Varghese M, Lamb J, Rambani R, Venkateswaran B
Bradford Teaching Hospitals NHS Foundation Trust, UK.
Ann R Coll Surg Engl. 2014 Nov;96(8):590-2. doi: 10.1308/003588414X14055925058157.
In future, outcomes following shoulder surgery may be subject to public survey. Many outcome measures exist but we do not know whether there is a consensus between shoulder surgeons in the UK. The aim of this study was to survey the preferred outcome measures used by National Health Service (NHS) shoulder surgeons operating in the UK.
A total of 350 shoulder surgeons working in NHS hospitals were asked to complete a short written questionnaire regarding their use of scoring systems and outcome measures. Questionnaires were sent and responses were received by post.
Overall, 217 responses were received (62%). Of the respondents, 171 (79%) use an outcome measure in their shoulder practice while 46 (21%) do not. There were 118 surgeons (69%) who use more than one outcome measure. The Oxford shoulder score was most commonly used by 150 surgeons (69%), followed by the Constant score with 106 (49%), the Oxford shoulder instability score with 82 (38%), and the Disabilities of the Arm, Shoulder and Hand score with 54 (25%). The less commonly used outcome measures were the SF-36® and SF-12® health questionnaires with 19 (9%), the University of California at Los Angeles activity score with 8 (4%), the American Shoulder and Elbow Surgeons shoulder assessment form with 8 (4%) and the EQ-5D™ with 10 (3%). Conclusions Validated outcome measures should be adopted by all practising surgeons in all specialties. This will allow better assessment of treatments in addition to assessment of surgical performance in a transparent way.
未来，肩部手术后的结果可能会接受公众调查。现有的结果测量方法众多，但我们并不清楚英国的肩部外科医生之间是否存在共识。本研究的目的是调查在英国国家医疗服务体系（NHS）工作的肩部外科医生所偏好使用的结果测量方法。
总共350名在NHS医院工作的肩部外科医生被要求填写一份关于他们使用评分系统和结果测量方法的简短书面问卷。问卷通过邮寄方式发放并回收。
总体而言，共收到217份回复（62%）。在这些受访者中，171人（79%）在肩部手术实践中使用结果测量方法，而46人（21%）不使用。有118名外科医生（69%）使用不止一种结果测量方法。牛津肩部评分被150名外科医生（69%）最常使用，其次是Constant评分，有106人（49%）使用，牛津肩部不稳定评分有82人（38%）使用，手臂、肩部和手部功能障碍评分有54人（25%）使用。较少使用的结果测量方法是SF - 36®和SF - 12®健康问卷，有19人（9%）使用，加州大学洛杉矶分校活动评分有8人（4%）使用，美国肩肘外科医生协会肩部评估表有8人（4%）使用，EQ - 5D™有10人（3%）使用。结论所有专科的执业外科医生都应采用经过验证的结果测量方法。这将除了以透明方式评估手术表现外，还能更好地评估治疗效果。
