膝关节和髋关节置换手术中等待时间对患者结局的影响：范围综述方案。

The impact of wait time on patient outcomes in knee and hip replacement surgery: a scoping review protocol.

机构信息

Department of Epidemiology & Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, N6A 5B8, Canada.

Department of Orthopaedics, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Syst Rev. 2022 Mar 4;11(1):38. doi: 10.1186/s13643-022-01909-4.

DOI:10.1186/s13643-022-01909-4

PMID:35246261

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8895094/

Abstract

BACKGROUND

Total hip and total knee replacement surgery are in high demand, leading to long wait times for many patients. While on the waiting list, patients may experience worsening pain, reduced mobility, and deteriorating health. Given that long wait times are common for lower joint replacement surgery, it is important to understand how patient health changes during the wait period and whether this impacts patient outcomes after surgery. The aim of this scoping review will be to identify and describe the evidence regarding the impact of wait time on patient outcomes for patients who undergo total knee and total hip replacement surgery.

METHODS

This scoping review was designed with guidance from the Joanna Briggs Institute Manual for Evidence Synthesis, and results will be reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. EMBASE, Medline, PubMed, Scopus, CINAHL, and Cochrane electronic databases will be searched for English language articles published after 1999. Studies of adult patients with osteoarthritis undergoing primary knee or hip replacement surgery, which measure patient outcomes over the wait period for surgery, will be included. Two independent reviewers will screen titles and abstracts followed by full article review. Data will be extracted by two reviewers using a standardized form. Outcomes assessed during the wait period will be identified and described in tables. Factors associated with changes in health status during the wait period will be qualitatively described.

DISCUSSION

This review will map the evidence regarding wait times for lower extremity joint replacement surgery. Better understanding of how the impact of wait times on patient health status is measured over the perioperative period will inform future research on wait times.

SCOPING REVIEW REGISTRATION

Registered with Open Science Framework, Feb 14, 2021 DOI: https://doi.org/10.17605/OSF.IO/MV4FS.

摘要

背景

全髋关节和全膝关节置换手术需求量大，导致许多患者等待时间长。在等待名单上时，患者可能会经历疼痛加剧、活动能力下降和健康状况恶化。鉴于下肢关节置换手术的等待时间通常较长，了解患者在等待期间的健康状况如何变化以及这是否会影响手术后的患者结局非常重要。本次范围综述的目的是确定并描述有关全膝关节置换和全髋关节置换手术患者等待时间对患者结局影响的证据。

方法

本范围综述是在 Joanna Briggs 研究所证据综合手册的指导下设计的，结果将按照系统评价和荟萃分析扩展的首选报告项目进行报告。将在 1999 年后发表的英文文章中搜索 EMBASE、Medline、PubMed、Scopus、CINAHL 和 Cochrane 电子数据库。将纳入研究对象为接受初次膝关节或髋关节置换手术的骨性关节炎成年患者，这些研究测量了手术等待期间的患者结局。两名独立审查员将筛选标题和摘要，然后进行全文审查。两名审查员将使用标准化表格提取数据。将确定并在表格中描述等待期间评估的结局。将定性描述与等待期间健康状况变化相关的因素。