全髋关节置换术:遗忘关节评分 12 的最小临床重要差异和患者可接受的症状状态

Total Hip Arthroplasty: Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Forgotten Joint Score 12.

机构信息

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo 200, 00128 Rome, Italy.

Research Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy.

出版信息

Int J Environ Res Public Health. 2021 Feb 25;18(5):2267. doi: 10.3390/ijerph18052267.

Abstract

The Forgotten Joint Score-12 (FJS-12) is a valid patient-reported outcome measures (PROMs) used to assess prosthesis awareness during daily activities after total hip arthroplasty (THA). The minimum clinically important difference (MCID) can be defined as the smallest change or difference that is evaluated as beneficial and could change the patient's clinical management. The patient acceptable symptom state (PASS) is considered the minimum PROMs cut-off value that corresponds to a patient's satisfactory state of health. Despite the validity and reliability of the FJS-12 having been already demonstrated, the MCID and the PASS of this score have not previously been defined. Patients undergoing THA from January 2019 to October 2019 were assessed pre-operatively and six months post-surgery using the FJS-12, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Oxford Hip Score (OHS). Pre-operative and follow-up questionnaires were completed by 50 patients. Both distribution-based approaches and anchor approaches were used to estimate MCID. The aim of this paper was to assess the MCID and PASS values of FJS-12 after total hip replacement. The FJS-12 MCID from baseline to 6 months post-operative follow-up was 17.5. The PASS calculated ranged from 69.8 to 91.7.

摘要

遗忘关节评分 12 分(FJS-12)是一种有效的患者报告结局测量(PROMs),用于评估全髋关节置换术(THA)后日常活动中的假体意识。最小临床重要差异(MCID)可定义为被评估为有益且可能改变患者临床管理的最小变化或差异。可接受的患者症状状态(PASS)被认为是与患者健康满意状态相对应的最小 PROMs 截止值。尽管 FJS-12 的有效性和可靠性已经得到证实,但该评分的 MCID 和 PASS 尚未确定。2019 年 1 月至 2019 年 10 月期间接受 THA 的患者在术前和术后 6 个月使用 FJS-12、安大略西部和麦克马斯特大学骨关节炎指数(WOMAC)和牛津髋关节评分(OHS)进行评估。50 名患者完成了术前和随访问卷。本研究同时使用基于分布的方法和锚定方法来估计 MCID。本文旨在评估全髋关节置换术后 FJS-12 的 MCID 和 PASS 值。从基线到术后 6 个月随访的 FJS-12 MCID 为 17.5。计算得出的 PASS 值范围为 69.8 至 91.7。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebe4/7956707/7296fdf74ab3/ijerph-18-02267-g001.jpg

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