评估关节镜治疗股骨髋臼撞击综合征的前瞻性队列研究的质量评估：一项系统评价。
Quality Assessment of Prospective Cohort Studies Evaluating Arthroscopic Treatment for Femoroacetabular Impingement Syndrome: A Systematic Review.
作者信息
Öhlin Axel, Karlsson Louise, Senorski Eric Hamrin, Jónasson Páll, Ahldén Mattias, Baranto Adad, Ayeni Olufemi R, Sansone Mikael
机构信息
Department of Orthopaedics, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
出版信息
Orthop J Sports Med. 2019 May 8;7(5):2325967119838533. doi: 10.1177/2325967119838533. eCollection 2019 May.
BACKGROUND
Femoroacetabular impingement (FAI) syndrome is a cause of pain and reduced range of motion in the hip joint. Given the limited number of randomized controlled trials, prospective cohort studies constitute the dominant part of the available prospective evidence evaluating relevant clinical outcomes after arthroscopic hip surgery for FAI.
PURPOSE
To assess the methodological quality of prospective cohort studies evaluating arthroscopic surgery for FAI and to determine whether there has been an improvement in methodological quality over time.
STUDY DESIGN
Systematic review; Level of evidence, 4.
METHODS
A systematic literature search was performed in PubMed, Embase (OvidSP), and the Cochrane Library. Included studies were clinical prospective cohort studies of primary arthroscopic surgery for cam and/or pincer morphology FAI. Methodological quality was assessed with the Methodological Index for Non-randomized Studies (MINORS). The mean MINORS score for studies published during the first 5 years of the period was compared with those published during the last 5 years to evaluate methodological improvement over time. The methodological quality of randomized controlled trials was also assessed with the Coleman Methodology Score.
RESULTS
The search yielded 53 studies. There were 34 noncomparative studies, 15 nonrandomized comparative studies, and 4 randomized controlled trials. The included studies were published between 2008 and 2017. The mean ± SD MINORS score for noncomparative and comparative studies was 10.4 ± 1.4 of 16 possible and 18.7 ± 2.0 of 24 possible, respectively. The mean Coleman Methodology Score for randomized controlled trials was 79.0 ± 7.0 of 100 possible.
CONCLUSION
The methodological quality of prospective cohort studies evaluating arthroscopic surgery for FAI is moderate for comparative and noncomparative studies. Common areas for improvement include unbiased assessment of study endpoints and prospective sample-size calculations. Despite an increase in the number of published studies, an improvement in methodological quality over time was not observed.
背景
股骨髋臼撞击（FAI）综合征是髋关节疼痛和活动范围减小的一个原因。鉴于随机对照试验数量有限，前瞻性队列研究构成了评估FAI关节镜手术后相关临床结局的现有前瞻性证据的主要部分。
目的
评估评估FAI关节镜手术的前瞻性队列研究的方法学质量，并确定方法学质量是否随时间有所改善。
研究设计
系统评价；证据等级，4级。
方法
在PubMed、Embase（OvidSP）和Cochrane图书馆进行系统文献检索。纳入的研究是针对凸轮型和/或钳夹型形态FAI的初次关节镜手术的临床前瞻性队列研究。使用非随机研究方法学指数（MINORS）评估方法学质量。将该时期前5年发表的研究的平均MINORS评分与后5年发表的研究的评分进行比较，以评估随时间的方法学改进情况。还使用科尔曼方法学评分评估随机对照试验的方法学质量。
结果
检索到53项研究。其中有34项非对照研究、15项非随机对照研究和4项随机对照试验。纳入的研究发表于2008年至2017年之间。非对照研究和对照研究的平均±标准差MINORS评分分别为16分制中的10.4±1.4分和24分制中的18.7±2.0分。随机对照试验的平均科尔曼方法学评分为100分制中的79.0±7.0分。
结论
评估FAI关节镜手术的前瞻性队列研究在对照和非对照研究中的方法学质量中等。常见的改进领域包括对研究终点的无偏评估和前瞻性样本量计算。尽管发表的研究数量有所增加，但未观察到方法学质量随时间的改善。
Zotero 插件