全髋关节置换术后疼痛与功能测量指标的比较反应性
Comparative responsiveness of measures of pain and function after total hip replacement.
作者信息
Nilsdotter A K, Roos E M, Westerlund J P, Roos H P, Lohmander L S
机构信息
Department of Orthopedics, Halmstad County Hospital, Sweden.
出版信息
Arthritis Rheum. 2001 Jun;45(3):258-62. doi: 10.1002/1529-0131(200106)45:3<258::AID-ART258>3.0.CO;2-L.
OBJECTIVE
To compare the responsiveness of the Functional Assessment System (FAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Medical Outcomes Study 36-item Short Form (SF-36) in patients with osteoarthritis (OA) scheduled for total hip replacement.
METHOD
Twenty patients with a mean age at surgery of 72.6 years, with primary OA of the hip, were investigated preoperatively and at 3, 6, and 12 months postoperatively with the FAS, WOMAC, and SF-36. The responsiveness was calculated as standardized response mean, effect size, and relative efficiency.
RESULTS
The pain and function scores of WOMAC and SF-36 showed greater responsiveness than FAS at 3 months. These differences remained at 6 and 12 months postoperatively. The differences between these 3 outcome measures were found to be similar using several methods for calculating responsiveness.
CONCLUSION
Self-administered questionnaires like WOMAC and SF-36 are more responsive measures of pain and function than range of motion, performance tests, and observer-administered questions (FAS) following total hip replacement.
目的
比较功能评估系统（FAS）、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）以及医学结局研究简明健康状况调查量表（SF - 36）在计划进行全髋关节置换术的骨关节炎（OA）患者中的反应性。
方法
对20例平均手术年龄为72.6岁的原发性髋关节OA患者，在术前以及术后3个月、6个月和12个月使用FAS、WOMAC和SF - 36进行调查。反应性计算为标准化反应均值、效应量和相对效率。
结果
在术后3个月时，WOMAC和SF - 36的疼痛和功能评分显示出比FAS更高的反应性。这些差异在术后6个月和12个月时仍然存在。使用几种计算反应性的方法发现这3种结局指标之间的差异相似。
结论
在全髋关节置换术后，像WOMAC和SF - 36这样的自我管理问卷在疼痛和功能测量方面比活动范围、性能测试以及观察人员管理的问题（FAS）更具反应性。
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