确定初级全关节整形手术患者可接受的症状状态:一项10年后续研究
Roger Quesada-Jimenez1, Elizabeth G Walsh1, Andrew R Schab1
1American Hip Institute Research Foundation, Chicago, IL 60018.
The Journal of arthroplasty
|August 20, 2025
概括
这项研究确定了患者可接受的症状状态 (PASS) 关节整形术 (THA) 结果在10年内. 这些评分有助于评估长期的临床成功,不仅仅是统计上的改善.
科学领域:
- 骨科手术
- 临床结果研究
- 关节整形
背景情况:
- 患者报告的关节整形术 (THA) 的改善可能并不总是表明临床益处.
- 临床值对于评估术后功能状态和患者满意度至关重要.
- 定义患者可接受的症状状态 (PASS) 提供了更有意义的长期成功指标.
研究的目的:
- 确定和评估患者可接受的症状状态 (PASS) 门在10年随访初级关节整形手术 (THA).
- 通过验证的PRO仪器评估长期功能状态和患者满意度.
- 为临床医生提供基准来衡量THA的长期临床成功.
主要方法:
- 从初级THA患者收集的前性数据的回顾 (2008年至2015年).
- 纳入标准:在10年后完成PRO与问题.
- 基于的方法用于定义mHHS,HHS,HOOS-JR和FJS的PASS值.
主要成果:
- 包括176个部;平均随访时间为124. 9个月.
- 在定义值下表示可接受的曲线下面的面积 (mHHS,HHS,HOOS-JR:0.87;FJS:0.71).
- 已确立的10年PASS值:mHHS 79.5,HHS 81.3,HOOS-JR 75.1,FJS 76.0. 没有任何证据表明这种情况可能发生.
结论:
- 这项研究成功地确定了THA后10年关键PRO的患者可接受症状状态 (PASS) 值.
- 这些定义的值是临床医生评估长期临床成功的有价值的基准.
- 这些发现有助于更好地理解长期THA随访中以患者为中心的结果.
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