Lan Roy H, Bell Jack W, Samuel Linsen T, Kamath Atul F
College of Medicine, University of Tennessee Health Science Center, 910 Madison Ave, Memphis, TN, 38163, USA.
Department of Orthopaedic Surgery, Center for Hip Preservation, Orthopaedic and Rheumatologic Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue Mail Code A40, Cleveland, OH, 44195, USA.
Arch Orthop Trauma Surg. 2022 Aug;142(8):1753-1762. doi: 10.1007/s00402-021-03809-z. Epub 2021 Feb 11.
Consensus has not been reached regarding ideal outcome measures for total hip arthroplasty (THA) clinical evaluation and research. The goal of this review was to analyze the trends in outcome metrics within the THA literature and to discuss the potential impact of instrument heterogeneity on clinical practice.
A PubMed search of all manuscripts related to THA from January 2005 to December 2019 was performed. Statistical and linear regression analyses were performed for individual outcome metrics as a proportion of total THA publications over time.
There was a statistically significant increase in studies utilizing outcomes metrics between 2005 and 2019 (15.1-29.5%; P < 0.001; R = 98.1%). Within the joint-specific subcategory, use of the Harris Hip Score (HHS) significantly decreased from 2005 to 2019 (82.8-57.3%; P < 0.001), use of the Hip Disability and Osteoarthritis Outcome Score (HOOS) significantly increased (0-6.7%; P < 0.001), and the modified HHS significantly increased (0-10.5%; P < 0.001). In the quality of life subcategory, EQ-5D demonstrated a significant increase in usage (0-34.8%; P < 0.001), while Short Form-36 significantly decreased (100% vs. 27.3%; P = 0.008).
The utilization of outcome-reporting metrics in THA has continued to increase, resulting in added complexity within the literature. The utilization rates of individual instruments have shifted over the past 15 years. Additional study is required to determine which specific instruments are recommended.
关于全髋关节置换术（THA）临床评估和研究的理想结局指标尚未达成共识。本综述的目的是分析THA文献中结局指标的趋势，并讨论工具异质性对临床实践的潜在影响。
对2005年1月至2019年12月期间所有与THA相关的手稿进行PubMed检索。对各个结局指标作为THA总出版物的比例随时间进行统计和线性回归分析。
2005年至2019年期间，使用结局指标的研究有统计学显著增加（15.1 - 29.5%；P < 0.001；R = 98.1%）。在关节特异性子类别中，Harris髋关节评分（HHS）的使用从2005年到2019年显著下降（82.8 - 57.3%；P < 0.001），髋关节残疾和骨关节炎结局评分（HOOS）的使用显著增加（0 - 6.7%；P < 0.001），改良HHS显著增加（0 - 10.5%；P < 0.001）。在生活质量子类别中，EQ - 5D的使用显著增加（0 - 34.8%；P < 0.001），而简明健康状况调查简表（Short Form - 36）显著下降（100%对27.3%；P = 0.008）。
THA中结局报告指标的使用持续增加，导致文献中的复杂性增加。在过去15年中，各个工具的使用率发生了变化。需要进一步研究以确定推荐哪些特定工具。
