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在关节保护手术中患者报告的结果:它们都是一样的吗?

Luke Sang¹, Kian Niknam, Ishaan Swarup

¹From the School of Medicine (Sang and Niknam), University of California, San Francisco, San Francisco, CA, and the Department of Orthopedic Surgery (Swarup), University of California, San Francisco, San Francisco, CA.

The Journal of the American Academy of Orthopaedic Surgeons

|December 10, 2024

概括

患者报告结果测量信息系统-25 (PROMIS-25) 与部保护患者的部结果得分 (HOS) 和国际部结果工具12 (iHOT-12) 有着强烈的相关性. 这种标准化工具有效地捕捉了成人和儿科年龄组的结果.

科学领域:

整形外科整形外科整形外科
患者报告的结果措施 (PROMs)
护手术护手术

背景情况:

传统的关节结果指标,如关节结果得分 (HOS) 和国际关节结果工具12 (iHOT-12) 可以受到混因素的影响.
标准化患者报告结果测量信息系统-25 (PROMIS-25) 为评估患者结果提供了一种经过验证的替代方案.
PROMIS-25已经证明与现有的解剖学特异性PROM有很好的相关性.

研究的目的:

评估和比较iHOT-12和HOS与PROMIS-25.5之间的相关性.
评估在接受关节保护手术的成人和儿科患者中这些相关性.
确定PROMIS-25在这个患者队列中作为标准化结果衡量的适用性.

主要方法:

包括接受关节保护手术的患者.
在手术前通过电子平台收集iHOT-12,HOS和PROMIS-25数据.
根据年龄分层的PROMs (成人/儿科) 之间的斯皮尔曼相关性计算,以rho-to-z转换进行人口统计比较.

主要成果:

分析了62名患者 (64.5%为儿科患者).
在成人和儿科组中,在PROMIS领域 (例如功能移动性) 和部特异性PROMs (HOS,iHOT-12) 之间观察到强大至强中等相关性.
人口因素,特别是年龄和性别对PROMs相关性的显著影响被注意到 (P<0.05).

结论:

在成人和儿科部保护患者的类似结构中,PROMIS领域和传统的部结果测量 (iHOT-12,HOS) 之间存在很高的相关性.
人口变化可能会影响iHOT-12/HOS和PROMIS之间的相关性强度.
普罗米斯-25是一种可靠和准确的工具,用于在接受关节保护手术的儿科和成人患者中捕获结果.

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