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本文引用的文献

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Erratum to: What is the Minimum Clinically Important Difference for the WOMAC Index After TKA?《全膝关节置换术后WOMAC指数的最小临床重要差异是多少？》勘误
Clin Orthop Relat Res. 2020 Apr;478(4):922. doi: 10.1097/CORR.0000000000001156.
2
Patient expectations and satisfaction 6 and 12 months following total hip and knee replacement.全髋关节和膝关节置换术后 6 个月和 12 个月的患者期望和满意度。
Qual Life Res. 2020 Mar;29(3):705-719. doi: 10.1007/s11136-019-02359-7. Epub 2019 Nov 18.
3
A systematic review of estimates of the minimal clinically important difference and patient acceptable symptom state of the Western Ontario and McMaster Universities Osteoarthritis Index in patients who underwent total hip and total knee replacement.全髋关节和全膝关节置换术后患者的 Western Ontario 和 McMaster 大学骨关节炎指数最小临床重要差异和患者可接受症状状态的系统评价。
Osteoarthritis Cartilage. 2019 Oct;27(10):1408-1419. doi: 10.1016/j.joca.2019.05.002. Epub 2019 May 13.
4
Problems persist in reporting of methods and results for the WOMAC measure in hip and knee osteoarthritis trials.在髋和膝关节骨关节炎试验中，WOMAC 量表的方法和结果报告仍存在问题。
Qual Life Res. 2019 Feb;28(2):335-343. doi: 10.1007/s11136-018-1978-1. Epub 2018 Sep 18.
5
What is the Minimum Clinically Important Difference for the WOMAC Index After TKA?全膝关节置换术后 WOMAC 指数的最小临床重要差异是多少？
Clin Orthop Relat Res. 2018 Oct;476(10):2005-2014. doi: 10.1097/CORR.0000000000000444.
6
CORR Insights®: What is the Minimum Clinically Important Difference for the WOMAC Index After TKA?CORR见解®：全膝关节置换术后WOMAC指数的最小临床重要差异是多少？
Clin Orthop Relat Res. 2018 Oct;476(10):2015-2016. doi: 10.1097/CORR.0000000000000470.
7
Cost-effectiveness of surgical interventions for the management of osteoarthritis: a systematic review of the literature.手术干预治疗骨关节炎的成本效益：文献系统评价
BMC Musculoskelet Disord. 2017 May 10;18(1):183. doi: 10.1186/s12891-017-1540-2.
8
A Systematic Review of Measurement Properties of Patient-Reported Outcome Measures Used in Patients Undergoing Total Knee Arthroplasty.全膝关节置换术患者使用的患者报告结局测量指标测量属性的系统评价
J Arthroplasty. 2017 May;32(5):1688-1697.e7. doi: 10.1016/j.arth.2016.12.052. Epub 2017 Jan 10.
9
Patients' Expectations Impact Their Satisfaction following Total Hip or Knee Arthroplasty.患者的期望会影响他们全髋关节或膝关节置换术后的满意度。
PLoS One. 2016 Dec 15;11(12):e0167911. doi: 10.1371/journal.pone.0167911. eCollection 2016.
10
Indication criteria for total hip or knee arthroplasty in osteoarthritis: a state-of-the-science overview.骨关节炎全髋关节或全膝关节置换术的适应证标准：科学现状综述
BMC Musculoskelet Disord. 2016 Nov 9;17(1):463. doi: 10.1186/s12891-016-1325-z.

全膝关节置换术（TKA）患者在术后3个月和12个月时的改善程度低于全髋关节置换术（THA）患者。一项回顾性观察队列研究。

TKA patients experience less improvement than THA patients at 3 and 12 months after surgery. A retrospective observational cohort study.

作者信息

Marques Carlos J, Pinnschmidt Hans O, Bohlen Karina, Lorenz Juergen, Lampe Frank

机构信息

Science Office of the Orthopaedic and Joint Replacement Department at the Schoen Clinic Hamburg Eilbek, Dehnhaide 120, D-22081, Hamburg, Germany.

Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

出版信息

J Orthop. 2020 Sep 17;21:517-522. doi: 10.1016/j.jor.2020.09.007. eCollection 2020 Sep-Oct.

DOI:10.1016/j.jor.2020.09.007
PMID:33013084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7511647/
Abstract

PURPOSE

To investigate whether WOMAC scores changes after THA or TKA are gender and joint specific.

METHODS

Retrospective cohort study. The data of 855 THA and 684 TKA patients were analyzed.

RESULTS

Follow-up time (p < 0.001), gender (p < 0.001), joint (p < 0.001), and interaction FU by joint (p < 0.001) had significant effects on WOMAC total and sub-scores. Patients after TKA perceived less improvement in all dimensions in comparison to THA patients (p < 0.001).

CONCLUSION

WOMAC score changes after THA or TKA are joint-specific. Patients after TKA perceived less improvement. These results can be used to adjust patients' expectations.

摘要

目的

研究全髋关节置换术（THA）或全膝关节置换术（TKA）后WOMAC评分的变化是否具有性别和关节特异性。

方法

回顾性队列研究。分析了855例THA患者和684例TKA患者的数据。

结果

随访时间（p < 0.001）、性别（p < 0.001）、关节（p < 0.001）以及随访与关节的交互作用（p < 0.001）对WOMAC总分及各分项评分均有显著影响。与THA患者相比，TKA患者在所有维度上的改善均较少（p < 0.001）。

结论

THA或TKA术后WOMAC评分变化具有关节特异性。TKA术后患者的改善较少。这些结果可用于调整患者的预期。