手术前的身体功能评分对单层子宫盘置换后的结果的影响
Timothy J Hartman1, James W Nie, Eileen Zheng
1Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.
Clinical spine surgery
|January 13, 2025
概括
术前患者报告结果测量信息系统物理功能 (PROMIS-PF) 评分预测宫椎盘置换 (CDR) 后的结果. 较低的PROMIS-PF分数与功能和手臂疼痛的更大改善相关,更频繁地实现临床重要差异最小值 (MCID).
科学领域:
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
- 患者报告的结果
背景情况:
- 术前患者报告结果测量信息系统物理功能 (PROMIS-PF) 评分越来越多地被认为是手术结果的预后因素.
- 虽然研究已经在各种骨科手术中探索了这种关系,但它对椎盘置换 (CDR) 的具体影响仍然不太了解.
研究的目的:
- 调查手术前PROMIS-PF评分对单级CDR后的术前和术后结果的影响.
- 根据手术前的PROMIS-PF水平,评估临床重要差异最小值 (MCID) 的实现率.
主要方法:
- 一项回顾性研究确定了接受单级CDR并具有手术前PROMIS-PF分数的患者.
- 患者被分为功能较低 (PROMIS-PF <40) 和功能较高 (PROMIS-PF ≥40) 的两组.
- 包括PROMIS-PF,SF-12 PCS,VAS (部和手臂) 和部残疾指数在内的结果在手术前和多个随访点收集.
主要成果:
- 功能较强的组经历了更长的操作时间.
- 这两组在大多数患者报告的结果指标 (PROM) 中都出现了改善,功能更高的组最初报告了更好的术后PROMIS-PF得分.
- 功能较差的组表现出对SF-12 PCS和VAS手臂疼痛的MCID实现率显著更高.
结论:
- 手术前的PROMIS-PF得分影响了CDR患者的术后结果.
- 虽然功能较强的患者报告了更好的整体得分,但功能较低的患者更频繁地实现了MCID,这表明相对功能改善更大.
- 手术前身体功能较低的患者在CDR后可能会在功能和手臂疼痛方面获得更实质性和临床意义上的改善.
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