比较足部和踝关节手术患者的欧洲足部和踝关节评分（EFAS）和自我报告的足部和踝关节评分（SEFAS）。
Comparison of the European Foot and Ankle Score (EFAS) and the Self-Reported Foot and Ankle Score (SEFAS) in patients with foot and ankle surgery.
机构信息
Department of Pediatric Surgery, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Department of Orthopaedic and Trauma Surgery, Aachen University Hospital, Pauwelsstrasse 30, 52074, Aachen, Germany.
出版信息
Arch Orthop Trauma Surg. 2024 Nov;144(11):4929-4935. doi: 10.1007/s00402-024-05585-y. Epub 2024 Sep 28.
BACKGROUND
The European Foot and Ankle Score EFAS and the Self-reported Foot and Ankle Score SEFAS are two Patient Reported Outcome Measures (PROMs) used in foot and ankle surgery. The EFAS has been published in recent years, while the SEFAS is a validated questionnaire based on the New Zealand total ankle questionnaire.
METHODS
We compared the EFAS to the SEFAS, Short Form 36 (SF-36) and Numeric Rating Scale (NRS) regarding reliability and validity based on the results of 126 patients undergoing foot and ankle surgery in a single center.
RESULTS
Both the EFAS and SEFAS demonstrate good psychometric properties with comparable reliability and validity. The EFAS questionnaire portrays pain and physical function as well as those well-established tools of SEFAS, NRS and SF-36.
CONCLUSIONS
In conclusion both the EFAS and SEFAS show good psychometric properties with comparable results for internal consistency, test-retest reliability, sensitivity to change and strong correlation for the corresponding domains describing pain and physical function.
LEVELS OF EVIDENCE
III.
背景
欧洲足部和踝关节评分（EFAS）和自我报告足部和踝关节评分（SEFAS）是两种用于足部和踝关节手术的患者报告结局测量（PROMs）。EFAS 近年来已发表，而 SEFAS 是基于新西兰全踝关节问卷的验证问卷。
方法
我们比较了 EFAS 与 SEFAS、36 项简短健康调查（SF-36）和数字评分量表（NRS）在单中心进行足部和踝关节手术后的 126 名患者的结果，评估其可靠性和有效性。
结果
EFAS 和 SEFAS 均具有良好的心理测量特性，可靠性和有效性相当。EFAS 问卷描绘了疼痛和身体功能，以及 SEFAS、NRS 和 SF-36 的这些既定工具。
结论
总之，EFAS 和 SEFAS 均具有良好的心理测量特性，对于内部一致性、重测信度、对变化的敏感性以及描述疼痛和身体功能的相应领域的相关性具有相当的结果。
证据水平
III 级。
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