根据一项回顾性分析，前十字韧带重建术后两年与一年，并非所有患者报告的结果都相同。

IF 2.7 Q1 ORTHOPEDICS Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine Pub Date : 2024-08-01 DOI:10.1016/j.jisako.2024.03.010

{"title":"根据一项回顾性分析，前十字韧带重建术后两年与一年，并非所有患者报告的结果都相同。","authors":"","doi":"10.1016/j.jisako.2024.03.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>This article aims to assess for clinically important differences in patient-reported outcome measures (PROMs) at one and two years post anterior cruciate ligament reconstruction (ACLR).</p></div><div><h3>Methods</h3><p>A retrospective comparison of prospectively collected PROMs for a single cohort who underwent a primary ACLR with or without associated meniscal surgery from 2016 to 2020 was assessed. Six externally validated PROMs were collected preoperatively and at standardized times postoperatively. Descriptive statistics and paired equivalence testing of PROMs at one and two years after surgery was completed using previously published or calculated minimal clinically important differences as upper and lower equivalence limits. A repeated measures analysis of PROMs that were not clinically equivalent at one and two years after surgery was completed to assess for a clinically significant difference. Subgroup analyses based on sex, age and associated meniscal injury were completed.</p></div><div><h3>Results</h3><p>One-hundred and forty-five participants with a mean age of 28.7 years (standard deviation: 9.9 years) were included in the final analysis. All PROMs were clinically equivalent at two years compared to one year after ACLR except the quality of life and sport and recreation domains of the Knee Injury and Osteoarthritis Outcome Score (KOOS). The quality of life (mean difference (MD):12.3, <em>P</em> < 0.01, effect size (η<sup>2</sup>): 0.65) and sport and recreation (MD: 8.78, <em>P</em> < 0.01, η<sup>2</sup>: 0.50) domains of the KOOS were clinically different at two years compared to one year postoperatively. No major differences were found in the subgroup analyses compared to the entire included sample.</p></div><div><h3>Conclusion</h3><p>While most PROMs were equivalent at two years compared to one year after ACLR, the quality of life and sport and recreation domains of the KOOS, which reflect knee performance during higher demand activities, exhibited a clinically significant difference.</p></div><div><h3>Level of evidence</h3><p>IV.</p></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":null,"pages":null},"PeriodicalIF":2.7000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2059775424000555/pdfft?md5=b81901b5d1ca138ab360eaf9d662b826&pid=1-s2.0-S2059775424000555-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Not all patient-reported outcome measures are equivalent at two years compared to one year after anterior cruciate ligament reconstruction based on a retrospective analysis\",\"authors\":\"\",\"doi\":\"10.1016/j.jisako.2024.03.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>This article aims to assess for clinically important differences in patient-reported outcome measures (PROMs) at one and two years post anterior cruciate ligament reconstruction (ACLR).</p></div><div><h3>Methods</h3><p>A retrospective comparison of prospectively collected PROMs for a single cohort who underwent a primary ACLR with or without associated meniscal surgery from 2016 to 2020 was assessed. Six externally validated PROMs were collected preoperatively and at standardized times postoperatively. Descriptive statistics and paired equivalence testing of PROMs at one and two years after surgery was completed using previously published or calculated minimal clinically important differences as upper and lower equivalence limits. A repeated measures analysis of PROMs that were not clinically equivalent at one and two years after surgery was completed to assess for a clinically significant difference. Subgroup analyses based on sex, age and associated meniscal injury were completed.</p></div><div><h3>Results</h3><p>One-hundred and forty-five participants with a mean age of 28.7 years (standard deviation: 9.9 years) were included in the final analysis. All PROMs were clinically equivalent at two years compared to one year after ACLR except the quality of life and sport and recreation domains of the Knee Injury and Osteoarthritis Outcome Score (KOOS). The quality of life (mean difference (MD):12.3, <em>P</em> < 0.01, effect size (η<sup>2</sup>): 0.65) and sport and recreation (MD: 8.78, <em>P</em> < 0.01, η<sup>2</sup>: 0.50) domains of the KOOS were clinically different at two years compared to one year postoperatively. No major differences were found in the subgroup analyses compared to the entire included sample.</p></div><div><h3>Conclusion</h3><p>While most PROMs were equivalent at two years compared to one year after ACLR, the quality of life and sport and recreation domains of the KOOS, which reflect knee performance during higher demand activities, exhibited a clinically significant difference.</p></div><div><h3>Level of evidence</h3><p>IV.</p></div>\",\"PeriodicalId\":36847,\"journal\":{\"name\":\"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2059775424000555/pdfft?md5=b81901b5d1ca138ab360eaf9d662b826&pid=1-s2.0-S2059775424000555-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2059775424000555\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2059775424000555","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

