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足踝矫形外科学中的患者报告结局

Patient-Reported Outcomes in Foot and Ankle Orthopedics.

作者信息

Lakey Eric, Hunt Kenneth J

机构信息

Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA.

出版信息

Foot Ankle Orthop. 2019 Jul 19;4(3):2473011419852930. doi: 10.1177/2473011419852930. eCollection 2019 Jul.

Abstract

UNLABELLED

Patient-reported outcomes (PROs) are a measure of health care quality that reflect the patient's perceptions of their own health status. Recently, there has been a renewed interest in implementation of PROs into everyday clinical practice. There are many dozens of PROs available to foot and ankle surgeons with little consensus on which measures are most appropriate for a given condition. These measures vary widely in length, validity, and content. When integrating PROs into clinical practice, we recommend that clinicians should collect, at a minimum, validated PRO scores that assess pain, function, and general health. Furthermore, concise instruments should be used wherever possible to minimize patient burden, maximize patient engagement, and ensure meaningful data are collected. In the near future, outcomes registries employing computer adaptive testing will facilitate the routine collection of PRO data from all patients.

LEVEL OF EVIDENCE

Level V, expert opinion.

摘要

未标注

患者报告结局(PROs)是衡量医疗质量的一种指标,反映患者对自身健康状况的认知。最近,人们对将PROs应用于日常临床实践重新产生了兴趣。足踝外科医生可使用的PROs有几十种之多,对于哪种测量方法最适合特定病情几乎没有共识。这些测量方法在长度、效度和内容上差异很大。在将PROs整合到临床实践中时,我们建议临床医生至少应收集经过验证的PRO评分,以评估疼痛、功能和总体健康状况。此外,应尽可能使用简洁的工具,以减轻患者负担,提高患者参与度,并确保收集到有意义的数据。在不久的将来,采用计算机自适应测试的结局登记系统将有助于从所有患者中常规收集PRO数据。

证据级别

V级,专家意见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de06/8500394/dbc7b71755dc/10.1177_2473011419852930-fig1.jpg

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