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翻修髋关节置换术后结局评估工具的反应性差异:这意味着什么?

Responsiveness differences in outcome instruments after revision hip arthroplasty: what are the implications?

机构信息

Medicine Service, Birmingham VA Medical Center and Department of Medicine, University of Alabama, Birmingham, USA.

出版信息

BMC Musculoskelet Disord. 2011 May 23;12:107. doi: 10.1186/1471-2474-12-107.

DOI:10.1186/1471-2474-12-107
PMID:21605397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3118152/
Abstract

Responsiveness to change is an important psychometric property of an outcome instrument. Assessment of health-related quality of life (HRQoL) is critical to outcome assessment after total joint replacement, a surgery aimed at improving pain, function and HRQoL of the patients undergoing these procedures. In a recent study, Shi et al. examined the responsiveness to change of various subscales of two instruments, physician-administered Harris Hip Score and patient self-administered Short Form-36 (SF-36), 6 months after revision total hip arthroplasty. The responsiveness statistics for both scales were reasonable, higher for Harris Hip Score than SF-36. This is the first study to examine responsiveness of these instruments in revision THA patients in a systematic fashion.

摘要

变化反应性是一种结果工具的重要心理计量学特性。在全关节置换术后的结果评估中,健康相关生活质量(HRQoL)的评估至关重要,这是一种旨在改善接受这些手术的患者的疼痛、功能和 HRQoL 的手术。在最近的一项研究中,Shi 等人研究了两种工具(医生管理的 Harris 髋关节评分和患者自我管理的 Short Form-36(SF-36))的各个分量表在翻修全髋关节置换术后 6 个月时的变化反应性。两种量表的反应性统计数据都合理,Harris 髋关节评分的反应性高于 SF-36。这是第一项系统研究这些工具在翻修 THA 患者中的反应性的研究。

相似文献

1
Responsiveness differences in outcome instruments after revision hip arthroplasty: what are the implications?翻修髋关节置换术后结局评估工具的反应性差异:这意味着什么?
BMC Musculoskelet Disord. 2011 May 23;12:107. doi: 10.1186/1471-2474-12-107.
2
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本文引用的文献

1
Responsiveness and minimal important differences after revision total hip arthroplasty.翻修全髋关节置换术后的反应性和最小有意义差异。
BMC Musculoskelet Disord. 2010 Nov 12;11:261. doi: 10.1186/1471-2474-11-261.
2
The use of PROMIS and assessment center to deliver patient-reported outcome measures in clinical research.在临床研究中使用患者报告结局测量信息系统(PROMIS)和评估中心来提供患者报告的结局指标。
J Appl Meas. 2010;11(3):304-14.
3
Challenges with health-related quality of life assessment in arthroplasty patients: problems and solutions.关节置换术后患者健康相关生活质量评估的挑战:问题与解决方案。
J Am Acad Orthop Surg. 2010 Feb;18(2):72-82.
4
Variation in outcome measures in hip and knee arthroplasty clinical trials: a proposed approach to achieving consensus.髋关节和膝关节置换临床试验中结局指标的差异:达成共识的一种建议方法。
J Rheumatol. 2009 Sep;36(9):2050-6. doi: 10.3899/jrheum090356.
5
A power primer.强力底漆。
Psychol Bull. 1992 Jul;112(1):155-9. doi: 10.1037//0033-2909.112.1.155.
6
Can patients help with long-term total knee arthroplasty surveillance? Comparison of the American Knee Society Score self-report and surgeon assessment.患者能否助力长期全膝关节置换术监测?美国膝关节协会评分自我报告与外科医生评估的比较。
Rheumatology (Oxford). 2009 Feb;48(2):160-4. doi: 10.1093/rheumatology/ken439. Epub 2008 Dec 23.
7
Findings of extensive variation in the types of outcome measures used in hip and knee replacement clinical trials: a systematic review.髋关节和膝关节置换临床试验中使用的结局指标类型存在广泛差异的研究结果:一项系统评价
Arthritis Rheum. 2008 Jun 15;59(6):876-83. doi: 10.1002/art.23706.
8
Comparison of the responsiveness of the SF-36 and WOMAC in patients undergoing total hip arthroplasty.全髋关节置换术患者中SF-36量表与WOMAC量表反应性的比较。
J Arthroplasty. 2007 Dec;22(8):1168-73. doi: 10.1016/j.arth.2006.10.006.
9
Responsiveness and clinically important differences for the WOMAC and SF-36 after total knee replacement.全膝关节置换术后WOMAC和SF - 36量表的反应性及临床重要差异
Osteoarthritis Cartilage. 2007 Mar;15(3):273-80. doi: 10.1016/j.joca.2006.09.001. Epub 2006 Oct 17.
10
Responsiveness and clinically important differences for the WOMAC and SF-36 after hip joint replacement.髋关节置换术后WOMAC和SF-36量表的反应性及临床重要差异
Osteoarthritis Cartilage. 2005 Dec;13(12):1076-83. doi: 10.1016/j.joca.2005.06.012. Epub 2005 Sep 9.