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牛津膝关节评分与美国膝关节协会评分在衡量全膝关节置换术结果中的成本效益比较。

Cost-benefit comparison of the Oxford Knee score and the American Knee Society score in measuring outcome of total knee arthroplasty.

作者信息

Medalla Greg Anthony, Moonot Pradeep, Peel Tamlyn, Kalairajah Yegappan, Field Richard E

机构信息

South West London Elective Orthopedic Center, Epsom General Hospital, Epsom, Surrey, United Kingdom.

出版信息

J Arthroplasty. 2009 Jun;24(4):652-6. doi: 10.1016/j.arth.2008.03.020. Epub 2008 Jul 9.

DOI:10.1016/j.arth.2008.03.020
PMID:18617359
Abstract

The American Knee Society score (AKSS) and the Oxford Knee score (OKS) are validated outcome measures for evaluation of total knee arthroplasties (TKAs). We investigated whether patient self-assessment using the OKS offers a viable alternative to clinical review using the AKSS. Preoperative, 2-year, 5-year, and 10-year postoperative OKS and AKSS were reviewed from TKA patients. The scores were analyzed using the Pearson correlation. There was good correlation of OKS and AKSS at 2 years. This implies that patient self-assessment is a viable screening tool to identify which patients require clinical review, at 2 years, after TKA. However, the moderate correlation at 5 and 10 years indicates that clinical evaluation remains necessary at these time points.

摘要

美国膝关节协会评分(AKSS)和牛津膝关节评分(OKS)是用于评估全膝关节置换术(TKA)的有效结局指标。我们研究了使用OKS进行患者自我评估是否可作为使用AKSS进行临床评估的可行替代方法。回顾了TKA患者术前、术后2年、5年和10年的OKS和AKSS评分。使用Pearson相关性分析这些评分。术后2年时OKS和AKSS之间存在良好的相关性。这意味着患者自我评估是一种可行的筛查工具,可用于识别TKA术后2年哪些患者需要临床评估。然而,术后5年和10年时的中度相关性表明在这些时间点仍需要进行临床评估。

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