P Verspeelt, M DE Muynck, G Vanderstraeten, L Vanden Bossche, G Stassijns, L Öczakar
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引用次数: 0
摘要
患者报告结果测量(PROMs)是评估患者功能和协助临床决策的重要临床工具。Western Ontario Rotator Cuff (WORC)指数是最具心理测量性质的肩部病理学指标,但非常耗时。单一评估数值评估(SANE)方法是一种需要较少时间来回答和分析的PROM。本研究的目的是评估这两种结果评分在确定非外伤性肩袖病变患者肩功能方面的等级内相关性。55名男女和不同年龄的受试者表现为非外伤性肩痛超过12周,他们进行了体检、超声检查和MRI关节造影扫描,结果与非外伤性肩袖(RC)病理一致。受试者同时填写WORC指数和SANE评分问卷。对两种PROMs的类内相关性进行统计分析。WORC指数评分和SANE评分呈中等相关性,类内系数(ICC) r = 0.60 (95% CI:0.40-0.75)。本研究表明,WORC指数评分与SANE评分在评定非外伤性RC疾病患者的残疾方面存在中等相关性。SANE评分适用于研究和临床实践,对患者和研究人员来说是几乎不耗时的PROM。
The single assessment numeric evaluation correlates with the western ontario rotator cuff score in non-traumatic shoulder disease.
Patient-reported outcome measures (PROMs) are essential clinical instruments used for assessing patient function and assisting in clinical decision making. The Western Ontario Rotator Cuff (WORC) index is the PROM for shoulder pathology with the most psychometric properties but is very time consuming. The Single Assessment Numeric Evaluation (SANE) method is a PROM that takes less time to answer and to analyze. The aim of the study is to evaluate the intra- class correlation between these two outcome scores in establishing shoulder function in patients with non-traumatic rotator cuff pathologies. Fifty five subjects of both genders and different ages presenting with non-traumatic shoulder pain for more than 12 weeks had a physical examination and ultrasound as well as MRI arthrogram scan findings that were consistent of a non-traumatic rotator cuff (RC) based pathology. On the same moment a WORC index and a SANE score questionnaire were filled in by the subject. The intra class correlation of both PROMs was statistically analyzed. The WORC index score and the SANE score show a moderate correlation with an Intra Class Coefficient (ICC) of r = 0.60 (95% CI:0.40-0.75). This study demonstrates a moderate correlation between the WORC index score and the SANE score in rating the disability of patients with atraumatic RC disease. The SANE score is applicable in research and clinical practice and is for the patient and the researcher an almost no time consuming PROM.