脊柱创伤的外科医生报告结局指标：一项确定与下颈椎损伤结局相关参数的国际专家调查
Surgeon Reported Outcome Measure for Spine Trauma: An International Expert Survey Identifying Parameters Relevant for the Outcome of Subaxial Cervical Spine Injuries.
作者信息
Sadiqi Said, Verlaan Jorrit-Jan, Lehr A Mechteld, Dvorak Marcel F, Kandziora Frank, Rajasekaran S, Schnake Klaus J, Vaccaro Alexander R, Oner F Cumhur
机构信息
Department of Orthopaedics, University Medical Center Utrecht, Utrecht, The Netherlands.
Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.
出版信息
Spine (Phila Pa 1976). 2016 Dec 15;41(24):E1453-E1459. doi: 10.1097/BRS.0000000000001683.
STUDY DESIGN
International web-based survey.
OBJECTIVE
To identify clinical and radiological parameters that spine surgeons consider most relevant when evaluating clinical and functional outcomes of subaxial cervical spine trauma patients.
SUMMARY OF BACKGROUND DATA
Although an outcome instrument that reflects the patients' perspective is imperative, there is also a need for a surgeon reported outcome measure to reflect the clinicians' perspective adequately.
METHODS
A cross-sectional online survey was conducted among a selected number of spine surgeons from all five AOSpine International world regions. They were asked to indicate the relevance of a compilation of 21 parameters, both for the short term (3 mo-2 yr) and long term (≥2 yr), on a five-point scale. The responses were analyzed using descriptive statistics, frequency analysis, and Kruskal-Wallis test.
RESULTS
Of the 279 AOSpine International and International Spinal Cord Society members who received the survey, 108 (38.7%) participated in the study. Ten parameters were identified as relevant both for short term and long term by at least 70% of the participants. Neurological status, implant failure within 3 months, and patient satisfaction were most relevant. Bony fusion was the only parameter for the long term, whereas five parameters were identified for the short term. The remaining six parameters were not deemed relevant. Minor differences were observed when analyzing the responses according to each world region, or spine surgeons' degree of experience.
CONCLUSION
The perspective of an international sample of highly experienced spine surgeons was explored on the most relevant parameters to evaluate and predict outcomes of subaxial cervical spine trauma patients. These results form the basis for the development of a disease-specific surgeon reported outcome measure, which will be a helpful tool in research and clinical practice.
LEVEL OF EVIDENCE
研究设计
基于网络的国际调查。
目的
确定脊柱外科医生在评估下颈椎创伤患者的临床和功能结局时认为最相关的临床和放射学参数。
背景数据总结
尽管反映患者观点的结局评估工具至关重要，但也需要一种由外科医生报告的结局测量方法来充分反映临床医生的观点。
方法
对来自AOSpine国际五个世界区域的部分脊柱外科医生进行了横断面在线调查。要求他们以五点量表指出21项参数汇总对于短期（3个月至2年）和长期（≥2年）的相关性。使用描述性统计、频率分析和Kruskal-Wallis检验对回答进行分析。
结果
在279名收到调查的AOSpine国际和国际脊髓学会成员中，108名（38.7%）参与了研究。至少70%的参与者认为10项参数在短期和长期均相关。神经功能状态、3个月内植入物失败和患者满意度最为相关。骨融合是长期唯一相关的参数，而短期确定了5项参数。其余6项参数被认为不相关。根据每个世界区域或脊柱外科医生的经验程度分析回答时，观察到细微差异。
结论
探讨了经验丰富的脊柱外科医生国际样本对评估和预测下颈椎创伤患者结局最相关参数的看法。这些结果构成了开发特定疾病的外科医生报告结局测量方法的基础，这将是研究和临床实践中的有用工具。
证据级别
4级。
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