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定义儿科膝关节手术的临床重要最小差异值.

Amith Umesh1, Joshua T Bram1, Patrick P Nian1

  • 1Department of Pediatric Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA.

Orthopaedic journal of sports medicine
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PubMed
概括

这项研究确定了在前十字带重建 (ACLR) 和中侧骨带重建 (MPFLR) 后,儿科患者报告的结果仪器的临床重要差异 (MCID). 这些发现有助于解释儿科膝关节手术患者的结果.

关键词:
在MCID中,MCD是MCD.在这个过程中,PRO PRO PRO.儿科膝关节 儿科膝关节

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科学领域:

  • 整形外科手术 整形外科手术
  • 儿科整形外科 儿科整形外科
  • 康复医学 康复医学 康复医学

背景情况:

  • 对于成年PROs的儿科后ACLR和MPFLR,建立了临床重要差异最小值 (MCID).
  • 对于儿科专用PRO仪器,MCID仍未得到量化.

研究的目的:

  • 为HSS Pedi-FABS,Pedi-IKDC和儿科/家长代理 PROMIS PI,移动性和体育活动分数建立MCID.
  • 目标人群:接受ACLR和MPFLR的儿科患者.

主要方法:

  • 对接受ACLR或MPFLR治疗的18岁或更年轻患者 (2016-2023) 的回顾性审查.
  • 收集了手术前的HSS Pedi-FABS,Pedi-IKDC和PROMIS分数 (疼痛干扰,体力活动,移动性).
  • MCID定义为手术前得分的标准偏差的一半.

主要成果:

  • ACLR组 (505名患者):为HSS Pedi-FABS (-5.0),Pedi-IKDC (8.7),PROMIS PI (-5.2),流动性 (2.2),体力活动 (5.6) (儿科) 建立的MCID;以及PROMIS PI (-4.3),流动性 (4.3),体力活动 (5.0) (家长代理).
  • MPFLR组 (253名患者):为HSS Pedi-FABS (-5.1),Pedi-IKDC (9.1),PROMIS PI (-5.7),移动性 (4.9),体育活动 (5.6) (儿科) 建立的MCID;以及PROMIS PI (-4.3),移动性 (4.5),体育活动 (5.9) (家长代理).
  • 负的MCID表示改善疼痛和活动水平下降的门值.

结论:

  • 这项研究为儿科ACLR和MPFLR中的关键PRO仪器建立了新的MCID.
  • 这些MCID对于解释儿科膝关节手术中的患者结果至关重要.
  • 提供了评估治疗有效性和患者康复的基准.