• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Minimally Important Differences and Change Across Time in Patients Treated Surgically and Non-Surgically for Full-Thickness Rotator Cuff Tears
【24h】

Minimally Important Differences and Change Across Time in Patients Treated Surgically and Non-Surgically for Full-Thickness Rotator Cuff Tears

机译：全厚度肩袖撕裂手术和非手术治疗患者的最小重要差异和跨时间变化

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives: The minimally important difference (MID) is the smallest change in an outcome measure that is perceived by patients as beneficial. The MIDs for the ASES and WORC scores have not been established in a homogenous population of patients with rotator cuff tears. The objective of the present study was to establish the MIDs for patients with known cuff tears who were treated both surgically and non-surgically, and to compare the MIDs over time. Methods: We included 209 subjects with known full-thickness rotator cuff tears who were followed prospectively for two years. The WORC and ASES scores were collected at baseline, 4, 8, 16, 32, and 48 weeks, 1 year and 2 years. At the final follow-up point patients filled out an end-of-study form which included questions regarding change in their condition after treatment. Results: For those that indicated being minimally better, the change from baseline for the ASES score was -20.57 (-2.94 to -38.20) and for the WORC was 418.60 (70.39 to 766.81); both indicated improvement in outcomes. When converted to the percentage change score the WORC change represented 19.93%. The plots of these new MID values for the ASES and WORC indicate that not only does the operative group improve more than the non-operative group but it does so to an extent that is greater than the MID. The non-operative group also improved across time, but the magnitude did not exceed the MID for either the WORC or the ASES. Conclusion: We found that the ASES and the WORC MIDs in patients with rotator cuff tears is different from that previously reported, and that the operative group change was greater than the non-operative group change. This information will directly improve our ability to: (1) Determine when patients with RCTs are changing in a meaningful manner; (2) Accurately power clinical studies using these outcome measures; (3) Make more informed choices of treatments in these patients. This is the first study to report MIDs for the ASES and WORC in a population of patients with strictly rotator cuff disease and to explore their changes relative to MIDs across time.
机译：目标：最小重要差异（MID）是患者认为有益的结局指标中的最小变化。在同质的肩袖撕裂患者中，尚未确定ASES和WORC评分的MID。本研究的目的是为手术和非手术治疗的已知袖带撕裂患者建立MID，并比较随时间推移的MID。方法：我们纳入了209名已知的全厚度肩袖撕裂患者，并对其进行了为期两年的随访。在基线，第4、8、16、32和48周，1年和2年时收集WORC和ASES分数。在最后的随访点，患者填写研究结束表格，其中包括有关治疗后病情变化的问题。结果：对于那些表示稍好些的患者，ASES得分从基线的变化为-20.57（-2.94至-38.20），WORC为418.60（70.39至766.81）;都表明结果有所改善。当转换为百分比变化得分时，WORC变化代表19.93％。 ASES和WORC的这些新MID值的曲线图表明，手术组不仅比非手术组有更多改善，而且改善程度也大于MID。非手术组也随时间推移而有所改善，但无论是WORC还是ASES，其幅度均未超过MID。结论：我们发现肩袖撕裂患者的ASES和WORC MID与先前报道的有所不同，并且手术组变化大于非手术组变化。这些信息将直接提高我们的能力：（1）确定何时有RCT的患者以有意义的方式发生变化; （2）使用这些结果指标准确地进行临床研究; （3）对这些患者做出更明智的治疗选择。这是第一项报告患有严格肩袖疾病的患者中ASES和WORC的MID并研究其相对于MID随时间变化的研究。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号