Endoclinic Zurich, Klinik Hirslanden, Zürich, Switzerland; University of Zurich, Zürich, Switzerland.
Spital Männedorf, Männedorf, Switzerland.
J Shoulder Elbow Surg. 2014 Mar;23(3):308-12. doi: 10.1016/j.jse.2013.11.018.
The aim of this study was to evaluate the subjective elbow value (SEV) and compare it with the Mayo Elbow Performance Score (MEPS). The SEV is defined as the patient's subjective estimation of the elbow as a percentage of a normal elbow, which would correspond to 100%.
The MEPS and the SEV were prospectively assessed in all patients treated for any elbow pathology. Two groups in this consecutive series were analyzed: (1) all first consultations (n = 241) and (2) all patients who had a preoperative consultation, a surgical procedure, and a postoperative consultation (n = 41). Statistical analysis included calculation of correlation and responsiveness of the scores.
For the first consultations, the mean MEPS and SEV were 65 points and 60%, respectively. Both scores correlated (r = 0.671). The strongest correlation was found for female patients (r = 0.733) and for the diagnosis group of joint damage (r = 0.747). The standardized response means were 1.26 for the MEPS and 1.01 for the SEV, indicating that both scores detected an obvious change in the outcome.
The SEV is an easily administered, responsive, valid tool to assess the condition of the elbow. It should be considered an adjunct to currently used scores because it only detects the subjective condition of the elbow.
本研究旨在评估主观肘部值（SEV），并将其与 Mayo 肘部表现评分（MEPS）进行比较。SEV 定义为患者对肘部的主观估计，以正常肘部的百分比表示，正常肘部的百分比为 100%。
前瞻性评估所有接受任何肘部病变治疗的患者的 MEPS 和 SEV。对连续系列中的两组进行了分析：（1）所有首次就诊（n=241）和（2）所有接受术前就诊、手术和术后就诊的患者（n=41）。统计分析包括计算评分的相关性和反应性。
首次就诊时，MEPS 和 SEV 的平均得分为 65 分和 60%。两个分数都有相关性（r=0.671）。在女性患者（r=0.733）和关节损伤诊断组（r=0.747）中相关性最强。MEPS 的标准化反应均值为 1.26，SEV 的标准化反应均值为 1.01，表明这两个分数都能明显检测到结果的变化。
SEV 是一种易于管理、反应灵敏、有效的评估肘部状况的工具。它应该被视为当前使用的评分的补充，因为它仅检测肘部的主观状况。
