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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >The Pediatric/Adolescent Shoulder Survey (PASS): A Reliable Youth Questionnaire With Discriminant Validity and Responsiveness to Change
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The Pediatric/Adolescent Shoulder Survey (PASS): A Reliable Youth Questionnaire With Discriminant Validity and Responsiveness to Change

机译：儿科/青少年肩膀调查（PASS）：可靠的青年问卷，具有可辨别的有效性和对变化的响应能力

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Background:Health-related quality of life tools for shoulder pathology in adults have been developed, such as the Disabilities of the Arm, Shoulder, and Hand (DASH) or QuickDASH. However, some content is not applicable to or readily grasped by a younger population.Purpose:To evaluate the psychometric properties of a new 13-item pediatric/adolescent shoulder survey (PASS).Study Design:Cohort study (diagnosis); Level of evidence, 2.Methods:An initial development cohort of children was given the PASS, QuickDASH, and single assessment numeric evaluation (SANE) in a prospective fashion. Internal reliability and concurrent validity were evaluated. Subsequent to this, the PASS, along with the QuickDASH, was incorporated into routine clinical evaluation of shoulder injuries. The secondary cohort was established via a retrospective review of patients (age <18 years) evaluated in our sports clinics for shoulder complaints. Discriminant validity and floor/ceiling effects were evaluated. A subset of patients with scores available both pre- and within 6 months postoperatively was analyzed to assess responsiveness to treatment.Results:Overall internal reliability of the shoulder survey was good in the development cohort of 127 patients, with Cronbach α = 0.86. Total score averaged 59.7% ± 17.9% in this cohort (range, 18.75%-100%). Significant correlations between all surveys were observed (r = 0.51-0.79, P < .05). A total of 127 surveys were available for the secondary cohort. The QuickDASH demonstrated significant differences between sexes with regard to scores (P < .05). Both tools were able to discriminate between patients with acute injuries and diminished clinical examinations (P < .05). A significant correlation was observed between duration of symptoms and scores on the PASS. The subset of 25 patients with pre- and postoperative data showed significant change in total score and the symptoms/limitations domain of the PASS, with significant correlation with length of time since surgery.Conclusion:This 13-question pediatric/adolescent-focused shoulder survey shows excellent psychometric properties, good discriminant ability, and early evidence of responsiveness to change, especially when compared with an adult-formatted questionnaire.
机译：背景：针对成人肩部病理的与健康有关的生活质量工具已经开发出来，例如手臂，肩膀和手部残疾（DASH）或QuickDASH。目的：评估一项新的13项儿科/青少年肩关节调查（PASS）的心理测量特性。研究设计：队列研究（诊断）;证据级别2.方法：以前瞻性方式对儿童的最初发育队列进行PASS，QuickDASH和单次评估数字评估（SANE）。内部可靠性和并发有效性进行了评估。此后，PASS与QuickDASH一起被纳入肩部损伤的常规临床评估中。次要队列是通过对我们的运动诊所评估为肩部不适的患者（年龄<18岁）进行回顾性回顾而建立的。评价判别效度和地板/天花板效果。结果：127例患者的发展队列中，肩部调查的总体内部可靠性良好，Cronbachα= 0.86，对一部分患者的术前和术后6个月内得分进行了分析，以评估对治疗的反应性。在该队列中，总得分平均为59.7％±17.9％（范围为18.75％-100％）。观察到所有调查之间的显着相关性（r = 0.51-0.79，P <.05）。次要队列共有127个调查。 QuickDASH在得分方面显示出性别之间的显着差异（P <.05）。两种工具都能够区分急性损伤患者和临床检查减少的患者（P <.05）。症状持续时间与PASS评分之间存在显着相关性。 25名具有术前和术后数据的患者亚组显示PASS的总评分和症状/局限性范围发生了显着变化，并且与手术后的时间长短有显着相关性。结论：这项13项以儿童/青少年为重点的肩部调查表现出出色的心理测量特性，良好的判别能力，以及对变化做出响应的早期证据，特别是与成人格式的问卷相比。

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