Investigation performed at the Hospital for Special Surgery, New York, New York, USA.
Am J Sports Med. 2019 Nov;47(13):3270-3276. doi: 10.1177/0363546518818822. Epub 2019 Jan 16.
Phenomena including early sport specialization and year-round training and competition have contributed to an increase in pediatric sports injuries. There has been a concomitant increase in clinical studies focusing on physically active children and adolescents. These studies include investigations of patient-reported outcome measures (PROMs). While the use of PROMs in pediatric orthopaedics has been increasing, PROMs are often inappropriately applied to study populations for whom they are not specifically validated.
The purpose of this study was to establish a comprehensive list of pediatric- and adolescent-validated PROMs and catalog their psychometric properties as a resource for clinicians and researchers.
Systematic review; Level of evidence, 4.
A systematic review of articles in PubMed, Embase, and the Cochrane library was performed to identify articles developing and validating PROMs appropriate for use in pediatric sports medicine research. The inclusion criteria were as follows: age <18 years, the use of surveys and questionnaires, and the presence of sports-related injuries. The psychometric properties of included PROMs were entered into an electronic database.
Our search strategy identified 14,708 unique articles, among which 139 studies (0.9%) were included in the final data analysis. Forty-seven distinct PROMs were identified, as well as 160 cross-cultural adaptations. While all identified PROMs were validated in physically active young participants, only 12 (26%) were specifically created initially for active children. Thirty (64%) PROMs were health-related quality-of-life measures; 13 (28%) were psychosocial measures; and 4 (9%) were activity scales. No studies validated PROMs for use with wrist/hand injuries, and only 1 PROM each was valid for hip, back/spinal, and foot/ankle injuries in pediatric sports.
This systematic review yielded 47 unique PROMs reliable and valid for use in pediatric and adolescent sports medicine. This list will unify clinicians and researchers in using these age-appropriate measures while identifying areas that are still in need of appropriate PROMs for young athletes.
包括早期专项运动和全年训练及比赛在内的现象导致了儿科运动损伤的增加。与此同时，越来越多的临床研究也聚焦于积极运动的儿童和青少年。这些研究包括对患者报告的结果测量（PROM）的调查。虽然儿科矫形 PROM 的使用一直在增加，但 PROM 通常不适当地应用于其未经专门验证的研究人群。
本研究的目的是建立一个全面的儿科和青少年验证的 PROM 清单，并对其心理测量特性进行编目，作为临床医生和研究人员的资源。
系统评价；证据水平，4 级。
对 PubMed、Embase 和 Cochrane 图书馆中的文章进行系统评价，以确定适合儿科运动医学研究使用的 PROM 开发和验证文章。纳入标准如下：年龄<18 岁，使用调查和问卷，以及存在与运动相关的损伤。纳入的 PROM 的心理测量特性被输入电子数据库。
我们的搜索策略确定了 14708 条独特的文章，其中 139 项研究（0.9%）被纳入最终数据分析。确定了 47 种不同的 PROM，以及 160 种跨文化适应性。虽然所有确定的 PROM 都在积极运动的年轻参与者中得到了验证，但只有 12 项（26%）最初是为积极的儿童创建的。30 项（64%）PROM 是健康相关生活质量测量；13 项（28%）是心理社会测量；4 项（9%）是活动量表。没有研究验证 PROM 用于腕/手部损伤，只有 1 项 PROM 分别对儿科运动中的髋部、背部/脊柱和足部/踝关节损伤有效。
本系统评价产生了 47 种独特的 PROM，可可靠且有效地用于儿科和青少年运动医学。这份清单将使临床医生和研究人员能够统一使用这些适合年龄的测量方法，同时确定仍需要为年轻运动员提供适当的 PROM 的领域。
