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在聚合患者中显著的异质性肩部疼痛可接受的症状状态值:系统性审查和元分析
Ozge Ozkutlu1, Aysenur Erekdag2, Sahra Sirvan Tongar3
1Health Science University, Faculty of Physiotherapy and Rehabilitation, Ankara, Türkiye.
概括
患者可接受的症状状态 (PASS) 对于肩部疼痛有很大的不同. 这次元分析发现,综合PASS为20.18,受干预类型,随访持续时间和偏差风险的影响.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 基于证据的医学基于证据的医学.
背景情况:
- 肩膀疼痛显著影响生活质量.
- 患者可接受的症状状态 (PASS) 是一个关键的结果指标.
- 了解PASS值对于评估治疗有效性至关重要.
研究的目的:
- 在肩部疼痛群体中系统地审查和元分析患者可接受的症状状态 (PASS) 值.
- 评估不同干预和不同患者群体PASS估计的变化.
- 为了确定疼痛强度测量是否一致估计PASS.
主要方法:
- 在主要数据库 (Web of Science,Scopus,CENTRAL,MEDLINE) 中进行全面的文献搜索.
- 包括21项研究,共8992名参与者.
- 随机效应元分析与异质性评估 (I2,Cochran's Q) 和子组分析.
主要成果:
- 肩部疼痛的汇集PASS估计值为20.18 (95%CI:16.63-23.73).
- 观察到显著的异质性 (I2=97%).
- 较低的PASS值与手术干预,更长的随访和中度偏差风险有关.
结论:
- 为肩膀疼痛建立了一个合并的PASS值,但存在相当大的异质性.
- 根据干预类型,随访持续时间和偏差风险,PASS值存在显著差异.
- 需要进一步的研究,以完善在不同的肩部疼痛背景下对PASS的理解.
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