在接受全膝关节置换术的日本患者中,与KOOS相比,JKOOS+的反应性有所改善。

IF 1.5 4区 医学 Q3 ORTHOPEDICS
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引用次数: 0

摘要

背景:现有的膝关节相关患者报告的结果测量(PROM)绝大多数是在西方以椅子为基础的社会中开发和验证的,这表明西方在评估膝关节疾病患者的PROM时可能存在偏见。因此,我们努力评估先前开发的与文化相关的日本版膝关节损伤和骨关节炎结果评分(JKOOS+)的反应性。方法:我们在日本的8家膝关节诊所招募了114名计划进行全膝关节置换术(TKA)的患者。患者在入组时和TKA后1年再次完成了牛津膝关节评分(OKS)和JKOOS+。使用效应大小和标准化反应平均值(SRM)评估反应性。效应大小或SRM>0.8被认为是充分响应。我们使用改进的Jacknife检验进一步测试了原始日语KOOS日常生活活动(ADL)域和新日语ADL(JADL)域之间的反应性差异。结果:除KOOS运动和娱乐领域外,所有领域都有充分的反应,该领域此前因不适用于接受TKA的老年患者而被TKA研究人员忽视。JADL结构域在效应大小(1.51 vs.1.45)和SRM(1.67 vs.1.57)方面均优于ADL结构域(p结论:在患有膝骨关节炎(OA)的日本膝关节患者中,JKOOS+JADL结构区对TKA的反应明显高于欧洲开发的ADL结构区。KF域是JKOOS+独有的,旨在评估膝关节屈曲的困难,在患有OA的日本患者中对TKA有充分的反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improved responsiveness for JKOOS+ compared to KOOS in Japanese patients undergoing total knee arthroplasty

Background

Existing knee related patient reported outcome measurements (PROMs) have overwhelmingly been developed and validated in western chair-based societies, suggesting a potential for a western bias in PROMs evaluation of patients with knee conditions. We, therefore, endeavor to evaluate the responsiveness of the previously developed culturally relevant Japanese version of the knee injury and osteoarthritis outcome score (JKOOS+).

Methods

We enrolled 114 patients scheduled for total knee arthroplasty (TKA) across 8 knee clinics in Japan. Patients completed the Oxford Knee Score (OKS) and JKOOS + both at the time of enrollment and again 1-year post-TKA. Responsiveness was evaluated using effect size and standardized response mean (SRM). An effect size or SRM >0.8 is considered adequately responsive. We further tested the difference in responsiveness between the original Japanese language KOOS activities of daily living (ADL) domain and the novel Japanese ADL (JADL) domain using the modified Jacknife test.

Results

All domains were adequately responsive with the exception of the KOOS sports and recreation domain, which has previously been ignored by TKA researchers due to its lack of applicability to elderly patients undergoing TKA. The JADL domain outperformed the ADL domain in both effect size (1.51 v. 1.45) and SRM (1.67 v. 1.57) (p < 0.001). The novel Knee Flexion (KF) domain was adequately responsive, though less responsive than other domains except sports and recreation (p < 0.01 v. all other PROMs domains).

Conclusions

The JKOOS+ JADL domain is significantly more responsive than the Europe-developed ADL domain to TKA in Japanese knee patients suffering from knee osteoarthritis (OA). The KF domain, unique to the JKOOS+ and intended to assess difficulty with knee flexion, is adequately responsive to TKA in Japanese patients suffering from OA.

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来源期刊
Journal of Orthopaedic Science
Journal of Orthopaedic Science 医学-整形外科
CiteScore
3.00
自引率
0.00%
发文量
290
审稿时长
90 days
期刊介绍: The Journal of Orthopaedic Science is the official peer-reviewed journal of the Japanese Orthopaedic Association. The journal publishes the latest researches and topical debates in all fields of clinical and experimental orthopaedics, including musculoskeletal medicine, sports medicine, locomotive syndrome, trauma, paediatrics, oncology and biomaterials, as well as basic researches.
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