膝关节骨性关节炎患者的放射学分级与临床评分之间的相关性

Q3 Medicine
Kshitiz Sapkota, Sandesh Gautam, Prajjwol Luitel, Radhika Sapkota, Sabin Pokharel
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引用次数: 0

摘要

背景:骨关节炎的特点是机械性关节异常,主要涉及关节软骨和软骨下骨退化。膝骨关节炎的诊断依赖于美国风湿病学会的标准,严重程度的评估则采用西安大略和麦克马斯特大学骨关节炎指数评分以及凯尔格伦和劳伦斯分级。尽管有相关报道,但西安大略和麦克马斯特大学骨关节炎指数与 Kellgren 和 Lawrence 分级之间的相关性仍存在差异:在国家创伤中心进行了为期 6 个月的描述性横断面研究,采用连续方便抽样法。收集了人口统计学和临床放射学数据。计算平均值、标清值和相关系数:结果:通过连续方便抽样,共抽取了 80 名符合美国风湿病学会标准的患者,年龄在 52-81 岁之间,主要为女性(67.50%)。年龄、西安大略和麦克马斯特大学骨关节炎指数评分与 KL 分级之间存在显著正相关。结果显示,大多数病例的 Kellgren 和 Lawrence 分级为 III 级,西安大略和麦克马斯特大学骨关节炎指数总分与 Kellgren 和 Lawrence 分级之间存在很强的相关性(r=0.73,p=0.00)。值得注意的是,疼痛、僵硬和身体功能与 Kellgren 和 Lawrence 分级之间存在显著的正相关性。该研究证实了骨关节炎与年龄有关的影响因素,强调了女性的偏好,并强调了评估临床和放射学参数的重要性:总之,这项研究支持西安大略和麦克马斯特大学骨关节炎指数在动态疾病评估和管理方面的功效,尤其是在放射检查可能不切实际的情况下,从而确立了西安大略和麦克马斯特大学骨关节炎指数作为系统监测和干预膝骨关节炎的多功能工具的地位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation Between Radiological Grading and Clinical Scoring in Knee Osteoarthritis Patients.

Background: Osteoarthritis is characterized by mechanical joint abnormalities, primarily involving articular cartilage and subchondral bone degradation. Diagnosis of knee osteoarthritis relies on American College of Rheumatology criteria, and severity assessment utilizes the Western Ontario and McMaster Universities Osteoarthritis Index score and Kellgren and Lawrence grading. Despite reported associations, discrepancies persist in the correlation between Western Ontario and McMaster Universities Osteoarthritis Index and Kellgren and Lawrence grade.

Methods: Descriptive cross-sectional study was conducted at the National Trauma Centre, over six months with consecutive convenience sampling. Demographic and clinico-radiological data were collected. Mean, SD and correlation coefficient was calculated.

Results: Consecutive convenient sampling yielded 80 participants meeting American College of Rheumatology criteria, aged 52-81 years, predominantly female (67.50%). Significant positive correlations were identified between age, Western Ontario and McMaster Universities Osteoarthritis Index score, and KL grade. Results showed most cases with Kellgren and Lawrence grade III and strong correlations (r=0.73, p=0.00) between total Western Ontario and McMaster Universities Osteoarthritis Index scores and Kellgren and Lawrence grading. Notably, pain, stiffness and physical functions individually exhibited a significant possitive correlation with Kellgren and Lawrence grading. The study affirms age-related influences on osteoarthritis, emphasizes female predilection, and underscores the importance of assessing both clinical and radiological parameters.

Conclusions: In conclusion, this study supports Western Ontario and McMaster Universities Osteoarthritis Index efficacy in dynamic disease assessment and management, especially in settings where radiological examinations may be impractical, thus establishing Western Ontario and McMaster Universities Osteoarthritis Index as a versatile tool for systematic monitoring and intervention in knee osteoarthritis.

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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
81
审稿时长
15 weeks
期刊介绍: The journal publishes articles related to researches done in the field of biomedical sciences related to all the discipline of the medical sciences, medical education, public health, health care management, including ethical and social issues pertaining to health. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed original research papers, case reports, systematic reviews and meta-analysis. Editorial, Guest Editorial, Viewpoint and letter to the editor are solicited by the editorial board. Frequently Asked Questions (FAQ) regarding manuscript submission and processing at JNHRC.
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