脊髓型颈椎病患者的疗效评估指标：日本骨科协会脊髓型颈椎病评估问卷（JOACMEQ）：第1部分。
An outcome measure for patients with cervical myelopathy: Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ): Part 1.
作者信息
Fukui Mitsuru, Chiba Kazuhiro, Kawakami Mamoru, Kikuchi Shin-Ichi, Konno Shin-Ichi, Miyamoto Masabumi, Seichi Atsushi, Shimamura Tadashi, Shirado Osamu, Taguchi Toshihiko, Takahashi Kazuhisa, Takeshita Katsushi, Tani Toshikazu, Toyama Yoshiaki, Wada Eiji, Yonenobu Kazuo, Tanaka Takashi, Hirota Yoshio
机构信息
Laboratory of Statistics, Osaka City University Faculty of Medicine, Osaka, Japan.
出版信息
J Orthop Sci. 2007 May;12(3):227-40. doi: 10.1007/s00776-007-1118-1. Epub 2007 May 31.
BACKGROUND
An outcome measure to evaluate the neurological function of cervical myelopathy was proposed by the Japanese Orthopaedic Association in 1975 (JOA score), and has been widely used in Japan. However, the JOA score does not include patients' satisfaction, disability, handicaps, or general health, which can be affected by cervical myelopathy. The purpose of this study was to develop a new outcome measure for patients with cervical myelopathy.
METHODS
This study was conducted in eight university hospitals and their affiliated hospitals from February to May 2002. The questionnaire included 77 items. Forty-one questions, which were originally listed by the authors, were for evaluation of the physical function of the cervical spine and spinal cord. The Medical Outcome Study Short-Form 36-Item Health Survey (SF-36) was used to examine health-related quality of life (QOL). Patients with cervical myelopathy and healthy volunteers were recruited at each institution. After analysis of the answers from patients and volunteers, irrelevant questions using the following criteria were excluded: (1) a question 80% of answers for which were concentrated on one choice, (2) a question whose answer was highly correlated with that of other questions, (3) a question that could be explained by other questions, and (4) a question for which the distribution of the answers obtained from the patients was not different from that obtained from the normal volunteers.
RESULTS
The patients comprised 164 men and 86 women, and the healthy volunteers 96 men and 120 women. Thirteen items from the questions about the physical functions of the cervical spine and the spinal cord and 11 items from SF-36 remained as candidates that should be included in the final outcome measure questionnaire.
CONCLUSION
Twenty-four questions remained as candidates for the final questionnaire. This new self-administered questionnaire might be used to evaluate the outcomes in patients with cervical myelopathy more efficiently.
背景
日本矫形外科学会于1975年提出了一种用于评估脊髓型颈椎病神经功能的疗效评估指标（JOA评分），并在日本广泛应用。然而，JOA评分未纳入患者的满意度、残疾情况、功能障碍或总体健康状况，而这些均可能受到脊髓型颈椎病的影响。本研究旨在为脊髓型颈椎病患者开发一种新的疗效评估指标。
方法
本研究于2002年2月至5月在八所大学医院及其附属医院开展。调查问卷包含77个项目。其中41个问题由作者最初列出，用于评估颈椎和脊髓的身体功能。采用医学结局研究简明健康调查36项量表（SF-36）来检查健康相关生活质量（QOL）。在各机构招募脊髓型颈椎病患者和健康志愿者。在分析患者和志愿者的答案后，根据以下标准排除无关问题：（1）80%的答案集中在一个选项上的问题；（2）答案与其他问题高度相关的问题；（3）可由其他问题解释的问题；（4）患者所得答案分布与正常志愿者所得答案分布无差异的问题。
结果
患者包括164名男性和86名女性，健康志愿者包括96名男性和120名女性。关于颈椎和脊髓身体功能问题中的13个项目以及SF-36中的11个项目作为候选项目保留，应纳入最终的疗效评估调查问卷。
结论
24个问题作为最终调查问卷的候选问题保留。这种新的自填式调查问卷可能更有效地用于评估脊髓型颈椎病患者的治疗效果。
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