上肢创伤后评估残疾的结局指标的系统评价

A Systematic Review of Outcome Measures Assessing Disability Following Upper Extremity Trauma.

作者信息

Jayakumar Prakash, Williams Mark, Ring David, Lamb Sarah, Gwilym Stephen

机构信息

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (Dr. Jayakumar, Dr. Lamb, and Dr. Gwilym), Nuffield Orthopaedic Centre, University of Oxford, Headington, Oxford, UK; the Department of Sport and Health Sciences (Dr. Williams), Oxford Brookes University, Oxford; and the Department of Surgery and Perioperative Care (Dr. Ring), Dell Medical School, The University of Texas at Austin, Austin, TX.

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2017 Jul 27;1(4):e021. doi: 10.5435/JAAOSGlobal-D-17-00021. eCollection 2017 Jul.

OBJECTIVES

To define upper extremity outcome measures focusing on trauma and level of initial psychometric evaluation and to assess methodological quality of relevant patient-reported outcome (PRO) measures.

DATA SOURCES

A broad search strategy using PubMed, OVID, CINAHL, and PsycINFO was deployed and reported using PRISMA (PROSPERO: CRD42016046243).

STUDY SELECTION EXTRACTION SYNTHESIS

PRO measures involving orthopedic trauma in their original development were selected and original publications assessed, including psychometric evaluations. Extraction, synthesis, and quality assessment were performed using COSMIN.

RESULTS

Of 144 upper extremity outcome measures, the majority were designed for the shoulder, wrist, and hand; 20% (n = 29/144) involved trauma conditions in their initial development, PRO measurements, and psychometric evaluation on introduction. Methodological quality was highly variable.

CONCLUSION

A few PRO measures were originally designed for use in upper extremity trauma. Methodological quality and psychometric evaluation need to improve. This review aims to highlight strengths and weaknesses and guide decision making in this field.