踝关节骨折患者四种患者报告结局指标的比较：一项关于患者偏好和心理测量特性的研究。
Comparison of four patient reported outcome measures in patients with ankle fracture: A study on patient preferences and psychometric properties.
作者信息
Gundtoft Per Hviid, Erichsen Julie Ladeby, Terndrup Mads, Walsøe Lauritz, Pedersen Lasse, Viberg Bjarke, Ørts Alice, Abrahamsen Charlotte
机构信息
Department of Orthopaedic Surgery, Aarhus University Hospital, Denmark; Department of Orthopaedic Surgery, Lillebaelt Hospital - Kolding, Denmark.
Department of Orthopaedic Surgery, Odense University Hospital, Denmark.
出版信息
Foot Ankle Surg. 2025 Jan;31(1):58-64. doi: 10.1016/j.fas.2024.07.001. Epub 2024 Jul 14.
BACKGROUND
The aim was to assess psychometric properties of Manchester Oxford Foot Questionnaire (MOXFQ), the Self-reported Foot and Ankle Score (SEFAS), the Olerud Molander Ankle Score (OMAS), and the Forgotten Joint Score (FJS) in adults with ankle fractures.
METHODS
Patients received all four questionnaires 6, 12, 14, 24, 52, and 104 weeks following an ankle fracture. According to COSMIN guidelines, statistical tests were performed to assess floor- and ceiling effects, structural validity, construct validity and reliability. Cognitive interview was performed with 9 patients.
RESULTS
MOXFQ showed best model fit in Confirmatory Factor Analysis. When testing construct validity, all hypotheses were accepted except for OMAS and FJS. All questionnaires had an almost perfect test-retest reliability (Interclass Correlation Coefficient 0.81 to 0.91) and Cronbach's alpha ranged from 0.76 to 0.95. MOXFQ was the best rated questionnaire.
CONCLUSION
All questionnaires performed well and we recommend MOXFQ for future use in ankle fracture studies.
LEVEL OF EVIDENCE
Level IV.
背景
目的是评估曼彻斯特牛津足部问卷（MOXFQ）、自我报告的足踝评分（SEFAS）、奥勒鲁德 - 莫兰德踝关节评分（OMAS）以及遗忘关节评分（FJS）在踝关节骨折成人患者中的心理测量学特性。
方法
患者在踝关节骨折后的6周、12周、14周、24周、52周和104周接受所有四项问卷调查。根据COSMIN指南，进行统计测试以评估地板效应和天花板效应、结构效度、构想效度和信度。对9名患者进行了认知访谈。
结果
在验证性因素分析中，MOXFQ显示出最佳的模型拟合。在测试构想效度时，除了OMAS和FJS外，所有假设均被接受。所有问卷的重测信度几乎完美（组内相关系数为0.81至0.91），克朗巴哈系数范围为0.76至0.95。MOXFQ是评分最高的问卷。
结论
所有问卷表现良好，我们推荐在未来的踝关节骨折研究中使用MOXFQ。
证据水平
四级。
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