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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Use of the Knee Injury and Osteoarthritis Outcomes Survey (KOOS) in a Normal US Population
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Use of the Knee Injury and Osteoarthritis Outcomes Survey (KOOS) in a Normal US Population

机译：在美国正常人群中使用膝关节损伤和骨关节炎结果调查（KOOS）

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Objectives: Patient-reported outcome instruments are frequently used for assessing clinical outcomes after injury and surgery. Previously reported normative data for the Knee Injury and Osteoarthritis Outcome Survey (KOOS) instrument is limited to a narrow subset of ages and has not accounted for a history of knee injury. Methods: The KOOS was administered to 1000 patients or accompanying family members who presented to an outpatient orthopaedic clinic in a suburban metropolitan city for an orthopaedic issue unrelated to their knee in July 2014. Participants were eligible if they self-reported a medical history negative for ankle, knee, or hip surgery. KOOS scale means, standard deviations, medians, ranges, interquartile ranges, and percentiles were calculated by sex, age range, laterality, and history of knee injury in the past year. Non-parametric statistical analysis was used to evaluate differences in KOOS scale scores between five age ranges and between those with or without a history of knee injury. Results: There were 402 males and 598 females in the final study cohort. Males scored lower on the Symptoms scale compared to other scales (median score = 96.4 for Symptoms; median score = 100 for all other scales) in all age cohorts except ages 56-64. Females also reported lower scores in the Symptoms scale. Median Symptoms score for females in each of the age groups from 18-55 years old was 96.4, and median score for the 56-64 year old cohort was 92.9. Median scores for Pain and Knee-related Quality of Life scales were lower in the 56-64 year old female cohort (97.2 and 93.8 respectively). Conclusion: Normative values for KOOS scale scores at all age ranges suggest a high level of functioning among participants with no history of knee injury in the past year. Symptoms, Pain, and Knee-related Quality of Life scales showed the greatest variability in KOOS scores for patients, particularly in the youngest and oldest cohorts. This study can aid surgeons in counseling patients and in developing expectations after treatment of injuries.
机译：目标：患者报告的结局工具通常用于评估损伤和手术后的临床结局。先前报道的关于膝关节损伤和骨关节炎结果调查（KOOS）仪器的规范性数据仅限于一小部分年龄，并且没有考虑到膝关节损伤的历史。方法：2014年7月，对在郊区城市的一家门诊骨科门诊就诊的与膝盖无关的骨科问题的1000名患者或陪同家庭成员进行了KOOS的管理。如果参与者自我报告病史阴性，则有资格参加脚踝，膝盖或臀部手术。 KOOS量表的平均值，标准偏差，中位数，范围，四分位数范围和百分位数是根据性别，年龄范围，偏侧性和过去一年中膝盖受伤的历史计算得出的。非参数统计分析用于评估五个年龄段之间以及有或没有膝伤史的人之间KOOS量表评分的差异。结果：在最后的研究队列中，男性为402位，女性为598位。在56-64岁年龄段的所有年龄组中，男性在“症状”量表上的得分均低于其他量表（“症状”中位值= 96.4;所有其他量表的中位数= 100）。女性的症状量表得分也较低。 18-55岁各年龄段女性的平均症状评分为96.4，而56-64岁年龄组的女性平均症状评分为92.9。在56-64岁的女性队列中，疼痛和与膝盖相关的生活质量量表的中位数得分较低（分别为97.2和93.8）。结论：各个年龄段的KOOS量表评分的规范值表明，在过去一年中没有膝伤史的参与者中，其功能水平较高。症状，疼痛和与膝盖相关的生活质量量表显示出患者的KOOS评分变化最大，尤其是在年龄最小的人群中。这项研究可以帮助外科医生为患者提供咨询，并在治疗受伤后提高他们的期望。

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