van der Waal Johanna M, Terwee Caroline B, van der Windt Daniëlle A W M, Bouter Lex M, Dekker Joost
Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands.
Qual Life Res. 2005 May;14(4):1141-55. doi: 10.1007/s11136-004-4599-9.
The purpose of this review is to summarize the available evidence on the impact of non-traumatic hip or knee disorders on health-related quality of life (HRQL), as measured with the Short Form 36 Health Survey (SF-36) or Short Form 12 Health Survey (SF-12), by comparing this with data from reference populations.
Studies were identified by an electronic search of the MEDLINE, PsychInfo and Cinahl databases. Studies with the following features were included: study population included patients with non-traumatic hip or knee disorders, the SF-36 or SF-12 was used as an outcome measure and mean scores on these HRQL measures were presented. Using mean HRQL scores from the selected studies and scores from reference populations, z-scores were computed. Pooled estimates were computed for subgroups of studies with similar patients in similar settings.
A total of 40 studies met the inclusion criteria. Patients with non-traumatic hip and knee disorders scored up to 2.5 standard deviations (SDs) below reference population values, especially on the physical aspects of HRQL. Social and mental aspects were up to 1 SD below reference population values, especially in patients in clinical settings.
The impact of non-traumatic hip or knee disorders on HRQL is substantial, especially on the physical aspects of HRQL.
本综述的目的是通过与参考人群的数据进行比较，总结关于非创伤性髋部或膝部疾病对健康相关生活质量（HRQL）影响的现有证据，HRQL采用简明健康调查问卷（SF - 36）或简明健康调查问卷12项版（SF - 12）进行测量。
通过对MEDLINE、PsychInfo和Cinahl数据库进行电子检索来识别研究。纳入具有以下特征的研究：研究人群包括非创伤性髋部或膝部疾病患者，将SF - 36或SF - 12用作结局指标，并呈现这些HRQL指标的平均得分。利用所选研究的平均HRQL得分和参考人群的得分，计算z分数。对在相似环境中患有相似疾病患者的研究亚组计算合并估计值。
共有40项研究符合纳入标准。非创伤性髋部和膝部疾病患者的得分比参考人群值低达2.5个标准差（SD），尤其是在HRQL的身体方面。社会和心理方面比参考人群值低达1个SD，尤其是在临床环境中的患者。
非创伤性髋部或膝部疾病对HRQL的影响很大，尤其是对HRQL的身体方面。
