Department of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, Málaga, Spain.
School of Health & Society, University of Salford, Salford, UK.
Clin Rehabil. 2019 Nov;33(11):1788-1799. doi: 10.1177/0269215519862328. Epub 2019 Jul 10.
To identify self-reported outcome measures specific to the foot and ankle in patients with rheumatoid arthritis and to investigate the methodological quality and psychometric properties of these measures.
A systematic review focusing on patients with rheumatoid arthritis.
The search was conducted in the PubMed, SCOPUS, CINAHL, PEDro and Google Scholar databases, based on the following inclusion criteria: population (with rheumatoid arthritis) > 18 years; psychometric or clinimetric validation studies of patient-reported outcomes specific to the foot and ankle, in different languages, with no time limit. Two of the present authors independently assessed the quality of the studies located and extracted the relevant data. Terwee's criteria and the COSMIN checklist were employed to ensure adequate methodological quality.
Of the initial 431 studies considered, 14 met the inclusion criteria, representing 7,793 patients (56.8 years). These instruments were grouped into three dimensions (pain, perceived health status and quality of life and disability). The time to complete any of the PROMs varies around 15 minutes. PROMs criterias with the worst scores by COSMIN, 92.85% and 85.71% were criterion validity, measurement error, internal consistency and responsiveness. 28.57% of PROMs were compared with the measurement properties.
the Self-Reported Foot and Ankle Score achieved the highest number of positive criteria (according to Terwee and COSMIN), and is currently the most appropriate for patients with Rheumatoid arthritis.
确定类风湿关节炎患者足部和踝关节特定的自我报告结局测量指标，并调查这些测量指标的方法学质量和心理测量特性。
一项针对类风湿关节炎患者的系统评价。
根据以下纳入标准，在 PubMed、SCOPUS、CINAHL、PEDro 和 Google Scholar 数据库中进行了检索：人群（患有类风湿关节炎）>18 岁；针对足部和踝关节特定的患者报告结局的心理测量或临床测量验证研究，使用不同语言，无时间限制。两位作者独立评估了所找到的研究的质量，并提取了相关数据。采用 Terwee 标准和 COSMIN 清单来确保方法学质量。
在最初考虑的 431 项研究中，有 14 项符合纳入标准，代表了 7793 名患者（56.8 岁）。这些工具分为三个维度（疼痛、感知健康状况和生活质量以及残疾）。完成任何 PROM 的时间大约为 15 分钟。根据 COSMIN，得分最差的 PROM 标准是效标关联效度、测量误差、内部一致性和反应度，分别为 92.85%和 85.71%。28.57%的 PROM 与测量特性进行了比较。
自我报告的足部和踝关节评分获得了最多的积极标准（根据 Terwee 和 COSMIN），目前最适合类风湿关节炎患者。
