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髌股关节不稳的患者报告结局指标:一项批判性综述。

Patient-Reported Outcome Measures for Patellofemoral Instability: a Critical Review.

作者信息

Hiemstra Laurie Anne, Page Jessica L, Kerslake Sarah

机构信息

Banff Sport Medicine, PO Box 1300, Banff, Alberta, T1L 1B3, Canada.

Department of Surgery, University of Calgary, Calgary, Canada.

出版信息

Curr Rev Musculoskelet Med. 2019 Jun;12(2):124-137. doi: 10.1007/s12178-019-09537-7.

Abstract

PURPOSE OF REVIEW

The purpose of this paper was to review the current psychometric properties of patient-reported outcome measures that are commonly used for patients with patellofemoral instability. This review provides evidence to guide the selection of subjective outcome measures for assessing outcomes in clinical care and research studies.

RECENT FINDINGS

At the present time, there are two patient-reported outcome measures that have been designed for, and tested on, large cohorts of patellofemoral instability patients, the Banff Patella Instability Instrument (BPII) and the Norwich Patellar Instability Score (NPI). The BPII is a wholistic quality of life outcome measure and the NPI is a symptom score. The use of disease-specific outcome measures such as the BPII and NPI, in combination with generic knee, functional activity, and/or psychological outcome measures that have been proven to be valid and reliable for the patellofemoral instability population, is most likely to provide a well-rounded evaluation of treatment outcomes.

摘要

综述目的

本文旨在回顾目前常用于髌股关节不稳定患者的患者报告结局测量指标的心理测量学特性。本综述为指导临床护理和研究中评估结局的主观结局测量指标的选择提供依据。

最新发现

目前,有两种针对大量髌股关节不稳定患者设计并进行测试的患者报告结局测量指标,即班夫髌骨不稳定量表(BPII)和诺维奇髌骨不稳定评分(NPI)。BPII是一种整体生活质量结局测量指标,NPI是一种症状评分。使用BPII和NPI等疾病特异性结局测量指标,结合已被证明对髌股关节不稳定人群有效且可靠的通用膝关节、功能活动和/或心理结局测量指标,最有可能对治疗结局进行全面评估。

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