西安大略半月板评估工具翻译成意大利语是一个可靠的，精确的，反应灵敏的患者报告的结果测量关节镜半月板手术

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-06-01 DOI:10.1016/j.asmr.2025.101115

Michelangelo Palco M.D. , Gabriele Giuca M.D. , Giorgio Gasparini M.D. , Roberto Simonetta M.D. , Danilo Leonetti M.D. , Filippo Familiari M.D.

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引用次数: 0

摘要

目的将西安大略省半月板评估工具（WOMET）翻译成意大利语，并对其进行文化适应，以检验其在接受关节镜半月板手术患者中的可靠性、测量精度和反应性。方法经磁共振成像证实的半月板损伤患者分别在基线和术后3、6个月完成意大利WOMET。翻译遵循了跨文化适应的既定准则，包括向前向后翻译和认知汇报。使用类内相关系数评估重测信度，通过计算测量标准误差和最小可检测变化来评估测量精度。反应性通过标准化反应均值测量。膝关节损伤和骨关节炎结局评分4问卷进行比较。结果共97例患者，平均年龄38岁；年龄范围22-58岁)。意大利WOMET具有优异的重测信度（类内相关系数为0.87）。测量的标准误差为109.68分，最小可检出的变化为307分，对临床真实变化的检测精度较高。标准化反应均值3个月时为1.94,6个月时为2.44，反应性较强。相关性高(r = 0.85, P <；.001)，膝关节损伤和骨关节炎结局评分4支持并发效度。结论：意大利WOMET是一种可靠、精确、高反应性的患者报告结局指标，可用于评估接受关节镜半月板手术患者的健康相关生活质量。临床相关性考虑到意大利半月板损伤的日益流行以及对文化相关诊断工具的需求，意大利WOMET的验证对患者、卫生保健提供者和科学家都很重要。

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The Western Ontario Meniscal Evaluation Tool Translated Into Italian Is a Reliable, Precise, and Responsive Patient-Reported Outcome Measure for Arthroscopic Meniscal Surgery

Purpose

To translate and culturally adapt the Western Ontario Meniscal Evaluation Tool (WOMET) into Italian to examine its reliability, measurement precision, and responsiveness in patients undergoing arthroscopic meniscal surgery.

Methods

Patients with magnetic resonance imaging–confirmed meniscal injuries completed the Italian WOMET at baseline and again at 3 and 6 months postoperatively. The translation followed established guidelines for cross-cultural adaptation, including forward-backward translation and cognitive debriefing. Test-retest reliability was assessed using the intraclass correlation coefficient, and measurement precision was evaluated by calculating the standard error of measurement and the minimal detectable change. Responsiveness was measured via the standardized response mean. The Knee Injury and Osteoarthritis Outcome Score 4 questionnaire was administered for comparison.

Results

A total of 97 patients (mean age, 38 years; age range, 22-58 years) were included. The Italian WOMET showed excellent test-retest reliability (intraclass correlation coefficient, 0.87). The standard error of measurement was 109.68 points, and the minimal detectable change was 307 points, indicating a high level of precision for detecting true clinical changes. The standardized response means were 1.94 at 3 months and 2.44 at 6 months, indicating strong responsiveness. A high correlation (r = 0.85, P < .001) with the Knee Injury and Osteoarthritis Outcome Score 4 supported concurrent validity.

Conclusions

The Italian WOMET is a reliable, precise, and highly responsive patient-reported outcome measure for assessing health-related quality of life in patients undergoing arthroscopic meniscal surgery.

Clinical Relevance

Given the increasing prevalence of meniscal injuries in Italy and the need for culturally relevant diagnostic tools, the validation of the WOMET in Italian is important for patients, health care providers, and scientists.

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