临床决策支持工具在膝关节骨关节炎治疗选择的实施:一个范围审查
Jodie A Cochrane1,2,3, Oliver Roberts4, Karen Ribbons1,2,5
1Centre for Rehab Innovations, University of Newcastle, Callaghan, NSW, Australia.
Therapeutic advances in musculoskeletal disease
|January 22, 2026
概括
膝关节骨关节炎 (KOA) 的临床决策支持工具显示出个性化治疗的前景. 然而,模型开发中的透明度有限,以及对疼痛和功能等结果的狭关注,阻碍了它们的临床实用性.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 医疗信息学 医疗信息学
背景情况:
- 膝关节关节炎 (KOA) 呈现出多种现象,需要量身定制的治疗策略.
- 目前对KOA的治疗方法缺乏个性化,影响患者的治疗结果.
- 临床决策支持 (CDS) 工具在KOA中为个性化治疗规划提供了潜力.
研究的目的:
- 识别和评估现有的KoaCDS工具,利用个性化的预测模型.
- 评估CDS工具在指导KOA干预决策中的特点和局限性.
主要方法:
- 对六个电子数据库进行了全面的范围审查.
- 2010年1月1日至2024年5月17日期间发表的研究被系统搜索.
- 数据提取侧重于研究设计,工具实施和预测模型,包括14项研究.
主要成果:
- 确定了十种不同的Koa CDS工具,主要来自美国.
- 大多数工具专注于疼痛和身体功能,但仅限于包括非手术选择或心理社会/财务影响.
- 观察到对基础预测模型的开发和功能进行不一致的报告.
结论:
- 针对KOA的个性化决策辅助工具显示出增强以患者为中心的护理的潜力.
- 临床实用性目前受到模型开发和实施缺乏透明度的限制.
- 未来的研究应该扩大结果测量范围,并包括非手术选择,以获得更大的临床相关性.
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