Zochling Jane, Bonjean Monika, Grill Eva, Scheuringer Monika, Stucki Gerold, Braun Jürgen
Rheumazentrum-Ruhrgebiet, Landgrafenstr. 15, 44652, Herne, Germany.
Clin Rheumatol. 2006 Nov;25(6):807-13. doi: 10.1007/s10067-005-0156-3. Epub 2006 Apr 22.
To identify outcome measures and concepts cited in published studies focusing on the treatment of acute inflammatory arthritis, and to identify and quantify the concepts contained in these measures using the International Classification of Functioning, Disability and Health (ICF) as a reference. This 'research perspective' is part of the development process for an ICF core set in acute arthritis. Electronic searches of Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, Pedro and the Cochrane Library from January 2000 to July 2004 were carried out. Data on the outcome measures and patient characteristics for the included studies were extracted. The items of the identified questionnaires and their underlying concepts were specified and then linked to ICF categories using standardized linkage rules. From the 401 abstracts retrieved, 104 studies met the inclusion criteria. From these studies, 38 formal assessment instruments, 62 single clinical measures, 66 technical measures and 14 clinical criteria were identified. A total of 966 concepts were extracted, and 84.7% of these concepts could be linked to ICF categories. The concepts contained in measures named in more than 5% of the studies were represented by 34 second-level ICF categories. Ten (30%) of the 34 categories belong to the component "Body Functions", 3 (9%) to the component "Body Structures" and 21 (61%) to the component "Activities and Participation". The ICF provides a valuable reference to identify and quantify the concepts of outcome measures focusing on the management of patients with acute inflammatory arthritis. Our findings indicate there is good agreement on 'what should be measured' in acute inflammatory arthritis to allow for a comparison of patient populations.
确定已发表的聚焦于急性炎症性关节炎治疗研究中引用的结局指标和概念，并以《国际功能、残疾和健康分类》（ICF）为参考，识别并量化这些指标中包含的概念。这种“研究视角”是急性关节炎ICF核心集开发过程的一部分。对2000年1月至2004年7月期间的Medline、Embase、护理学与健康相关文献累积索引、Pedro和Cochrane图书馆进行了电子检索。提取了纳入研究的结局指标和患者特征数据。明确了所识别问卷的条目及其潜在概念，然后使用标准化链接规则将其与ICF类别相链接。从检索到的401篇摘要中，104项研究符合纳入标准。从这些研究中，识别出38种正式评估工具、62项单一临床指标、66项技术指标和14项临床标准。共提取了966个概念，其中84.7%的概念可与ICF类别相链接。在超过5%的研究中提及的指标所包含的概念由34个ICF二级类别表示。34个类别中的10个（30%）属于“身体功能”组件，3个（9%）属于“身体结构”组件，21个（61%）属于“活动与参与”组件。ICF为识别和量化聚焦于急性炎症性关节炎患者管理的结局指标概念提供了有价值的参考。我们的研究结果表明，在急性炎症性关节炎“应测量什么”方面存在良好的一致性，以便对患者群体进行比较。
