Rheumatology Section, Medicine, Minneapolis VA Medical Center, Minneapolis, MN, USA.
J Am Acad Orthop Surg. 2010 Feb;18(2):72-82.
Assessment of health-related quality of life (HRQOL) using patient-reported outcomes in arthroplasty has become popular because it provides a unique perspective on successful elective procedures. However, challenges exist in the assessment of HRQOL in clinical practice and in clinical research. Patient compliance with multiple and sometimes lengthy HRQOL assessments administered at multiple follow-up visits is problematic. Many well-validated HRQOL instruments are available, and progress has been made in defining the minimal clinically important difference in hip and knee arthroplasty that denotes the minimal change perceived to be important by patients. Challenges in understanding the literature are attributable to the use of various HRQOL scales, with different scoring ranges and scoring algorithms, different interpretations of highest score, and differences in the presentation of raw versus transformed scores.
使用患者报告的结果来评估关节置换术后的健康相关生活质量（HRQOL）已经变得很流行，因为它为成功的选择性手术提供了独特的视角。然而，在临床实践和临床研究中评估 HRQOL 仍然存在挑战。患者在多次随访时接受多次且有时冗长的 HRQOL 评估的依从性是一个问题。有许多经过良好验证的 HRQOL 工具可用，并且在定义髋关节和膝关节置换术的最小临床重要差异方面已经取得了进展，这表示患者认为重要的最小变化。理解文献中的挑战归因于使用各种 HRQOL 量表，这些量表具有不同的评分范围和评分算法、对最高评分的不同解释以及原始分数与转换分数的呈现方式不同。
