Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
Orthopaedic Surgery, The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, UK.
Foot Ankle Surg. 2022 Apr;28(3):362-370. doi: 10.1016/j.fas.2021.04.011. Epub 2021 May 16.
This study investigated the completeness, accuracy, quality and clinical outcomes of the British Orthopaedic Foot and Ankle Society (BOFAS) registry - Ankle Arthrodesis pathway.
An observational study using retrospective data derived from the BOFAS registry. Adults aged ≥18 years with a record of undergoing ankle arthrodesis in the UK from 2014 to 31/10/2019 were included. Accuracy of data capture and completeness were explored using means, SD, medians and IQR for continuous variables and frequencies for categorical variables. The pre and post treatment pathway was evaluated by analysing Patient Reported Outcome Measures (PROMs) including MOXF-FQ scores for pain/walking/standing/social interaction; NRS pain; EQ-5D-5L; and EQ-5D-5L-Health VAS at baseline, 6 months, and 12 months.
Mean age of the study population (n = 186) was 62.3 (±12.9) years and 65% of the study cohort were male. Completeness of data collection was disappointing but variables such as BMI (62.4%) smoking status (82.3%) were reasonably well recorded. PROMs scores were well recorded at baseline but rapidly declined at 6 and 12-months intervals. Reductions in MOXFQ and NRS pain scores by 12 months following surgery were statistically significant (p = 0.001 and p = 0.008), illustrating that most patients demonstrated reductions in pain intensity, improved walking/standing ability, and social interaction.
These findings illustrate the potential effectiveness of surgery on all outcomes following ankle arthrodesis that merits evaluation in a clinical trial; but also demonstrated the difficulties in obtaining representative data sets. The analyses strongly suggest that with the improvements in data quality greater resources would bring, the BOFAS registry would become a valuable tool.
本研究调查了英国矫形足踝学会（BOFAS）踝关节融合注册处-踝关节融合路径的完整性、准确性、质量和临床结果。
这是一项使用来自 BOFAS 注册处的回顾性数据进行的观察性研究。纳入年龄≥18 岁、在英国接受踝关节融合术的成年人，纳入时间为 2014 年至 2019 年 10 月 31 日。使用均值、标准差、中位数和 IQR 来评估连续变量的数据捕获和完整性，使用频率来评估分类变量的数据捕获和完整性。通过分析患者报告的结局测量（PROM），包括 MOXF-FQ 评分（疼痛/行走/站立/社会互动）、NRS 疼痛评分、EQ-5D-5L 和 EQ-5D-5L-健康视觉模拟评分，评估治疗前后的路径，这些评分在基线、6 个月和 12 个月时进行评估。
研究人群（n=186）的平均年龄为 62.3（±12.9）岁，65%的研究队列为男性。数据收集的完整性令人失望，但 BMI（62.4%）和吸烟状况（82.3%）等变量的记录情况还不错。PROM 评分在基线时记录得很好，但在 6 个月和 12 个月的间隔时间迅速下降。手术后 12 个月，MOXFQ 和 NRS 疼痛评分的降低具有统计学意义（p=0.001 和 p=0.008），表明大多数患者的疼痛强度降低，行走/站立能力和社会互动能力得到改善。
这些发现表明，踝关节融合术后所有结局的手术效果都有潜力，但也表明获得代表性数据集存在困难。分析结果强烈表明，随着数据质量的提高，BOFAS 注册处将成为一个有价值的工具。
