用于评估骨折修复的患者重要结局。

Patient-important outcome for the assessment of fracture repair.

作者信息

Hoang-Kim A, Miclau T, Goldhahn J, Nijman T H, Poolman R W

机构信息

St. Michael's Hospital, Department of Surgery, University of Toronto, Institute of Medical Sciences, Toronto, ON, Canada.

Department of Orthopaedic Surgery, University of California, San Francisco, UCSF/SFGH Orthopaedic Trauma Institute, 2550 23rd Street, Bldg. 9, 2nd Floor, San Francisco, CA 94110, United States.

出版信息

Injury. 2014 Jun;45 Suppl 2:S44-8. doi: 10.1016/j.injury.2014.04.008.

DOI:10.1016/j.injury.2014.04.008

PMID:24857028

Abstract

Current evidence indicates that fracture healing assessment is limited to the use of one or two domains (such as pain, range of motion or mobility) in any single study. Functional outcome measures, which include physician-rated or observer-based impairment ratings and patient self-reported or observer-based activity limitation measures, better position the effectiveness of a given intervention towards patient-important outcomes. Health status measures, for example, cover a wide-range of physical, emotional, and social health dimensions. In this paper, we will examine the utility of metrics to assess fracture healing that are important to both the patient and provider, with selected examples from the recent literature. We recommend outcome measures with established and verified reliability and validity. Policy-makers and other stakeholders need to have an accurate assessment of treatment outcome that includes changes in function over time-adequate measures, should be re-applied at periodic intervals.

摘要

目前的证据表明，在任何一项单独的研究中，骨折愈合评估仅限于使用一两个领域（如疼痛、活动范围或移动性）。功能结局指标，包括医生评定或基于观察者的损伤评级以及患者自我报告或基于观察者的活动受限指标，能更好地将特定干预措施的有效性与对患者重要的结局联系起来。例如，健康状况指标涵盖了广泛的身体、情感和社会健康维度。在本文中，我们将通过近期文献中的选定示例，探讨对患者和医疗服务提供者都很重要的评估骨折愈合的指标的效用。我们推荐具有已确立且经过验证的信度和效度的结局指标。政策制定者和其他利益相关者需要对治疗结果进行准确评估，其中应包括随时间推移的功能变化——适当的指标应定期重新应用。