慢性疾病负担评估（ABCC-）工具：髋关节，膝关节，手，腕，足和踝关节骨关节炎的有效和可靠的工具

Osteoarthritis and cartilage open Pub Date : 2025-05-21 DOI:10.1016/j.ocarto.2025.100623

V.H.J. Debie , T.A.E.J. Boymans , A.H.M. Gidding-Slok , O.C.P. van Schayck , R.P.G. Ottenheijm

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引用次数: 0

摘要

目的开发慢性疾病负担评估（ABCC-）工具，对患有一种或多种慢性疾病的患者在身体、情感和社会层面上的疾病负担进行全面、全面的评估。本研究旨在评估最近开发的骨关节炎（OA） abcc工具模块的有效性和可靠性。DesignA对髋关节、膝关节、手、腕、足和踝关节OA患者进行了横断面问卷调查。效度评估为：(1)三个oa关节特异性问卷测量疼痛和僵硬等的收敛效度；(2)放射学Kellgren-Lawrence （KL）评分的判别效度；(3)已知组效度（组：受影响关节的数量，存在/不存在焦虑、抑郁、运动恐惧症和疼痛灾难）。信度评估为(1)内部一致性；(2)每隔两周重测一次。结果共纳入409例OA患者。所有关节的收敛效度均符合假设，即r≥0.7(髋部OA r = -0.73；膝关节OA r = -0.75；手、腕部OA r = 0.74；足部和踝关节OA r = -0.41)。根据假设，在区分效度上，没有发现OA负担与kl得分之间的相关关系。abc工具能够区分所有预定义的已知群(所有p <；0.05)。abcc -工具在所有区域和关节间表现出良好的内部一致性（所有关节的总尺度≥0.87）。重测信度高（所有ICC≥0.81）。结论abcc工具是评估不同关节骨关节炎多维负担的有效、可靠的工具。

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The Assessment of Burden of Chronic Conditions (ABCC-) tool: A valid and reliable tool for hip, knee, hand, wrist, foot and ankle osteoarthritis

Objective

The Assessment of Burden of Chronic Conditions (ABCC-) tool was developed to provide a comprehensive, holistic evaluation of disease burden on physical, emotional and social level in patients with one or more chronic conditions. This study aimed to assess the validity and reliability of the recently developed module for the ABCC-tool for osteoarthritis (OA).

Design

A cross-sectional questionnaire-based study was conducted among patients with hip, knee, hand, wrist, foot and ankle OA. Validity was assessed as (1) the convergent validity with three OA-joint-specific questionnaires measuring pain and stiffness amongst others; (2) the discriminant validity with radiographic Kellgren-Lawrence (KL) scores; and (3) known-groups validity (groups: number of affected joints, and the presence/absence of anxiety, depression, kinesiophobia, and pain catastrophizing). Reliability was assessed as the (1) internal consistency; and (2) test-retest with a two-week interval.

Results

409 OA patients were included. For all joints its convergent validity was according to the hypothesis, i.e. r ≥ 0.7 (hip OA r = -0.73; knee OA r = -0.75; hand and wrist OA r = 0.74; foot and ankle OA r = -0.41). As expected according to the hypothesis, no correlation between burden of OA and KL-scores was found for the discriminant validity. The ABCC-tool was able to distinguish all predefined known-groups (all p < 0.05). The ABCC-tool demonstrated good internal consistency across all domains and joints (total scale in all joints ≥0.87). Test-retest reliability was high (all ICC ≥0.81).

Conclusion

The ABCC-tool is a valid and reliable tool for assessing the multidimensional burden of OA across different joints.

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来源期刊

Osteoarthritis and cartilage open Orthopedics, Sports Medicine and Rehabilitation

CiteScore

3.30

自引率

0.00%

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