患者在足文献中报告的结果指标:系统性审查
Sofyan Al Shdefat1, Zaki Arshad2, Rahul Khan3
1Royal Free London NHS Foundation Trust, London, UK.
Foot (Edinburgh, Scotland)
|October 1, 2025
概括
患者报告的结果指标 (PROM) 对于评估干预措施至关重要. 这次审查发现,在足研究中使用PROMs是不一致的,尽管有可用的验证工具,但这阻碍了可靠的结论.
科学领域:
- 整形外科的研究.
- 临床结果评估评估临床结果评估
- 患者报告的结果措施 (PROMs)
背景情况:
- 在临床实践中,PROM对于评估干预结果至关重要.
- 标准化结果测量对于可靠的研究结果至关重要.
- 脚部和脚文献分析揭示了PROM利用的趋势.
研究的目的:
- 在足文献中对PROM进行全面的系统审查.
- 分析2012年至2022年期间PROM的使用模式.
- 确定最常用的PROM并评估它们的一致性.
主要方法:
- 来自六个主要的骨科期刊 (2012-2022) 的文章的系统综述.
- 包括原始研究文章,其中至少有一篇关于足病的PROM报告.
- 分析PROM频率按年,日记和病理/程序.
主要成果:
- 从总共4402篇文章中,包括了报告125个不同的PROM的1553篇文章.
- 美国整形足和脚学会 (AOFAS) 评分是最常见的 (51.5%),其次是视觉模拟尺度 (VAS) 疼痛评分 (43.2%).
- 只有1.5%的研究报告了最小临床重要差异 (MCID).
结论:
- 尽管使用量下降,但AOFAS评分仍然普遍存在,突出了局限性.
- 不一致的应用各种验证的脚和脚PROMs影响研究质量.
- 在使用验证的PROM中提高一致性对于提高脚研究可靠性至关重要.
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