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单项评估数值评估与非创伤性肩病的西部安大略肩袖评分相关。

The single assessment numeric evaluation correlates with the western ontario rotator cuff score in non-traumatic shoulder disease.

出版信息

Acta Orthop Belg. 2023 Mar;89(1):162-166. doi: 10.52628/89.1.11240.

Abstract

Patient-reported outcome measures (PROMs) are essential clinical instruments used for assessing patient function and assisting in clinical decision making. The Western Ontario Rotator Cuff (WORC) index is the PROM for shoulder pathology with the most psychometric properties but is very time consuming. The Single Assessment Numeric Evaluation (SANE) method is a PROM that takes less time to answer and to analyze. The aim of the study is to evaluate the intra- class correlation between these two outcome scores in establishing shoulder function in patients with non-traumatic rotator cuff pathologies. Fifty five subjects of both genders and different ages presenting with non-traumatic shoulder pain for more than 12 weeks had a physical examination and ultrasound as well as MRI arthrogram scan findings that were consistent of a non-traumatic rotator cuff (RC) based pathology. On the same moment a WORC index and a SANE score questionnaire were filled in by the subject. The intra class correlation of both PROMs was statistically analyzed. The WORC index score and the SANE score show a moderate correlation with an Intra Class Coefficient (ICC) of r = 0.60 (95% CI:0.40-0.75). This study demonstrates a moderate correlation between the WORC index score and the SANE score in rating the disability of patients with atraumatic RC disease. The SANE score is applicable in research and clinical practice and is for the patient and the researcher an almost no time consuming PROM.

摘要

患者报告的结果测量(PROMs)是用于评估患者功能并协助临床决策的重要临床工具。Western Ontario Rotator Cuff(WORC)指数是具有最多心理测量特性的肩部病变的 PROM,但非常耗时。Single Assessment Numeric Evaluation(SANE)方法是一种 PROM,回答和分析所需的时间更少。本研究旨在评估这两种结果评分之间的组内相关性,以确定非创伤性肩袖病变患者的肩部功能。55 名男女患者,年龄不同,患有非创伤性肩部疼痛超过 12 周,进行了体格检查和超声检查,以及 MRI 关节造影扫描,这些检查均显示非创伤性肩袖(RC)病变。同时,患者填写了 WORC 指数和 SANE 评分问卷。对两种 PROM 的组内相关性进行了统计学分析。WORC 指数评分和 SANE 评分显示出中度相关性,组内相关系数(ICC)为 r = 0.60(95%CI:0.40-0.75)。本研究表明,在评估非创伤性 RC 疾病患者的残疾程度方面,WORC 指数评分和 SANE 评分之间存在中度相关性。SANE 评分适用于研究和临床实践,并且对于患者和研究人员来说,几乎是一种不耗时的 PROM。

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