肘部置换 (CODER) 的核心结果领域
Adam C Watts1,2,3, Catriona McDaid3, Catherine Hewitt4
1Edge Hill University, Ormskirk, UK.
The bone & joint journal
|October 31, 2024
概括
这项研究通过Delphi调查定义了肘部置换手术的核心结果领域. 确定了包括疼痛和功能在内的九个基本领域,并建议疼痛作为主要结果指标.
科学领域:
- 整形外科手术 整形外科手术
- 康复医学 康复医学 康复医学
- 患者报告的结果
背景情况:
- 肘部置换术的临床结果措施缺乏标准化.
- 不一致的评估阻碍了有效的干预评估.
- 需要定义肘部置换的核心结果领域.
研究的目的:
- 为肘部置换建立基于共识的核心成果领域.
- 为了提高评估肘部置换疗法的有效性的一致性.
主要方法:
- 在45名受访者中进行了实时的Delphi调查.
- 来自362项研究 (1990-2021) 的结果被审查和合理化.
- 一个患者和公众包容和参与 (PPIE) 专家小组为研究结果做出了贡献.
主要成果:
- 确定了九个核心强制性领域:返回工作/日常角色,患者满意度,愿意重复手术,疼痛,修复,肘部功能,日常生活活动的独立性,与健康有关的生活质量和不良事件.
- 疼痛被PPIE小组一致推作为主要结果领域.
- 尽管存在共识,但PPIE小组认为"肘部运动范围"不那么重要.
结论:
- 肘部置换结果的核心领域已经通过共识来定义.
- 疼痛是关键的结果,可以作为主要措施.
- 需要进一步的研究来确定特定的测量仪器.
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