髋关节或膝关节置换术后患者报告的功能性结果测量:使用国际功能、残疾和健康分类(ICF)进行系统回顾和内容分析。

IF 3.7 2区 医学 Q1 RHEUMATOLOGY
Motahareh Karimijashni, Forough Abtahi, Shokoofih Abbasalipour, Parisa Ranjbar, Armaghan Dabbagh, Marie Westby, Tim Ramsay, Paul E Beaulé, Stéphane Poitras
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引用次数: 0

摘要

目的:本系统性综述旨在确定现有用于成人骨关节炎患者髋关节或膝关节置换术的患者报告结果测量指标(PROMs),并使用修改后的骨关节炎(OA)国际功能、残疾和健康分类(ICF)核心集评估其内容有效性:方法:系统检索了四个数据库,以确定评估髋关节或膝关节置换术后功能的疾病或关节特异性 PROM。两名审稿人根据既定的 ICF 链接规则独立评估了 PROM 的内容:本次综述共纳入了 449 项研究,其中确定了 50 个 PROM。最常见的内容是活动和参与的移动性章节,其次是身体功能和结构的感觉功能和疼痛章节。最常见的 ICF 活动和参与类别是 d451:上下楼梯、d4701:使用私人机动交通工具、d4104:站立和 d4154:保持站立姿势。然而,任何 PROM 均未包含经修订的 OA 核心集中的 11 个 ICF 类别。这种基于 ICF 的 PROM 内容分析显示,所包含的活动和参与类别差异很大,PROM 之间几乎没有重叠。膝关节损伤和骨关节炎结果评分以及髋关节残疾和骨关节炎结果评分在活动和参与方面的覆盖率最高(36.7%):尽管我们的搜索发现了 50 个特定的 PROMs,但与活动和参与度相关的内容仍然存在空白。通过对髋关节或膝关节置换术后使用的 PROMs 进行内容分析,本研究可帮助临床医生根据覆盖类别和相关临床目标选择 PROMs。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Functional Patient-Reported Outcome Measures After Hip or Knee Arthroplasty: A Systematic Review and Content Analysis Using the International Classification of Functioning, Disability, and Health.

Objective: This systematic review aimed to identify the existing patient-reported outcome measures (PROMs) used in hip or knee arthroplasty for adults with osteoarthritis and assess their content validity using the modified International Classification of Functioning, Disability, and Health (ICF) core set for osteoarthritis (OA).

Methods: Four databases were systematically searched to identify disease or joint-specific PROMs evaluating function after hip or knee arthroplasty. Two reviewers independently evaluated the content of PROMs based on established ICF linking rules.

Results: From 449 studies included in this review, 50 PROMs were identified. The mobility chapter of activities and participation was the most common component, followed by the sensory function and pain chapter of body function and structure. The most frequent ICF activity and participation categories were d451 going up and down stairs, d4701 using private motorized transportation, d4104 standing, and d4154 maintaining a standing position. However, 11 ICF categories of the modified OA core set were not captured in any PROMs. This ICF-based content analysis of PROMs revealed that included activity and participation categories vary widely, with little overlap among PROMs. The Knee Injury and Osteoarthritis Outcome Score and the Hip Disability and Osteoarthritis Outcome Score had the most coverage for activity and participation (36.7%).

Conclusion: Even though our search identified 50 specific PROMs, there remain gaps in content related to activity and participation coverage. By providing a content analysis of the PROMs used after hip or knee arthroplasty, this study may help clinicians select PROMs based on covered categories and relevant clinical objectives.

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来源期刊
CiteScore
9.40
自引率
6.40%
发文量
368
审稿时长
3-6 weeks
期刊介绍: Arthritis Care & Research, an official journal of the American College of Rheumatology and the Association of Rheumatology Health Professionals (a division of the College), is a peer-reviewed publication that publishes original research, review articles, and editorials that promote excellence in the clinical practice of rheumatology. Relevant to the care of individuals with rheumatic diseases, major topics are evidence-based practice studies, clinical problems, practice guidelines, educational, social, and public health issues, health economics, health care policy, and future trends in rheumatology practice.
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