美国矫形外科医师学会桡骨远端骨折临床实践指南与《国际功能、残疾和健康分类》、《国际疾病分类》以及手部疾病的ICF核心集的关联。
Linking of the American Academy of Orthopaedic Surgeons Distal Radius Fracture Clinical Practice Guidelines to the International Classification of Functioning, Disability, and Health; International Classification of Diseases; and ICF Core Sets for Hand Conditions.
作者信息
Esakki Saravanan, MacDermid Joy, Vajravelu Saipriya
机构信息
McMaster University, Hamilton, ON, Canada.
McMaster University, Hamilton, ON, Canada; St. Joseph's Hospital, London, ON, Canada.
出版信息
Hand (N Y). 2016 Sep;11(3):314-321. doi: 10.1177/1558944715627305. Epub 2016 Mar 8.
American Academy of Orthopaedic Surgeons (AAOS) distal radius fracture (DRF) clinical practice guidelines (CPG) are readily available to clinicians, patients, and policymakers. International Classification of Functioning, Disability, and Health (ICF) provides a framework for describing the impact of health conditions. The International Classification of Diseases-10th Revision (ICD-10) is a classification system to classify health conditions as specific disease or disorders. The aim of this study is to analyze and describe the scope and focus of the AAOS DRF CPG using the ICF and ICD-10 as a basis for content analysis, and to compare the content of the CPG with the ICF hand core sets as the reference standard. Established linking rules were used by 2 independent raters to analyze the 29 recommendations of the AAOS DRF CPG. ICD-10 codes were assigned in the same process. Summary linkage statistics were used to describe the results for ICF and the hand core sets. Among the 29 recommendations of the AAOS DRF CPG, 5 meaningful concepts were linked to the ICF codes. Of these, 5 codes appeared on the comprehensive ICF core set and only 3 codes appeared in the brief ICF core set, and 7 conditions were covered in ICD-10 codes. The AAOS DRF CPG focuses on surgical interventions and has minimal linkage to the constructs of the ICD-10 and ICF. It does not address activity or participation (disability), and is not well linked to key concepts relevant to hand conditions.
美国矫形外科医师学会(AAOS)的桡骨远端骨折(DRF)临床实践指南(CPG)可供临床医生、患者和政策制定者随时查阅。国际功能、残疾和健康分类(ICF)提供了一个描述健康状况影响的框架。国际疾病分类第十次修订本(ICD - 10)是一个将健康状况分类为特定疾病或病症的分类系统。本研究的目的是以ICF和ICD - 10作为内容分析的基础,分析和描述AAOS DRF CPG的范围和重点,并将CPG的内容与ICF手部核心集作为参考标准进行比较。两名独立评估者使用既定的链接规则分析了AAOS DRF CPG的29条建议。在同一过程中分配了ICD - 10编码。使用汇总链接统计数据来描述ICF和手部核心集的结果。在AAOS DRF CPG的29条建议中,有5个有意义的概念与ICF编码相关联。其中,5个编码出现在ICF综合核心集中,只有3个编码出现在ICF简要核心集中,并且ICD - 10编码涵盖了7种情况。AAOS DRF CPG侧重于手术干预,与ICD - 10和ICF的结构关联极少。它没有涉及活动或参与(残疾),并且与手部状况相关的关键概念联系不紧密。