Dawson J, Fitzpatrick R, Murray D, Carr A
Department of Public Health and Primary Care, Radcliffe Infirmary, Oxford, UK.
Qual Health Care. 1996 Jun;5(2):81-8. doi: 10.1136/qshc.5.2.81.
To compare the performance of a disease specific and a general health questionnaire in assessing changes resulting from total hip replacement.
Two stage prospective study of patients undergoing total hip replacement surgery involving an assessment at a clinic before and six months after surgery. 60(32%) patients were followed up by post.
Outpatient departments at a specialist orthopaedic hospital and peripheral clinics within Oxfordshire.
188 patients admitted for unilateral total hip replacement between February and mid-August 1994.
Patients' self assessed scores with the 12 item Oxford hip score and SF-36 general health questionnaire together with surgeons' assessment with Charnley hip score obtained before and again at six months after surgery.
186 patients were followed up six months after total hip replacement; a subsample (n=60) by post. Of the 60 postal patients, 59(98.3%) fully completed the Oxford hip score compared with 44(73.3%) who fully completed the SF-36. For the followup sample as a whole, post operative changes in scores produced a large effect size of 2.75 on the Oxford hip score, compared with -1.89 physical function (SF-36), -2.13 pain (SF-36). With the exception of physical function and role (physical), postoperative SF-36 scores were shown to be similar to or better than those found by two population surveys on patients of comparable age. The responsiveness of a disease specific questionnaire, the Oxford hip score, and relevant sections of a general questionnaire, SF-36, were found to be similar as assessed by three different criteria.
A disease specific questionnaire, the Oxford hip score, and a general state of health questionnaire, SF-36, performed similarly in assessing outcomes of total hip replacement except that the disease specific questionnaire resulted in a higher completion rate and greater responsiveness in some sections. On the other hand the general health questionnaire drew attention to broader problems of physical function not considered by the Oxford hip score. The health questionnaires examined here offer a valid and practical means of monitoring outcomes of hip replacement surgery.
比较一种疾病特异性问卷和一种一般健康问卷在评估全髋关节置换术后变化方面的表现。
对接受全髋关节置换手术患者的两阶段前瞻性研究，包括术前在诊所及术后六个月的评估。60名（32%）患者通过邮寄方式进行随访。
一家专业骨科医院的门诊部及牛津郡内的周边诊所。
1994年2月至8月中旬期间收治的188名单侧全髋关节置换患者。
患者使用12项牛津髋关节评分和SF-36一般健康问卷进行自我评估得分，以及外科医生在术前和术后六个月使用查恩利髋关节评分进行评估。
186名患者在全髋关节置换术后六个月接受随访；60名患者通过邮寄方式进行随访。在这60名通过邮寄方式随访的患者中，59名（98.3%）完全完成了牛津髋关节评分，而完全完成SF-36问卷的有44名（73.3%）。对于整个随访样本，术后评分变化在牛津髋关节评分上产生了2.75的大效应量，相比之下，在身体功能（SF-36）上为-1.89，在疼痛（SF-36）上为-2.13。除身体功能和角色（身体方面）外，术后SF-36评分显示与两项针对可比年龄患者的人群调查结果相似或更好。通过三种不同标准评估发现，疾病特异性问卷牛津髋关节评分和一般问卷SF-36的相关部分的反应性相似。
疾病特异性问卷牛津髋关节评分和一般健康问卷SF-36在评估全髋关节置换结果方面表现相似，只是疾病特异性问卷的完成率更高，且在某些部分反应性更强。另一方面，一般健康问卷关注到了牛津髋关节评分未考虑的更广泛的身体功能问题。此处研究的健康问卷为监测髋关节置换手术结果提供了一种有效且实用的方法。
