Ren Jiayi, Lu Hongyuan, Gao Hang, Zhang Xinglai, Zhang Yongni, Li Jin, He Haoxiang, Tao Jiming
Department of Rehabilitation Medicine, Shanghai Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, PR China.
Department of Spine, Guanghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200052, PR China.
Heliyon. 2024 Sep 2;10(18):e36645. doi: 10.1016/j.heliyon.2024.e36645. eCollection 2024 Sep 30.
Knee osteoarthritis (KOA) is a prevalent condition in China, necessitating effective assessment tools for treatment outcomes. This study systematically reviews and analyzes the reliability, validity, and selection of patient-reported outcome measures (PROMs) for evaluating KOA.
Following PRISMA guidelines, a literature search was conducted across seven databases, including CNKI, PubMed, and Embase, covering publications from December 2012 to December 2022. The methodological quality of the studies was assessed using the COSMIN checklist.
Twenty-one studies met the inclusion criteria, involving eight types of KOA PROMs. The Oxford Knee Score (OKS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were the most frequently utilized, appearing in nine and four studies, respectively. OKS achieved a "strong" rating in internal consistency, test-retest reliability, content validity, responsiveness, and measurement error, while WOMAC received a "strong" rating in internal consistency, test-retest reliability, and content validity, with a "moderate" rating in structural validity.
Both OKS and WOMAC are effective PROMs for evaluating KOA in China. However, the choice of a specific tool should be based on the study's objectives and the practical context, considering each tool's reliability, validity, and other measurement properties.
膝关节骨关节炎（KOA）在中国是一种常见疾病，需要有效的评估工具来衡量治疗效果。本研究系统回顾并分析了用于评估KOA的患者报告结局指标（PROMs）的可靠性、有效性及选择。
按照PRISMA指南，在包括中国知网、PubMed和Embase在内的七个数据库中进行文献检索，检索时间范围为2012年12月至2022年12月。使用COSMIN清单评估研究的方法学质量。
21项研究符合纳入标准，涉及8种KOA的PROMs。牛津膝关节评分（OKS）和西安大略和麦克马斯特大学骨关节炎指数（WOMAC）是使用最频繁的，分别出现在9项和4项研究中。OKS在内部一致性、重测信度、内容效度、反应度和测量误差方面获得“强”评级，而WOMAC在内部一致性、重测信度和内容效度方面获得“强”评级，在结构效度方面获得“中等”评级。
OKS和WOMAC都是评估中国KOA的有效PROMs。然而，具体工具的选择应基于研究目的和实际情况，同时考虑每种工具的可靠性、有效性和其他测量特性。
