Söderman P, Malchau H, Herberts P
Department of Orthopaedics, Sahlgrenska University Hospital, Göteborg, Sweden.
Clin Orthop Relat Res. 2001 Sep(390):163-72. doi: 10.1097/00003086-200109000-00019.
During the past 40 years, improvements have been made in the technique, implant, and surgical environment for total hip replacement, which today is one of the most cost-effective operations done. The aim of this study was to compare different outcome measurement methods and to develop recommendations for optimal followup of total hip replacement. The study involved the outcome of 2604 randomly selected patients in Sweden treated surgically with a modern technique. General questionnaires (the Medical Outcomes Study 36-Item Short-Form Health Survey and the Nottingham Health Profile) were compared with disease-specific questionnaires (the Western Ontario and McMaster University Osteoarthritis Index and the Harris hip score). The study showed a good correlation between the studied questionnaires, and all questionnaires used could be suitable for followup study after hip replacement surgery. In clinical practice and for research, a general and disease-specific self-administered score should be used. Some patients (older and low cerebral capacity) have difficulties answering questions on these questionnaires. A new short self-administered general and disease-specific questionnaire was designed: the Total Hip Replacement score. The Total Hip Replacement score provides information about the result of the hip arthroplasty, and the results can be compared with results of other surgical interventions.
在过去40年里，全髋关节置换术的技术、植入物和手术环境都有了改进，如今这是最具成本效益的手术之一。本研究的目的是比较不同的结果测量方法，并为全髋关节置换术的最佳随访制定建议。该研究涉及瑞典2604例采用现代技术进行手术治疗的随机选择患者的结果。将通用问卷（医学结局研究36项简短健康调查和诺丁汉健康状况量表）与疾病特异性问卷（西安大略和麦克马斯特大学骨关节炎指数和哈里斯髋关节评分）进行了比较。研究表明，所研究的问卷之间具有良好的相关性，所有使用的问卷都适用于髋关节置换术后的随访研究。在临床实践和研究中，应使用通用的和疾病特异性的自我管理评分。一些患者（年龄较大和脑容量较低）在回答这些问卷上的问题时有困难。设计了一种新的简短的自我管理通用和疾病特异性问卷：全髋关节置换评分。全髋关节置换评分提供了有关髋关节置换术结果的信息，并且可以将结果与其他手术干预的结果进行比较。
