The Knee injury and Osteoarthritis Outcome Score (KOOS) for lateral tibial plateau fractures- relevance, reliability and responsiveness.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Jens Traerup, Peter Larsen, Rasmus Elsøe
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引用次数: 0

Abstract

Background: This study aimed to evaluate the patient-reported relevance, test-retest reliability, and responsiveness for each of the five KOOS subscales in patients with lateral tibial plateau fractures.

Methods: Adult patients with surgically treated lateral tibial plateau fractures (AO 41B) were included. The primary outcome measure was the KOOS subscales: Pain, Symptoms, Activity of Daily Living (ADL), Sport and Recreational Activities (Sport/rec), and kne-related Quality of Life (QOL). The KOOS was repeated at 14 and 15 days, six weeks, and 6 and 12 months. Content validity was partly evaluated by patients ranking the relevance of all the items in the KOOS, test-retest reliability by an interclass correlation coefficient, and responsiveness by effect size and based on 3 pre-defined hypotheses related the the global rating of change.

Results: Forty-one patients with a mean age of 54.8 years (ranging from 21 to 81 years) were included. The results showed an acceptable relevance of all the KOOS subscales. The test-retest reliability was moderate to high for all five subscales, with an interclass-correlation coefficient ranging from 0.6 to 0.9. At the 6- and 12-month follow-ups, the responsiveness showed large effect sizes for all the KOOS subscales, ranging from 0.9 to 2.1. Moderate to high correlations (r ≥ 0.4)was observed for the predefine hypotheses.

Conclusion: The KOOS questionnaire showed acceptable relevance, high test-retest reliability and acceptable responsivness within one year following a lateral tibial plateau fracture. More research is needed for further validation of psychometric properties of KOOS for patients with lateral tibial plateau fractures.

针对胫骨平台外侧骨折的膝关节损伤和骨关节炎结果评分(KOOS)--相关性、可靠性和响应性。
背景本研究旨在评估胫骨外侧平台骨折患者的患者报告相关性、测试再测可靠性以及KOOS五个分量表的响应性:方法:纳入接受手术治疗的胫骨外侧平台骨折(AO 41B)成人患者。主要结果测量指标为 KOOS 分量表:疼痛、症状、日常生活活动(ADL)、运动和娱乐活动(Sport/rec)以及与膝关节相关的生活质量(QOL)。KOOS 分别在 14 天和 15 天、6 周、6 个月和 12 个月时进行复测。通过患者对 KOOS 中所有项目的相关性进行排序,对内容有效性进行了部分评估;通过类间相关系数对测试-再测可靠性进行了评估;通过效应大小和基于 3 个预先确定的与总体变化评级相关的假设对反应性进行了评估:共纳入 41 名患者,平均年龄为 54.8 岁(21 至 81 岁不等)。结果显示,所有 KOOS 分量表的相关性均可接受。所有五个分量表的重测可靠性均为中度至高度,类间相关系数在 0.6 至 0.9 之间。在 6 个月和 12 个月的随访中,所有 KOOS 分量表的反应性均显示出较大的效应大小,从 0.9 到 2.1 不等。预设假设的相关性为中度到高度(r ≥ 0.4):结论:KOOS问卷在胫骨平台外侧骨折后一年内显示出了可接受的相关性、较高的测试再测可靠性和可接受的响应性。对于胫骨外侧平台骨折患者,还需要更多的研究来进一步验证 KOOS 的心理测量学特性。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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