{"title":"全膝关节置换术后生活质量的预后模型:系统综述。","authors":"Yuki Ohyama, Taiki Iwamura, Taichi Hoshino, Kazuhiro Miyata","doi":"10.1080/09593985.2023.2211716","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To systematically review and critically appraise prognostic models for quality of life (QOL) in patients with total knee replacement (TKA).</p><p><strong>Methods: </strong>Subjects were TKA recipients recruited from inpatient postoperative settings. Searches were made on June 2022 and updated on April 2023. Databases included PubMed.gov, CINAHL, The Cochrane Library, Web of Science. Two authors performed all review stages independently. Risk of bias assessments on participants, predictors, outcomes and analysis methods followed the Prediction study Risk Of Bias ASsessment Tool (PROBAST).</p><p><strong>Results: </strong>After screening 2204 studies, 9 were eligible for inclusion. Twelve prognostic models were reported, of which 10 models were developed from data without validation and 2 were both developed and validated. The most frequently applied predictor was the pre-TKA QOL score. Discriminatory measures were reported for 9 (75.0%) models with areas under the curve values of 0.66-0.95. All models showed a high risk of bias, mostly due to limitations in statistical methods and outcome assessments.</p><p><strong>Conclusion: </strong>Several prognostic models have been developed for QOL in patients with TKA, but all models show a high risk of bias and are unreliable in clinical practice. Future, prognostic models overcoming the risk of bias identified in this study are needed.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prognostic models of quality of life after total knee replacement: A systematic review.\",\"authors\":\"Yuki Ohyama, Taiki Iwamura, Taichi Hoshino, Kazuhiro Miyata\",\"doi\":\"10.1080/09593985.2023.2211716\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To systematically review and critically appraise prognostic models for quality of life (QOL) in patients with total knee replacement (TKA).</p><p><strong>Methods: </strong>Subjects were TKA recipients recruited from inpatient postoperative settings. Searches were made on June 2022 and updated on April 2023. Databases included PubMed.gov, CINAHL, The Cochrane Library, Web of Science. Two authors performed all review stages independently. Risk of bias assessments on participants, predictors, outcomes and analysis methods followed the Prediction study Risk Of Bias ASsessment Tool (PROBAST).</p><p><strong>Results: </strong>After screening 2204 studies, 9 were eligible for inclusion. Twelve prognostic models were reported, of which 10 models were developed from data without validation and 2 were both developed and validated. The most frequently applied predictor was the pre-TKA QOL score. Discriminatory measures were reported for 9 (75.0%) models with areas under the curve values of 0.66-0.95. All models showed a high risk of bias, mostly due to limitations in statistical methods and outcome assessments.</p><p><strong>Conclusion: </strong>Several prognostic models have been developed for QOL in patients with TKA, but all models show a high risk of bias and are unreliable in clinical practice. Future, prognostic models overcoming the risk of bias identified in this study are needed.</p>\",\"PeriodicalId\":48699,\"journal\":{\"name\":\"Physiotherapy Theory and Practice\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physiotherapy Theory and Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/09593985.2023.2211716\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/5/10 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Theory and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09593985.2023.2211716","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/5/10 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
目的系统回顾并严格评估全膝关节置换术(TKA)患者生活质量(QOL)的预后模型:方法:研究对象为从术后住院患者中招募的全膝关节置换术(TKA)受术者。搜索时间为 2022 年 6 月,更新时间为 2023 年 4 月。数据库包括 PubMed.gov、CINAHL、The Cochrane Library 和 Web of Science。两位作者独立完成了所有阶段的研究。根据预测研究偏倚风险评估工具(PROBAST)对参与者、预测因子、结果和分析方法进行了偏倚风险评估:结果:经过筛选,2204 项研究中有 9 项符合纳入条件。共报告了 12 个预后模型,其中 10 个模型是根据数据开发的,未经验证;2 个模型是开发和验证的。最常用的预测指标是 TKA 前 QOL 评分。9个模型(75.0%)报告了判别指标,曲线下面积值为0.66-0.95。所有模型均显示出较高的偏倚风险,这主要是由于统计方法和结果评估的局限性:结论:针对 TKA 患者的 QOL 已开发出多个预后模型,但所有模型都存在较高的偏倚风险,在临床实践中并不可靠。未来需要建立能克服本研究中发现的偏倚风险的预后模型。
Prognostic models of quality of life after total knee replacement: A systematic review.
Objective: To systematically review and critically appraise prognostic models for quality of life (QOL) in patients with total knee replacement (TKA).
Methods: Subjects were TKA recipients recruited from inpatient postoperative settings. Searches were made on June 2022 and updated on April 2023. Databases included PubMed.gov, CINAHL, The Cochrane Library, Web of Science. Two authors performed all review stages independently. Risk of bias assessments on participants, predictors, outcomes and analysis methods followed the Prediction study Risk Of Bias ASsessment Tool (PROBAST).
Results: After screening 2204 studies, 9 were eligible for inclusion. Twelve prognostic models were reported, of which 10 models were developed from data without validation and 2 were both developed and validated. The most frequently applied predictor was the pre-TKA QOL score. Discriminatory measures were reported for 9 (75.0%) models with areas under the curve values of 0.66-0.95. All models showed a high risk of bias, mostly due to limitations in statistical methods and outcome assessments.
Conclusion: Several prognostic models have been developed for QOL in patients with TKA, but all models show a high risk of bias and are unreliable in clinical practice. Future, prognostic models overcoming the risk of bias identified in this study are needed.
期刊介绍:
The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.