关节透视的临床相关门有所不同:系统性审查
Elizabeth G Walsh1, Isabella A Wallace1, Roger Quesada-Jimenez1
1American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
本研究确定了关节镜术的患者可接受的症状状态 (PASS) 和实质性临床益处 (SCB) 门. 门因患者因素和随访时间而异,指导外科医生的选择.
科学领域:
- 整形外科手术 整形外科手术
- 患者报告的结果
- 临床试验方法论 临床试验方法论
背景情况:
- 关节镜检查的结果是使用患者报告的结果测量 (PROMs) 来评估的.
- 确定患者可接受的症状状态 (PASS) 和实质性临床益处 (SCB) 的明确门对于评估治疗成功至关重要.
- 这些值的变化使研究结果的解释变得复杂.
研究的目的:
- 系统地识别和综合报告的PASS和SCB值,用于关节镜检查.
- 为选择临床决策和研究的适当门提供指导.
主要方法:
- 对PubMed和MEDLINE数据库的系统审查 (2024年8月).
- 包括I-IV级证据研究,确定关节透镜的PASS或SCB值.
- 不包括案例报告,评论,技术文章和非英语文献.
主要成果:
- 35项研究在13个PROM中产生了102个PASS和82个SCB值.
- 对于PASS,经常报告部结果得分运动特定子表 (HOS-SSS).
- 国际部结果工具 (iHOT) 常用于SCB.
结论:
- 在关节透镜的PASS和SCB值中存在显著的异质性.
- 影响变化的因素包括问题,应答者标准,随访时间,样本大小和患者人口统计数据.
- 为了进行准确的比较,外科医生应选择与特定手术的后续时间保持一致的门值.
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