多中心修改的Delphi练习,以确定用于分类早期症状膝关节关节炎的候选项目
L K King1, J W Liew2, A Mahmoudian3
1Department of Medicine, University of Toronto, Toronto, Canada.
Osteoarthritis and cartilage
|November 9, 2024
概括
研究人员通过专家共识确定了77个潜在项目,用于对早期症状膝关节关节炎 (EsSKOA) 进行分类. 这份清单将有助于区分EsSKOA和其他疾病和已确定的骨关节炎 (OA).
科学领域:
- 类风湿病学 类风湿病学
- 整形外科 整形外科 整形外科
- 临床流行病学 临床流行病学
背景情况:
- 早期症状膝关节骨关节炎 (EsSKOA) 需要精确的分类来进行有效的管理.
- 从临床上看,区分EsSKOA与已确定的骨关节炎 (OA) 和其他膝关节疾病是非常重要的.
- 目前还缺少EsSKOA分类的一组经过验证的项目.
研究的目的:
- 为了生成EsSKOA分类候选项的全面列表.
- 根据专家的共识和感知到的有用性来缩小这个列表.
- 为进一步基于数据的对分类项目的评估奠定基础.
主要方法:
- 进行了为期三轮的国际修改后的Delphi练习,涉及128名OA临床医生和研究人员.
- 参与者在9分级别上对108个候选项的有用性进行了评分.
- 如果物品的中位数是>5并且被至少33.3%的专家认为是有用的 (7-9),则被保留.
主要成果:
- 保留了77个候选项目,涵盖人口统计学,症状,体检,绩效测量,成像和实验室调查.
- 评分高的项目包括先前的膝关节损伤,在另一个关节诊断OA,以及与活动相关的膝关节疼痛.
- 项目实用性评级的四分之一区间最常为3,表明一些变化.
结论:
- 77个项目被OA专家确定为EsSKOA分类可能有用的项目.
- 该研究强调了专家们对特定项目的有用性存在的不确定性.
- 将采用更多数据驱动的方法来完善和缩小候选项目列表.
更多相关视频
相关概念视频
01:09Functional Classification of Joints
Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
01:10Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...