Outcome measures after foot and ankle surgery: A Systematic Review

IF 2 3区医学 Q2 ORTHOPEDICS Foot and Ankle Surgery Pub Date : 2025-12-01 Epub Date: 2025-02-22 DOI:10.1016/j.fas.2025.02.005

Leonieke N. Palmen , Maartje Belt , Miranda L. van Hooff , Angelique G.H. Witteveen

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Abstract

Background

Research on outcomes measures after foot and ankle surgery is limited and methodological quality is not always assessed. We aimed to evaluate the measurement properties of patient-related outcome measures used in patients after foot- and ankle surgery.

Methods

A Medline, Embase and Web of Sciences systematic review was performed including dates from 2000 up to April 2022. Inclusion criteria were foot and/or ankle surgery, described outcome(s) and it’s assessed measurement properties. Methodological quality assessment was performed using the NOS-scale and the COSMIN-criteria.

Results

143 studies (n = 18383) were included for final review, 82 about PROMs, 61 about clinical outcomes. A total of 23 different PROMs were evaluated, with a positive result in all measurement properties for the FAOS. There were positive results too for most measurement properties of the LEFS and the MOXFQ. Most clinical outcomes were radiological measures, with a high reliability for most measurements on plain radiographs and CT-scans.

Conclusions

To monitor foot and ankle outcome and evaluate treatment, we recommend the FAOS as the most suitable foot and ankle PROM.

Level of clinical evidence

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足部和踝关节手术后的结果测量：一项系统综述。

背景：对足部和踝关节手术后结果测量的研究是有限的，方法质量并不总是被评估。我们的目的是评估足部和踝关节手术后患者相关结果测量的测量特性。方法：采用Medline、Embase和Web of Sciences对2000年至2022年4月的数据进行系统评价。纳入标准是足部和/或踝关节手术，描述的结果和评估的测量特性。采用NOS-scale和cosmin标准进行方法学质量评价。结果：最终纳入143项研究（n = 18383），其中82项关于PROMs， 61项关于临床结果。总共评估了23种不同的prom，在FAOS的所有测量特性中都有积极的结果。对于LEFS和MOXFQ的大多数测量性质也有积极的结果。大多数临床结果是放射学测量，大多数平片和ct扫描测量具有高可靠性。结论：为了监测足部和踝关节预后并评估治疗效果，我们推荐FAOS作为最合适的足部和踝关节PROM。临床证据等级：2。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.