髋关节保留手术患者报告的结果:它们都是一样的吗?

IF 2.6 2区 医学 Q1 ORTHOPEDICS
Luke Sang, Kian Niknam, Ishaan Swarup
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引用次数: 0

摘要

历史上,对于髋关节手术,髋关节结局评分(HOS)和国际髋关节结局工具12 (iHOT-12)通常被用作患者报告结果测量(PROMs)的工具。然而,这些工具经常受到其他因素的影响,例如并发疾病,使得更标准化的工具成为更可取的选择。患者报告结果测量信息系统-25 (promise -25)是一种标准化的、经过验证的PROMs指标,与其他几种解剖特异性PROMs工具具有良好的相关性。在这项研究中,我们旨在评估和比较iHOT-12和HOS与promise -25在成人和儿童髋关节保留患者中的相关性。方法:本研究纳入了在我院行髋关节保留手术的患者。所有患者在手术前通过电子PRO平台完成iHOT-12、HOS和PROMIS仪器测试。在每个工具的不同领域中,分别计算成人和儿科患者的Spearman相关性。进行rto -z转换分析以评估人口学因素之间是否存在PROMs相关性的差异。结果:2020年7月至2023年7月,共有62例患者入组。平均年龄为20.1岁(SD: 6.7岁),儿童患者(64.5%)多于成人患者(35.4%)。在两名成人中,功能活动能力等多个PROMIS域与其他髋关节PROMs具有强或强中度相关性(HOS日常生活活动:ρ = 0.76, P < 0.01;HOS Sports: ρ = 0.84, P < 0.01;iHOT-12: ρ = 0.85, P < 0.01)和儿科(HOS)的日常生活活动:ρ = 0.79, P < 0.01;HOS Sports: ρ = 0.88, P < 0.01;iHOT-12: ρ = 0.66, P < 0.01)。年龄和性别对PROMs的相关性有显著影响(P< 0.05)。结论:iHOT-12、HOS和PROMIS结构域之间存在很强的相关性,这些结构域设计用于测量两个年龄组的相似结构。然而,某些人口统计学差异可能显著影响iHOT-12/HOS与PROMIS之间的相关性。promise -25可以准确地记录成人和儿童髋关节保留手术患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient-Reported Outcome Measures in Hip Preservation Surgery: Are They All the Same?

Introduction: Historically, for hip procedures, the Hip Outcome Score (HOS) and the International Hip Outcome Tool 12 (iHOT-12) have been commonly usedas instruments for patient-reported outcome measures (PROMs). However, these tools are often influenced by other factors, such as concurrent illnesses, making more standardized tools a preferable choice. Patient-Reported Outcomes Measurement Information System-25 (PROMIS-25) is a standardized, validated PROMs metric that has correlated well with several other anatomy-specific PROMs tools. In this study, we aim to assess and compare the correlations between iHOT-12 and HOS with PROMIS-25 in adult and pediatric hip preservation patients.

Methods: This study included patients indicated for a hip preservation procedure at our institution. All patients completed the iHOT-12, HOS, and PROMIS instruments through an electronic PRO platform before surgery. Spearman correlations were calculated separately for adult and pediatric patients between the various domains in each tool. A rho-to-z transformation analysis was conducted to assess whether there are differences in PROMs correlations between demographic factors.

Results: A total of 62 patients were enrolled in this study from July 2020 to July 2023. The average age was 20.1 years (SD: 6.7 years), and more pediatric patients (64.5%) were enrolled than adult patients (35.4%). Multiple PROMIS domains, such as functional mobility, had strong or strong-moderate correlations with other hip PROMs in both adult (HOS activities of daily living: ρ = 0.76, P < 0.01; HOS Sports: ρ = 0.84, P < 0.01; iHOT-12: ρ = 0.85, P < 0.01) and pediatric (HOS activities of daily living: ρ = 0.79, P < 0.01; HOS Sports: ρ = 0.88, P < 0.01; iHOT-12: ρ = 0.66, P < 0.01) patients. Notable effects of age and sex were observed on correlations between PROMs (P< 0.05).

Conclusion: There are strong correlations between iHOT-12, HOS, and PROMIS domains designed to measure similar constructs in both age groups. However, certain demographic differences may markedly influence the correlation between iHOT-12/HOS and PROMIS. PROMIS-25 can accurately capture outcomes for both adult and pediatric patients undergoing hip preservation surgery.

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来源期刊
CiteScore
6.10
自引率
6.20%
发文量
529
审稿时长
4-8 weeks
期刊介绍: The Journal of the American Academy of Orthopaedic Surgeons was established in the fall of 1993 by the Academy in response to its membership’s demand for a clinical review journal. Two issues were published the first year, followed by six issues yearly from 1994 through 2004. In September 2005, JAAOS began publishing monthly issues. Each issue includes richly illustrated peer-reviewed articles focused on clinical diagnosis and management. Special features in each issue provide commentary on developments in pharmacotherapeutics, materials and techniques, and computer applications.
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