Rasmus Stokholm, Peter Larsen, Juozas Petruskevicius, Jan Duedal Rölfing, Morten Kjerri Rasmussen, Steffen Skov Jensen, Rasmus Elsoe
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Relevance was evaluated by patients' ranking all KOOS items; construct validity was evaluated by comparing KOOS scores with the Health-Related Quality of Life questionnaire; test-retest reliability was evaluated by comparing KOOS scores over a 24-hour period; and responsiveness was evaluated based on predefined hypotheses and effect size.</p><p><strong>Results: </strong>Sixty patients (mean age, 47.1 years; range, 18-84 years) were included. Results showed acceptable relevance and construct validity for all KOOS subscales. Test-retest reliability was high for all 5 subscales, with an intraclass correlation coefficient of 0.9. 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引用次数: 0
摘要
背景：本研究评估了胫骨干骨折患者膝关节损伤性骨关节炎结局评分（oos）的相关性、结构效度、重测信度和反应性，并估计了最小的临床重要差异。材料和方法：本前瞻性队列研究纳入胫骨干骨折（ao42 -）后手术治疗的成年患者。主要结局指标为疼痛、症状、日常生活活动、运动和娱乐活动以及膝关节相关生活质量的kos亚量表得分。分别于术后14天、15天、6周、3、6、12个月进行评分。通过患者对所有oos项目的排序来评估相关性；通过比较kos得分与健康相关生活质量问卷来评估结构效度；通过比较24小时内的kos分数来评估重测信度；反应性是根据预先设定的假设和效应大小来评估的。结果：60例患者，平均年龄47.1岁；范围：18-84岁)。结果显示所有oos子量表的相关性和结构效度均可接受。5个子量表的重测信度均较高，类内相关系数为0.9。对于预先设定的假设，反应性具有中至高相关性（r≥0.3），对于疼痛、日常生活活动、症状和运动和娱乐活动的子量表，反应性具有中至大的效应量，范围为0.5至1.3。结论：oos对胫骨干骨折患者具有可接受的相关性、结构效度、反应性和中高的重测信度。进一步验证oos对胫骨干骨折的心理测量特性可能会扩大其对该患者群体的有用性。[矫形手术。202 x; 4 x (x): xx-xx。]。
Knee Injury and Osteoarthritis Outcome Score for Tibial Shaft Fractures: Validity, Reliability, Responsiveness, and Minimal Clinically Important Difference.
Background: This study evaluated the relevance, construct validity, test-retest reliability, and responsiveness and estimate the minimal clinically important difference in the Knee Injury Osteoarthritis outcome score (KOOS) for patients with tibial shaft fractures.
Materials and methods: This prospective cohort study included adult patients who were surgically treated after tibial shaft fracture (AO 42-). The primary outcome measure was the score on the KOOS subscales of pain, symptoms, activities of daily living, sport and recreational activities, and knee-related quality of life. Scores were obtained at 14 days, 15 days, 6 weeks, and 3, 6, and 12 months postoperatively. Relevance was evaluated by patients' ranking all KOOS items; construct validity was evaluated by comparing KOOS scores with the Health-Related Quality of Life questionnaire; test-retest reliability was evaluated by comparing KOOS scores over a 24-hour period; and responsiveness was evaluated based on predefined hypotheses and effect size.
Results: Sixty patients (mean age, 47.1 years; range, 18-84 years) were included. Results showed acceptable relevance and construct validity for all KOOS subscales. Test-retest reliability was high for all 5 subscales, with an intraclass correlation coefficient of 0.9. Responsiveness was observed with moderate to high correlations (r≥0.3) for the predefined hypotheses and moderate to large effect sizes, ranging from 0.5 to 1.3, for the subscales of pain, activities of daily living, symptoms, and sport and recreational activities.
Conclusion: The KOOS showed acceptable relevance, construct validity, and responsiveness and moderate to high test-retest reliability for patients with tibial shaft fractures. Further validation of the psychometric properties of the KOOS for tibial shaft fractures may expand its usefulness for this patient group. [Orthopedics. 2025;48(3):146-152.].
期刊介绍：
For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice.
The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.
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