定义患者可接受的症状状态值,一年后ORIF中轴关节骨折的患者可接受的症状状态值
Ignacio Pasqualini1, Benjamin E Jevnikar1, Oguz Turan1
1Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Shoulder & elbow
|February 13, 2026
概括
大多数患者在关节骨折手术后感到满意,但许多患者没有达到患者定义的成功基准. 这项研究确定了患者可接受的症状状态 (PASS) 值,用于开放降低和内部固定 (ORIF) 后的关键结局得分.
科学领域:
- 整形外科手术 整形外科手术
- 患者报告的结果措施 (PROMs)
背景情况:
- 中轴关节骨骨折通常影响年轻,活跃的人.
- 开放式减少和内部固定 (ORIF) 是这些骨折的标准治疗方法.
- 目前的评估可能无法完全捕捉ORIF后患者定义的成功.
研究的目的:
- 确定ORIF后一年的ASES,SANE和VAS得分的患者可接受的症状状态 (PASS) 值.
- 确定实现这些PASS值的患者比例.
- 评估ASES,SANE和VAS在评估患者满意度方面的区分能力.
主要方法:
- 对166名接受ORIF治疗的患者进行了回顾性分析,并进行了至少一年的随访.
- 收集患者报告的结果指标 (PROM):ASES,SANE,VAS,以及一个满意度.
- 使用ROC分析和Youden指数推导PASS值;通过AUC评估的歧视.
主要成果:
- 87.3%的患者在一年后表示满意.
- 已确立的 PASS 值:ASES ≥100,SANE ≥90,VAS ≤0.0 这些值是:
- 尽管平均得分很高,但只有63.9% (ASES),56.7% (SANE) 和59.4% (VAS) 的学生达到PASS.
- 在ASES和VAS中,差异很小 (AUC为0.678,0.679),而在SANE中,差异很大 (AUC为0.569).
结论:
- 虽然大多数患者在中轴关节骨折的ORIF后报告满意度,但很大一部分患者没有达到确定的患者可接受的症状状态基准.
- 这突显了平均结果得分与患者感知的成功之间的差异.
- 手术成功指标应与患者定义的标准保持一致,强调PROMs在评估治疗有效性的重要性.
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