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全膝关节置换术后的患者满意度:主观与客观结果评估的比较

Patient satisfaction after total knee arthroplasty: a comparison between subjective and objective outcome assessments.

作者信息

Bullens P H, van Loon C J, de Waal Malefijt M C, Laan R F, Veth R P

机构信息

Department of Orthopaedic Surgery, and Department of Rheumatic Diseases, University Hospital Nijmegen, Nijmegen, The Netherlands.

出版信息

J Arthroplasty. 2001 Sep;16(6):740-7. doi: 10.1054/arth.2001.23922.

DOI:10.1054/arth.2001.23922
PMID:11547372
Abstract

We used a visual analog scale (VAS) to assess the satisfaction after total knee arthroplasty (TKA) in a group of 108 patients (126 TKAs) with short-term to medium-term follow-up. We also used the Knee Society scoring system, Western Ontario and McMasters Universities Osteoarthritis Index (WOMAC), pain VAS, and survival analysis. A comparison between the subjective and objective outcome systems revealed only poor correlations. This comparison suggests that the concerns and priorities of patients and surgeons differ. The outcome assessed with the satisfaction VAS revealed a significantly better subjective outcome in rheumatoid arthritis patients compared with osteoarthritis patients, whereas Knee Society scores were not different. The satisfaction VAS provides additional information about subjective outcome after TKA.

摘要

我们采用视觉模拟评分法(VAS)对一组108例患者(126次全膝关节置换术)进行中期短期随访,以评估全膝关节置换术(TKA)后的满意度。我们还使用了膝关节协会评分系统、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、疼痛VAS以及生存分析。主观和客观结果系统之间的比较显示相关性较差。这种比较表明患者和外科医生的关注点和优先事项有所不同。与骨关节炎患者相比,类风湿关节炎患者的满意度VAS评估结果显示主观结果明显更好,而膝关节协会评分没有差异。满意度VAS为TKA后的主观结果提供了额外信息。

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