和12个月) 中是一致的.
- 在所有纳入的研究中,发现了低到中等水平的证据和出版偏见.
结论:
- 术后的HHS和HHSdiff都为评估关节置换治疗组提供了可比的结果.
- 报告方法的选择不会实质性地改变RCT结果的解释.
- 研究结果支持一致使用这两种指标来评估关节手术的有效性.
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