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用于评估肩部残疾的主观结局指标的批判性评价

Critical appraisal of subjective outcome measures used in the assessment of shoulder disability.

作者信息

Desai Aravind S, Dramis Asterios, Hearnden Anthony J

机构信息

Department of Upper Limb Surgery, Wrightington Hospital, Wigan, UK.

出版信息

Ann R Coll Surg Engl. 2010 Jan;92(1):9-13. doi: 10.1308/003588410X12518836440522.

DOI:10.1308/003588410X12518836440522
PMID:20056048
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3024607/
Abstract

INTRODUCTION

Objective measures can be impractical in some settings, because they are time consuming and require face-to-face contact. More recently, there is an increasing trend towards the use of subjective outcome measures. Hence, in this article, five common subjective shoulder outcome measures are critically appraised in terms of their development, validity, reliability, responsiveness and clinical application.

MATERIALS AND METHODS

Following an extensive literature search, five common shoulder patient-based scores were identified: Disability of Arm, Shoulder and Hand (DASH), Oxford Shoulder Score (OSS), Shoulder Disability Questionnaire (SDQ-UK), Shoulder Pain and Disability Index (SPADI), and the Shoulder Rating Questionnaire (SRQ). These questionnaires were then critically appraised in terms of their development process, validity, reliability, responsiveness, and clinical application.

RESULTS

The SDQ-UK has shown good construct validity but there is no data available regarding internal consistency, reliability and responsiveness. The SPADI has good internal consistency, fair reliability with adequate criterion and construct validity. The DASH has shown to have good construct validity, excellent test-re-test reliability and responsiveness to change. The OSS has good sensitivity, validity and responsiveness. Though SRQ has good internal consistency, its reproducibility and responsiveness are poor.

CONCLUSIONS

Based on this critical appraisal, the DASH received the best ratings for its clinimetric properties followed by the OSS.

摘要

引言

客观测量在某些情况下可能不实用，因为它们耗时且需要面对面接触。最近，使用主观结局测量的趋势日益增加。因此，在本文中，对五种常见的主观肩部结局测量方法在其开发、有效性、可靠性、反应性和临床应用方面进行了批判性评估。

材料与方法

在广泛的文献检索之后，确定了五种常见的基于患者的肩部评分：手臂、肩部和手部功能障碍（DASH）、牛津肩部评分（OSS）、肩部残疾问卷（SDQ-UK）、肩部疼痛和残疾指数（SPADI）以及肩部评分问卷（SRQ）。然后对这些问卷在其开发过程、有效性、可靠性、反应性和临床应用方面进行了批判性评估。

结果

SDQ-UK显示出良好的结构效度，但没有关于内部一致性、可靠性和反应性的数据。SPADI具有良好的内部一致性、具有适当标准和结构效度的中等可靠性。DASH已显示出具有良好的结构效度、出色的重测可靠性和对变化的反应性。OSS具有良好的敏感性、有效性和反应性。虽然SRQ具有良好的内部一致性，但其可重复性和反应性较差。

结论

基于这一批判性评估，DASH在其临床测量特性方面获得了最佳评分，其次是OSS。

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