在手腕或手部骨折患者的结果评估中,PROMIS计算机化适应性测试是有效和高效的
Michiel Aj Luijten1,2,3, Pascal Fw Hannemann4, Lotte Haverman2,5
1Amsterdam UMC, Vrije Universiteit, Department of Epidemiology and Data Science, the Netherlands.
The Journal of hand surgery, European volume
|February 12, 2026
概括
像PROMIS CATs这样的患者报告结果测量 (PROMs) 为手腕手骨折提供了高效可靠的功能评估. 较高的抑郁症与更差的PROMIS分数有关,这凸显了心理健康在康复过程中的重要性.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 健康 结果 研究 研究 结果
背景情况:
- 患者报告的结果测量 (PROM) 对于评估手腕手臂骨折后的功能恢复至关重要.
- 通常使用的PROM包括患者指定的手腕/手评估 (PRWHE),手臂,肩膀和手的快速残疾,以及短期肌肉骨功能评估.
- 使用患者报告结果测量信息系统 (PROMIS) 的计算机化适应性测试 (CAT) 提供了一个标准化的替代方案.
研究的目的:
- 为了比较PROMIS CATs的心理特征与手腕手骨折患者的三个遗留PROM.
- 评估PROMIS CATs与传统仪器相比的可靠性,有效性和效率.
- 在这个患者群体中确定与更差的PROMIS分数相关的因素.
主要方法:
- 一项诊断研究 (II级) 涉及因手腕手骨折而接受治疗的患者.
- 通过相关性评估构造有效性 (皮尔森的R > 0.7).
- 评估每个仪器的可靠性 (SE,alpha),效率 (项目,时间) 和地板/天花板效应.
主要成果:
- 在PROMIS CAT中,除了PROMIS-Physical Function和PRWHE (r=0.63) 外,与传统仪器 (r=0.74-0.84) 的相关性很高.
- 所有PROM都显示出足够的可靠性 (SE 2.1-2.2,alpha 0.92-0.97),没有地板/天花板效应.
- 与传统仪器 (11-46项,131-314秒) 相比,PROMIS CATs所需的项目 (4-8) 和时间 (51-84秒) 显著减少.
- 高度抑郁症是PROMIS分数更差的强有力的独立预测因素.
结论:
- PROMIS CAT为手腕骨折患者提供可比且可靠的功能评估.
- 在项目和完成时间方面,PROMIS CAT提供了更高的效率.
- 抑郁症状是影响手腕手骨折患者功能性结局得分的重要因素.
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