患者报告结果的临床相关门:患者的期望是否在长期随访中发生变化?
Elizabeth G Walsh1,2, Tyler R McCarroll1,2, Benjamin D Kuhns1,2
1American Hip Institute Research Foundation, Chicago, Illinois, USA.
The American journal of sports medicine
|June 14, 2025
概括
这项研究确定了关节镜检查结果的临床重要值. 患者在10年内实现了较高的临床重要差异最小率 (MCID),患者可接受的症状状态 (PASS) 和实质性临床益处 (SCB),这表明患者的期望在不断变化.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 患者报告的结果
背景情况:
- 临床相关的值对于评估术后功能状态和关节镜术后患者满意度至关重要.
- 了解这些值为手术干预的有效性和患者报告的结果提供了宝贵的见解.
研究的目的:
- 定义和评估最小临床重要差异 (MCID),患者可接受的症状状态 (PASS) 和实质性临床益处 (SCB) 的门.
- 这些门在2年,5年和10年的随访点被评估,使用修改后的哈里斯关节分数 (mHHS),关节结果分数-体育特定子表 (HOS-SSS) 和国际关节结果工具 (iHOT12).
主要方法:
- 从2008年到2021年接受初级关节透镜的患者的回顾性评估.
- 纳入标准要求完成患者报告的结局得分,并在2,5或10年后提出问题.
- 倾向性得分匹配用于在每个时间点创建可比较的组;值是使用基方法来确定的.
主要成果:
- 总共分析了414个部,其值显示可接受的优异歧视.
- 实现PASS和SCB的患者的百分比从2年增加到10年,这表明患者的期望正在变化.
- 在随访期间,MCID和实现它的患者的百分比在随访期间保持相对不变.
结论:
- 在10年的时间里,患者表现出高达MCID,PASS和SCB值的高率.
- 患者对功能结果的期望似乎随着时间的推移而演变,影响了PASS和SCB的实现.
- 了解患者期望的动态性质对于解释长期研究中的临床相关结果值至关重要.
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