下肢延长手术的结果和结果测量仪器:一个范围审查,以告知核心结果集的发展
Ali Yalcinkaya1, Ole Rahbek2, Maria Tirta2
1Interdisciplinary Orthopaedics, Aalborg University Hospital, Aalborg; Department of Orthopaedic Surgery, Aalborg University Hospital, Aalborg, Denmark. a.yalcinkaya@rn.dk.
Acta orthopaedica
|November 29, 2024
概括
下肢延长手术的结果是不一致的,这使得研究变得困难. 在下肢延长手术 (LLLS) 中,很少报告以患者为中心的结果,例如生活质量.
科学领域:
- 整形外科手术 整形外科手术
- 证据综合研究
- 结果测量结果的测量.
背景情况:
- 下肢延长手术 (LLLS) 的异质结果阻碍了证据综合.
- 不一致的结果会削弱系统性审查和临床建议.
- 这种异质性降低了LLLS研究的整体影响.
研究的目的:
- 在LLLS中对结果和结果测量工具 (OMI) 进行范围审查.
- 为了映射LLLS研究中报告的各种结果.
- 识别结果报告和测量的不一致性.
主要方法:
- 系统识别报告LLLS患者 (成人和儿童) 结果的研究结果.
- 报告结果和OMI的字面提取.
- 通过COMET分类学来对结果术语进行专家分组.
主要成果:
- 分析了149项研究 (从5,308个初始结果中) 报告了2,939个字面结果.
- 结果整合到92个标题和27个子标题;83%是临床,13%对生活的影响.
- 最常见的结果:延长,骨愈合,运动范围,四肢对齐和并发症.
结论:
- 在LLLS的结果是高度异质的,有各种各样的定义和测量工具.
- 对患者重要的结果,如生活质量和身体功能,报告不足.
- 需要对结果报告进行标准化,以改善LLLS研究和临床实践.
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