[以患者为导向的 "拇指残疾检查"(TDX)问卷的德文翻译和验证,用于拇指掌腕关节骨关节炎的具体诊断和随访]。

IF 0.4 4区 医学 Q4 SURGERY
Sinan Mert, Iana Emelianova, Nicholas Möllhoff, Moritz Christian Bader, Riccardo Giunta, Elisabeth Maria Haas-Lützenberger
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引用次数: 0

摘要

背景:患者报告结果测量(PROMs)在当今的患者护理中变得越来越重要。遗憾的是,手外科最常见的 PROM 非常耗时,而且通常不包括患者实际的、特定诊断的主诉。为了诊断和随访拇指腕掌关节骨关节炎,Noback 等人开发并验证了拇指残疾检查 (TDX) 问卷。该问卷共有 20 个项目,专门评估日常生活限制、疼痛以及患者对拇指功能的满意度。本研究的目的是验证 TDX 的德语翻译版本--拇指残疾检查-德语(TDX-G),并将其与目前作为金标准的德语版 MHQ 和 qDASH 进行比较:材料和方法:翻译和回译均按照公认的准则进行。为了对 TDX-G 进行统计验证,在标准化条件下对 30 名连续的拇指腕掌关节骨关节炎患者进行了访谈。采用克朗巴赫α计算内部一致性。10 名患者两次完成了 TDX-G 的测试,每次间隔 2 周。通过计算 TDX-G 与 MHQ 和 qDASH、主观疼痛感觉(NRS)和手部力量水平(粗力和捏力)的相关系数,确定了 TDX-G 的有效性。此外,还对收集每份问卷的时间进行了比较:结果:TDX-G 具有较高的内部一致性(Cronbach's alpha 0.932)和测试-再测可靠性(类内相关系数 0.963 [0.850-0.991])。TDX-G 与 MHQ 之间存在明显的相关性(- 0.782;p 结论:TDX-G 是诊断和监测拇指腕掌关节骨关节炎进展的可靠工具。它可用于患者护理和临床研究,并能准确反映症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[German Translation and Validation of the Patient-Oriented Questionnaire "Thumb Disability Examination" (TDX) for Specific Diagnosis and Follow-Up of Thumb Carpometacarpal Joint Osteoarthritis].

Background: Patient-reported outcome measures (PROMs) are becoming increasingly important in today's patient care. Unfortunately, the most common PROMs in hand surgery are very time-consuming and usually do not cover the actual, diagnosis-specific complaints of the patients. For diagnosis and follow-up of thumb carpometacarpal joint osteoarthritis, Noback et al. developed and validated the Thumb Disability Examination (TDX) questionnaire. This 20-item questionnaire specifically assesses daily living limitations and pain as well as patient-reported satisfaction of thumb function. The aim of this study is to validate the German translation of the TDX, the Thumb Disability Examination - German (TDX-G), and to compare it with the German-language versions of the MHQ and qDASH, which are currently used as gold standard.

Material und methods: Translation and back-translation were performed in accordance with accepted guidelines. For statistical validation of the TDX-G, 30 consecutive patients with thumb carpometacarpal joint osteoarthritis were interviewed under standardised conditions. Internal consistency was calculated using Cronbach's alpha. Test-retest reliability was determined in 10 patients who completed the TDX-G twice at an interval of 2 weeks. The validity of the TDX-G was determined by calculating the correlation coefficients of the TDX-G with the MHQ and qDASH, subjective pain sensation (NRS), and hand strength levels (coarse and pinch strength). In addition, the time to collect each questionnaire was compared.

Results: The TDX-G has high internal consistency (Cronbach's alpha 0.932) and test-retest reliability (intraclass correlation coefficient 0.963 [0.850-0.991]). There is a significant correlation between TDX-G and MHQ (- 0.782; p<0.001) and qDASH (0.833; p<0.001). All questionnaires correlate significantly with pain on exertion and pinch force, with the TDX-G having the highest correlation in each case. Significantly less time is needed to record the TDX-G (110±28 s) than to record the MHQ (413±98 s).

Conclusion: The TDX-G is a reliable tool for diagnosing and monitoring the progression of thumb carpometacarpal joint osteoarthritis. It can be used in both patient care and clinical research and accurately mirrors the symptoms.

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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
85
审稿时长
6-12 weeks
期刊介绍: In Originalarbeiten und Fallberichten finden Sie die neuesten Informationen über: Diagnostik Verfahrenswahl state of the art / neueste Techniken rekonstruktive Verfahren Behandlung infolge von Traumata oder OP Bewertung der Ergebnisse Klinische Forschung Interessante Darstellung der neuesten Erkenntnisse in Originalarbeiten und Fallberichten. Exzellent veranschaulicht durch ein klares Layout und reiche Bebilderung. Überzeugen Sie sich selbst! Organschaften Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie, Deutschen Gesellschaft für Handchirurgie und Österreichischen Gesellschaft für Handchirurgie Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der peripheren Nerven und Gefäße Organ der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen
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