Eva Tengman, Cyrus Brodén, Ann-Charlott Söderpalm, Maria C Cöster
{"title":"拇外翻手术前后患者报告的结果：来自国家登记研究的2年结果。","authors":"Eva Tengman, Cyrus Brodén, Ann-Charlott Söderpalm, Maria C Cöster","doi":"10.1177/24730114251351634","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Hallux valgus (HV) is a common condition associated with pain, functional limitations, and reduced health-related quality of life. Population-level data on 2-year results of surgical treatment remain limited. The aim of this study was to evaluate patient-reported outcome measures (PROMs) before surgery, and 1- and 2-year follow-up in patients registered in the Swedish quality registry for foot and ankle surgery (\"Swefoot\") who underwent surgery for HV. Further, the relation between PROMs and HV severity, BMI, and smoking habits was explored.</p><p><strong>Methods: </strong>Seven hundred sixty-five feet from 742 patients (median age 58, 87% women) who underwent primary surgery for HV were included. Data on demographics, comorbidities, HV severity, surgical procedures, and PROMs were extracted. PROMs included the Self-Reported Foot and Ankle score (SEFAS), EuroQol 5-dimensional, 3-level (EQ-5D), and satisfaction regarding surgery, appearance, shoe wear, and pain.</p><p><strong>Results: </strong>At both 1- and 2-year follow-ups, approximately 80% of responding patients reported satisfaction with the surgical outcome (80.4% and 81.0%, respectively). Patients reported significant improvements in SEFAS scores: mean increase of 10 points (95% CI 9.1-10.4) at 1 year and 11 points (95% CI 9.8-11.2) at 2 years compared to baseline. Health-related quality of life also improved significantly; EQ-5D VAS was improved with 7 (95% CI 5-8) after 1 year and EQ-5D index was improved with 0.19 (95% CI 0.17-0.21). The EQ-5D VAS and index did not change significantly between the 1- and 2-year follow-ups.Significant improvements were also reported in satisfaction with appearance, shoe wear, and pain. Regardless of HV grade, the patients had similar improvement in SEFAS. Overweight/obese patients experienced similar improvements as underweight/normal BMI ones. Smokers showed significantly less improvement in SEFAS.</p><p><strong>Conclusion: </strong>This population-based study using the Swefoot registry data demonstrates that patients surgically treated for HV reported significant improvements in PROMs from before surgery to 1 and 2 years after surgery.</p><p><strong>Level of evidence: </strong>Level II, prognostic study.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"10 3","pages":"24730114251351634"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301585/pdf/","citationCount":"0","resultStr":"{\"title\":\"Patient-Reported Outcomes Before and After Hallux Valgus Surgery: 2-Year Results From a National Registry Study.\",\"authors\":\"Eva Tengman, Cyrus Brodén, Ann-Charlott Söderpalm, Maria C Cöster\",\"doi\":\"10.1177/24730114251351634\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Hallux valgus (HV) is a common condition associated with pain, functional limitations, and reduced health-related quality of life. Population-level data on 2-year results of surgical treatment remain limited. The aim of this study was to evaluate patient-reported outcome measures (PROMs) before surgery, and 1- and 2-year follow-up in patients registered in the Swedish quality registry for foot and ankle surgery (\\\"Swefoot\\\") who underwent surgery for HV. Further, the relation between PROMs and HV severity, BMI, and smoking habits was explored.</p><p><strong>Methods: </strong>Seven hundred sixty-five feet from 742 patients (median age 58, 87% women) who underwent primary surgery for HV were included. Data on demographics, comorbidities, HV severity, surgical procedures, and PROMs were extracted. PROMs included the Self-Reported Foot and Ankle score (SEFAS), EuroQol 5-dimensional, 3-level (EQ-5D), and satisfaction regarding surgery, appearance, shoe wear, and pain.