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全髋关节和膝关节置换术后短期患者报告结局指标的评估:一项综述

Evaluating Short-Term Patient-Reported Outcome Measures Following Total Hip and Knee Replacement: A Comprehensive Review.

作者信息

Patel Vatsal, Deshpande Sanjay V, Jadawala Vivek H, Bhalsod Disheeta, Sawant Sharad

机构信息

Orthopedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

Anesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 29;16(9):e70468. doi: 10.7759/cureus.70468. eCollection 2024 Sep.

Abstract

Total hip replacement (THR) and total knee replacement (TKR) are widely performed surgical procedures to alleviate pain and improve function in patients with joint-related diseases. Short-term patient-reported outcome measures (PROMs) have become a key metric in assessing the success of these surgeries from the patient's perspective, focusing on early recovery, pain management, mobility, and quality of life. This comprehensive review evaluates the significance of short-term PROMs following THR and TKR, highlighting commonly used tools such as the Oxford Hip Score (OHS), Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and short-form health survey (SF-36). The analysis explores the impact of various factors, such as age, preoperative health status, and surgical technique, on short-term outcomes. Findings from recent studies indicate that while patients generally report improvements in physical function and pain relief within the first six months post-surgery, individual outcomes can vary significantly. Factors like early rehabilitation, mental health, and the presence of postoperative complications can influence the trajectory of recovery and satisfaction levels. Moreover, the review addresses the limitations of current PROMs, including variability in reporting and sensitivity to different patient populations. This review emphasizes the need for more personalized and standardized approaches to PROM assessment to better capture patient experiences and optimize postoperative care. Future research should focus on integrating PROMs with long-term follow-up data and digital health tools to track real-time patient progress, thus enhancing the overall quality of care for THR and TKR patients. Short-term PROMs play a vital role in understanding patient outcomes and guiding clinical practice for joint replacement surgeries.

摘要

全髋关节置换术(THR)和全膝关节置换术(TKR)是广泛开展的外科手术,用于缓解关节相关疾病患者的疼痛并改善其功能。短期患者报告结局指标(PROMs)已成为从患者角度评估这些手术成功与否的关键指标,重点关注早期恢复、疼痛管理、活动能力和生活质量。本综述全面评估了THR和TKR术后短期PROMs的重要性,强调了常用工具,如牛津髋关节评分(OHS)、牛津膝关节评分(OKS)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)以及简短健康调查问卷(SF - 36)。该分析探讨了年龄、术前健康状况和手术技术等各种因素对短期结局的影响。近期研究结果表明,虽然患者通常在术后头六个月内报告身体功能有所改善且疼痛减轻,但个体结局可能差异显著。早期康复、心理健康和术后并发症的存在等因素会影响恢复轨迹和满意度水平。此外,本综述还讨论了当前PROMs的局限性,包括报告的变异性以及对不同患者群体的敏感性。本综述强调需要采用更个性化和标准化的PROM评估方法,以更好地了解患者体验并优化术后护理。未来的研究应专注于将PROMs与长期随访数据和数字健康工具相结合,以跟踪患者的实时进展,从而提高THR和TKR患者的整体护理质量。短期PROMs在了解患者结局和指导关节置换手术的临床实践中起着至关重要的作用。

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