Quinn Robert H, Mooar Pekka A, Murray Jayson N, Pezold Ryan, Sevarino Kaitlyn S
From the University of Texas Health Science Center, San Antonio, TX (Dr. Quinn), the Temple University Health System, Philadelphia, PA (Dr. Mooar), and the American Academy of Orthopaedic Surgeons, Rosemont, IL (Mr. Murray, Mr. Pezold, and Ms. Sevarino).
J Am Acad Orthop Surg. 2017 Jan;25(1):e11-e14. doi: 10.5435/JAAOS-D-16-00472.
Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the Appropriate Use Criteria (AUC) document Postoperative Rehabilitation of Low Energy Hip Fractures in the Elderly to improve patient care and obtain the best outcomes while considering the subtleties and distinctions necessary in making clinical decisions. The AUC clinical patient scenarios were derived from patient indications that typically accompany hip fractures, as well as from current evidence-based clinical practice guidelines and supporting literature. The 72 patient scenarios and 10 treatments were developed by the Writing Panel, a group of clinicians who are specialists in this AUC topic. A separate, multidisciplinary Voting Panel made up of specialists and nonspecialists rated the appropriateness of treatment of each patient scenario using a 9-point scale to designate a treatment as Appropriate (median rating, 7 to 9), May Be Appropriate (median rating, 4 to 6), or Rarely Appropriate (median rating, 1 to 3).
基于证据的信息与医生的临床专业知识相结合，用于制定《老年低能量髋部骨折术后康复适宜性使用标准》（AUC）文件，以改善患者护理，并在考虑临床决策所需的细微差别和差异的同时获得最佳结果。AUC临床患者场景源自髋部骨折通常伴随的患者指征，以及当前基于证据的临床实践指南和支持性文献。72个患者场景和10种治疗方法由写作小组制定，该小组由该AUC主题的临床专家组成。一个由专家和非专家组成的独立多学科投票小组使用9分制对每个患者场景的治疗适宜性进行评分，将治疗指定为适宜（中位数评分，7至9）、可能适宜（中位数评分，4至6）或很少适宜（中位数评分，1至3）。