摘要

目的评估前交叉韧带重建术（ACLR）术后一年和两年的患者报告结果指标（PROMs）的临床重要差异：方法：对2016年至2020年期间接受或未接受相关半月板手术的原发性前交叉韧带重建的单一队列的前瞻性收集的PROM进行回顾性比较评估。在术前和术后的标准化时间收集了六项经外部验证的PROM。使用之前公布或计算出的最小临床重要性差异作为等效上下限，对术后一年和两年的 PROMs 进行了描述性统计和配对等效测试。对术后一年和两年时不具有临床等效性的 PROMs 进行了重复测量分析，以评估是否存在临床显著性差异。根据性别、年龄和相关半月板损伤进行了分组分析：最终分析共纳入 145 名参与者，他们的平均年龄为 28.7 岁（标准差：9.9 岁）。除了膝关节损伤和骨关节炎结果评分（KOOS）的生活质量和运动与娱乐领域外，所有PROMs在前交叉韧带置换术后两年与一年的临床效果相当。生活质量（平均差异 (MD)：12.3，P < 0.01，效应大小 (η2)：KOOS的生活质量（平均差异（MD）：12.3，P < 0.01，效应大小（η2）：0.65）和运动与娱乐（MD：8.78，P < 0.01，η2：0.50）领域在术后两年与一年时存在临床差异。在亚组分析中，与全部纳入样本相比没有发现重大差异：结论：虽然大多数PROMs在前交叉韧带置换术后两年与一年时具有等效性，但KOOS的生活质量和运动与娱乐领域（反映膝关节在高需求活动中的表现）在临床上具有显著差异：证据等级：IV。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

Not all patient-reported outcome measures are equivalent at two years compared to one year after anterior cruciate ligament reconstruction based on a retrospective analysis

Objective

This article aims to assess for clinically important differences in patient-reported outcome measures (PROMs) at one and two years post anterior cruciate ligament reconstruction (ACLR).

Methods

A retrospective comparison of prospectively collected PROMs for a single cohort who underwent a primary ACLR with or without associated meniscal surgery from 2016 to 2020 was assessed. Six externally validated PROMs were collected preoperatively and at standardized times postoperatively. Descriptive statistics and paired equivalence testing of PROMs at one and two years after surgery was completed using previously published or calculated minimal clinically important differences as upper and lower equivalence limits. A repeated measures analysis of PROMs that were not clinically equivalent at one and two years after surgery was completed to assess for a clinically significant difference. Subgroup analyses based on sex, age and associated meniscal injury were completed.

Results

One-hundred and forty-five participants with a mean age of 28.7 years (standard deviation: 9.9 years) were included in the final analysis. All PROMs were clinically equivalent at two years compared to one year after ACLR except the quality of life and sport and recreation domains of the Knee Injury and Osteoarthritis Outcome Score (KOOS). The quality of life (mean difference (MD):12.3, P < 0.01, effect size (η²): 0.65) and sport and recreation (MD: 8.78, P < 0.01, η²: 0.50) domains of the KOOS were clinically different at two years compared to one year postoperatively. No major differences were found in the subgroup analyses compared to the entire included sample.

Conclusion

While most PROMs were equivalent at two years compared to one year after ACLR, the quality of life and sport and recreation domains of the KOOS, which reflect knee performance during higher demand activities, exhibited a clinically significant difference.