</p><p><strong>Results: </strong>At both 1- and 2-year follow-ups, approximately 80% of responding patients reported satisfaction with the surgical outcome (80.4% and 81.0%, respectively). Patients reported significant improvements in SEFAS scores: mean increase of 10 points (95% CI 9.1-10.4) at 1 year and 11 points (95% CI 9.8-11.2) at 2 years compared to baseline. Health-related quality of life also improved significantly; EQ-5D VAS was improved with 7 (95% CI 5-8) after 1 year and EQ-5D index was improved with 0.19 (95% CI 0.17-0.21). The EQ-5D VAS and index did not change significantly between the 1- and 2-year follow-ups.Significant improvements were also reported in satisfaction with appearance, shoe wear, and pain. Regardless of HV grade, the patients had similar improvement in SEFAS. Overweight/obese patients experienced similar improvements as underweight/normal BMI ones. 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引用次数: 0
摘要
背景：拇外翻（HV）是一种与疼痛、功能限制和健康相关生活质量降低相关的常见疾病。关于2年手术治疗结果的人口水平数据仍然有限。本研究的目的是评估术前患者报告的结果测量（PROMs），并对在瑞典足部和踝关节手术质量登记处（“Swefoot”）登记的接受HV手术的患者进行1年和2年的随访。进一步，探讨PROMs与HV严重程度、BMI和吸烟习惯的关系。方法：纳入742例接受初次手术的HV患者（中位年龄58岁，87%为女性）的765英尺。提取了人口统计学、合并症、HV严重程度、手术程序和prom的数据。PROMs包括自我报告足踝关节评分（SEFAS）， EuroQol 5维3级（EQ-5D），以及对手术、外观、鞋子磨损和疼痛的满意度。结果：在1年和2年的随访中，大约80%的应答患者报告对手术结果满意（分别为80.4%和81.0%）。患者报告SEFAS评分显著改善：与基线相比，1年平均增加10分（95% CI 9.1-10.4）， 2年平均增加11分（95% CI 9.8-11.2）。与健康有关的生活质量也显著改善；1年后EQ-5D VAS改善7 (95% CI 5-8)， EQ-5D指数改善0.19 （95% CI 0.17-0.21）。1年和2年随访期间EQ-5D VAS和指数无显著变化。据报道，在外观、鞋子磨损和疼痛方面的满意度也有显著改善。无论HV级别如何，患者在SEFAS方面都有类似的改善。超重/肥胖患者与体重过轻/ BMI正常的患者有着相似的改善。吸烟者SEFAS的改善程度明显较低。结论：这项基于人群的研究使用了Swefoot注册数据，表明手术治疗的HV患者在手术前到手术后1年和2年的PROMs有显著改善。证据等级：II级，预后研究。
Patient-Reported Outcomes Before and After Hallux Valgus Surgery: 2-Year Results From a National Registry Study.
Background: Hallux valgus (HV) is a common condition associated with pain, functional limitations, and reduced health-related quality of life. Population-level data on 2-year results of surgical treatment remain limited. The aim of this study was to evaluate patient-reported outcome measures (PROMs) before surgery, and 1- and 2-year follow-up in patients registered in the Swedish quality registry for foot and ankle surgery ("Swefoot") who underwent surgery for HV. Further, the relation between PROMs and HV severity, BMI, and smoking habits was explored.
Methods: Seven hundred sixty-five feet from 742 patients (median age 58, 87% women) who underwent primary surgery for HV were included. Data on demographics, comorbidities, HV severity, surgical procedures, and PROMs were extracted. PROMs included the Self-Reported Foot and Ankle score (SEFAS), EuroQol 5-dimensional, 3-level (EQ-5D), and satisfaction regarding surgery, appearance, shoe wear, and pain.
Results: At both 1- and 2-year follow-ups, approximately 80% of responding patients reported satisfaction with the surgical outcome (80.4% and 81.0%, respectively). Patients reported significant improvements in SEFAS scores: mean increase of 10 points (95% CI 9.1-10.4) at 1 year and 11 points (95% CI 9.8-11.2) at 2 years compared to baseline. Health-related quality of life also improved significantly; EQ-5D VAS was improved with 7 (95% CI 5-8) after 1 year and EQ-5D index was improved with 0.19 (95% CI 0.17-0.21). The EQ-5D VAS and index did not change significantly between the 1- and 2-year follow-ups.Significant improvements were also reported in satisfaction with appearance, shoe wear, and pain. Regardless of HV grade, the patients had similar improvement in SEFAS. Overweight/obese patients experienced similar improvements as underweight/normal BMI ones. Smokers showed significantly less improvement in SEFAS.
Conclusion: This population-based study using the Swefoot registry data demonstrates that patients surgically treated for HV reported significant improvements in PROMs from before surgery to 1 and 2 years after surgery.
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