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柱骨折后患者报告的结果措施:系统性审查

Ahmad A Alnasser¹, Ysa Le¹, Amir Human Hoveidaei¹

¹Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, United States.

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons

|December 19, 2025

概括

对于柱骨骨折的患者报告结果测量 (PROM) 缺乏共识. 这次审查发现可靠性和有效性有限,突出了针对柱骨骨折的标准化PROMs的需要,以更好地评估患者的治疗结果.

科学领域:

整形外科手术整形外科手术
创伤护理的护理人员.
患者报告的结果.

背景情况:

对柱骨骨折的最佳患者报告结果措施 (PROM) 缺乏共识.
当前的评分系统过度强调疼痛,忽视了康复的其他关键方面.
本次审查评估了用于柱梁骨折的常用PROM的可靠性和有效性.

研究的目的:

系统地审查和评估用于支柱骨折的患者报告结果措施 (PROMs).
评估这些PROM的可靠性和有效性.
识别缺口并指导开发用于柱梁骨折的标准化PROM.

主要方法:

在PubMed,SCOPUS和Web of Science的系统文献搜索.
纳入标准: ≥10名患有AO-OTA 43C骨折的患者,PROM评估,≥1年的随访.
使用Rayyan进行的选和数据提取与作者共识.

主要成果:

分析了87项研究 (3828名患者),使用了26种不同的PROM.
最常见的是AOFAS后脚-脚评分 (57%),75%的病例评估疼痛.
很少有PROM被验证用于支柱骨折,可靠性/有效性评估很少 (3.4%的研究).

结论:

对于柱柱骨折的PROM选择存在显著的异质性.
目前的PROM显示,对于这种特定的损害,其可靠性和有效性不足.
为准确的结果评估,制定标准化,针对柱梁骨折的PROM至关重要.

关键词:

整形外科手术整形外科手术患者报告的结果措施骨柱骨折骨柱骨折骨柱骨折

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