From the Department of Orthopedics and Sports Medicine, Seattle Children's Hospital, Seattle, WA.
J Am Acad Orthop Surg. 2020 May 1;28(9):e395-e400. doi: 10.5435/JAAOS-D-18-00481.
The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) is validated for assessing the impact of foot and ankle conditions in pediatric patients. The purpose of this cross-sectional study is to assess child-parent concordance and identify patient factors that predict improved agreement.
Patients aged 8 to 16 years with foot and ankle conditions and their parents completed the OxAFQ-C during routine clinic visits over a 9-month period. Demographic and medical information was collected by chart reviews. Responses in each domain were compared using a Wilcoxon signed-rank test, and the comparisons of responses by sex were analyzed with Wilcoxon rank-sum tests. Concordance was assessed with intraclass correlation coefficients.
There were 87 child-parent dyads with 50 female patients (57.5%) and 37 male patients (42.5%). Most parent responders were mothers (84%). The mean patient age was 12.4 (±2.2) years. The most common diagnosis was pes planus (17%). Child scores were significantly higher than their parents' in the school and play (P = 0.008) and emotional (P = 0.001) domains. When stratified by age, children younger than 13 years had significantly higher scores than their parents across all domains (P = 0.015 physical, 0.002 school and play, 0.001 emotional), although the concordance for the school and play and emotional domains was only moderate (0.73 and 0.58, respectively). Female patients and their parents reported significantly lower scores compared with their male counterparts only in the emotional domain (84.37 vs 93.75, P = 0.025).
Concordance is good between child and parent scores of the OxAFQ-C for assessing the impact of foot and ankle conditions. When stratified by age, patients younger than 13 years of age had higher scores than their parents' in all domains with the lowest concordance for the school and play and emotional domains. Female patients and their parents reported significantly lower scores than their male counterparts in the emotional domain.
Level IV.
牛津踝关节足问卷儿童版（OxAFQ-C）是一种经过验证的工具，用于评估儿童患者足部和踝关节疾病的影响。本横断面研究的目的是评估儿童与父母之间的一致性，并确定预测一致性改善的患者因素。
在 9 个月的时间里，8 至 16 岁患有足部和踝关节疾病的患者及其父母在常规就诊期间完成了 OxAFQ-C。通过病历回顾收集人口统计学和医疗信息。使用 Wilcoxon 符号秩检验比较每个域的反应，使用 Wilcoxon 秩和检验分析按性别比较的反应。使用组内相关系数评估一致性。
共有 87 对儿童-父母组，其中 50 名女性患者（57.5%）和 37 名男性患者（42.5%）。大多数父母回应者是母亲（84%）。患者平均年龄为 12.4（±2.2）岁。最常见的诊断是扁平足（17%）。在学校和玩耍（P = 0.008）和情绪（P = 0.001）领域，患儿的评分明显高于其父母。按年龄分层，13 岁以下的儿童在所有领域的评分均明显高于父母（P = 0.015 生理，0.002 学校和玩耍，0.001 情绪），尽管学校和玩耍和情绪领域的一致性仅为中等（分别为 0.73 和 0.58）。与男性相比，女性患者及其父母仅在情绪领域报告的评分明显较低（84.37 与 93.75，P = 0.025）。
OxAFQ-C 用于评估足部和踝关节疾病影响的儿童与父母评分之间具有良好的一致性。按年龄分层，13 岁以下的患者在所有领域的评分均高于父母，其中学校和玩耍和情绪领域的一致性最低。女性患者及其父母在情绪领域的评分明显低于男性患者。
IV 级。
