American Hip Institute Research Foundation, Chicago, Illinois, U.S.A..
American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
Arthroscopy. 2023 Sep;39(9):2086-2095. doi: 10.1016/j.arthro.2023.01.107. Epub 2023 Feb 18.
To determine, in patients undergoing joint preservation procedures, whether the Forgotten Joint Score (FJS) compares favorably with legacy measures.
Medical databases (including PubMed/MEDLINE and Embase databases) were queried for publications with the terms "Forgotten Joint Score" and "hip," "knee," "arthroscopy," or "ACL." Fourteen studies met the inclusion criteria. Methodologic quality was assessed through the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist, and psychometric data were evaluated for ceiling or floor effects, convergent validity, internal consistency, reliability, responsiveness, measurement invariance, and measurement error by 2 fellowship-trained orthopaedic surgeons (B.D.K. and W.T.H.).
Data were collected from 14 studies using the FJS after joint-preserving procedures in 911 patients (959 joints). Four studies reported strong internal consistency with an average Cronbach α of 0.92. Two studies reported responsiveness with an effect size ranging from 0.6 to 1.16. One study reported reproducibility with an interclass correlation coefficient of 0.9 (95% confidence interval, 0.8-0.9). One study reported measurement error with an minimum detectable change (MDC) of 32% and MDC of 4.5%. Studies reported moderate to very strong convergent validity across legacy measures for hip and knee preservation surgery. Ceiling effects were favorable compared with many legacy scores for hip and knee preservation. Three studies reported the minimal clinically important difference whereas 1 study reported the patient acceptable symptomatic state for the FJS.
The FJS is a methodologically sound outcome measure used to evaluate patient outcomes after hip and knee preservation surgery with overall low ceiling effects compared with legacy measures.
Level IV, systematic review of Level III and IV studies.
在接受关节保留手术的患者中，确定遗忘关节评分（FJS）是否优于传统指标。
通过检索包括 PubMed/MEDLINE 和 Embase 数据库在内的医学数据库，使用“遗忘关节评分”和“髋”、“膝”、“关节镜”或“ACL”等术语查询相关出版物。有 14 项研究符合纳入标准。通过共识基础的健康测量仪器选择标准（COSMIN）检查表评估方法学质量，并由 2 名骨科 fellowship培训医师（B.D.K.和 W.T.H.）评估天花板或地板效应、收敛效度、内部一致性、可靠性、反应度、测量不变性和测量误差的心理测量数据。
共纳入了 14 项使用 FJS 对 911 例（959 个关节）接受关节保留手术后患者进行评估的研究。其中 4 项研究报告了具有平均 Cronbach α 值为 0.92 的较高内部一致性。有 2 项研究报告了具有 0.6 至 1.16 之间的效应量的反应度。有 1 项研究报告了具有 0.9（95%置信区间，0.8-0.9）的组内相关系数的可重复性。有 1 项研究报告了具有 32%最小可检测变化（MDC）和 4.5%MDC 的测量误差。研究报告了髋和膝关节保留手术的传统指标之间具有中度至很强的收敛效度。与许多传统的髋和膝关节保留评分相比，天花板效应较好。有 3 项研究报告了最小临床重要差异，而 1 项研究报告了 FJS 的患者可接受的症状状态。
FJS 是一种方法学上合理的结果测量工具，用于评估髋和膝关节保留手术后的患者结局，与传统指标相比，总体天花板效应较低。
基于 III 级和 IV 级研究的系统评价，为 IV 级。
