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多族群亚裔人群中,基于族群分层的全膝关节置换术患者术前特征和结局。

Preoperative patient characteristics and outcomes of total knee arthroplasty in a multiethnic Asian population stratified by ethnicity.

机构信息

Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.

出版信息

J Arthroplasty. 2014 Feb;29(2):304-7. doi: 10.1016/j.arth.2013.06.002. Epub 2013 Jul 26.

Abstract

We aim to compare the patient profile and outcomes after TKA between the different racial groups in Singapore. Prospective data were collected from 364 patients who underwent TKA in Singapore General Hospital from January 2006 to May 2010. Patients were stratified according to ethnicity and we compared their preoperative demographic data, Short-Form 36 (SF-36), Oxford Knee (OKS) as well as Knee Society Scores (KSS). Malays were younger (62.0 ± 5.3) at time of surgery (p=0.05) and the body mass index of Chinese (27.9 ± 4.7) was lower than Malay (30.4 ± 5.0) and Indian (31.5 ± 4.5) patients (P<0.005). Malay (40.3 ± 11.0) and Indian (39.2 ± 9.3) patients had less favourable preoperative OKS than Chinese (35.9 ± 7.8) patients (P<0.05). All 3 ethnic groups achieved statistically significant improvements in outcome measures but did not differ significantly between the ethnicities.

摘要

我们旨在比较新加坡不同种族群体接受全膝关节置换术(TKA)后的患者特征和结局。前瞻性数据来自于 2006 年 1 月至 2010 年 5 月在新加坡中央医院接受 TKA 的 364 名患者。患者根据种族进行分层,比较他们的术前人口统计学数据、36 项简短健康调查问卷(SF-36)、牛津膝关节评分(OKS)和膝关节协会评分(KSS)。手术时马来族患者更年轻(62.0±5.3)(p=0.05),而中国患者的体重指数(27.9±4.7)低于马来族(30.4±5.0)和印度族(31.5±4.5)患者(P<0.005)。马来族(40.3±11.0)和印度族(39.2±9.3)患者的术前 OKS 评分低于中国患者(35.9±7.8)(P<0.05)。所有 3 个种族群体在结局测量上都取得了统计学上显著的改善,但在种族间没有显著差异。

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