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在一项针对髋膝关节骨关节炎患者的多国研究中,对国际骨关节炎咨询委员会问卷(ICOAP)以及髋关节和膝关节 outcome 评分(HOOS)与膝关节 outcome 评分(KOOS)的身体功能简表进行跨文化验证。

Cross-cultural validation of the ICOAP and physical function short forms of the HOOS and KOOS in a multi-country study of patients with hip and knee osteoarthritis.

作者信息

Mehta S P, Sankar A, Venkataramanan V, Lohmander L S, Katz J N, Hawker G A, Gossec L, Roos E M, Maillefert J-F, Kloppenburg M, Dougados M, Davis A M

机构信息

Division of Health Care and Outcomes Research, Kremble Research Institute, Toronto, Ontario, Canada; School of Physical Therapy and Dept. of Orthopedics, Marshall University, Huntington, WV, USA.

Division of Health Care and Outcomes Research and Arthritis Community Research and Evaluation Unit, Kremble Research Institute, Toronto, Ontario, Canada.

出版信息

Osteoarthritis Cartilage. 2016 Dec;24(12):2077-2081. doi: 10.1016/j.joca.2016.07.014. Epub 2016 Aug 4.

Abstract

OBJECTIVE

To evaluate the internal consistency and construct validity of the Physical Function short-forms for the Hip and Knee Injury Osteoarthritis Outcome Scores (HOOS-PS/KOOS-PS) and the Intermittent and Constant Osteoarthritis Pain (ICOAP) in a nine country study of patients consulting for total hip or knee replacement (THR or TKR).

METHODS

Patients completed HOOS-PS or KOOS-PS, ICOAP and Western Ontario and McMaster Universities' Osteoarthritis Index (WOMAC) pain and physical function subscales at their consultation visit. Internal consistency was calculated using Cronbach's alpha. The association of HOOS-PS/KOOS-PS and ICOAP with WOMAC pain and function subscales was calculated with Spearman correlation coefficients with 95% confidence intervals.

RESULTS

HOOS-PS/KOOS-PS and ICOAP demonstrated high internal consistency across countries (alpha 0.75-0.96 (hip) and 0.76-0.95 (knee)). Both HOOS-PS and KOOS-PS demonstrated high correlations (0.76-0.90 and 0.75-0.91, respectively) with WOMAC function in all countries. ICOAP exhibited moderate to high correlations with WOMAC pain and function subscales (0.53-0.84 (hip) and 0.43-0.84 (knee)).

CONCLUSION

The psychometric properties of the HOOS-PS/KOOS-PS, and ICOAP were maintained across all countries.

摘要

目的

在一项针对全髋关节或膝关节置换术(THR或TKR)咨询患者的九国研究中,评估髋部和膝部损伤骨关节炎结局评分(HOOS-PS/KOOS-PS)的身体功能简表以及间歇性和持续性骨关节炎疼痛(ICOAP)的内部一致性和结构效度。

方法

患者在咨询就诊时完成HOOS-PS或KOOS-PS、ICOAP以及西安大略和麦克马斯特大学骨关节炎指数(WOMAC)疼痛和身体功能分量表。使用Cronbach's alpha计算内部一致性。用Spearman相关系数及95%置信区间计算HOOS-PS/KOOS-PS和ICOAP与WOMAC疼痛和功能分量表之间的关联。

结果

HOOS-PS/KOOS-PS和ICOAP在各国均表现出较高的内部一致性(髋部α为0.75 - 0.96,膝部α为0.76 - 0.95)。在所有国家,HOOS-PS和KOOS-PS与WOMAC功能均表现出高度相关性(分别为0.76 - 0.90和0.75 - 0.91)。ICOAP与WOMAC疼痛和功能分量表表现出中度到高度相关性(髋部为0.53 - 0.84,膝部为0.43 - 0.84)。

结论

HOOS-PS/KOOS-PS和ICOAP的心理测量特性在所有国家均保持一致。

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