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Comparison of 3 Knee-Specific Quality-of-Life Instruments for Patients With Meniscal Tears

机译:半月板眼泪患者的三种特定于膝盖的生活质量仪器的比较

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Background: Meniscal tears are a common cause of knee pain and disability. The objective measurement of the health-related quality of life of patients with meniscal tears plays a key role in clinical evaluation and therapeutic decision making. Several evaluation tools have been used to measure the effects of meniscal tears on knee function and quality of life. However, most of these tools are nonspecific for meniscal pathology. Purpose/Hypothesis: The purpose of the present study was to compare the capability of 3 commonly used knee assessment tools to measure the impact of meniscal tears on knee function and quality of life: the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Knee injury and Osteoarthritis Outcome Score (KOOS), and the Western Ontario Meniscal Evaluation Tool (WOMET). Our null hypothesis was that no difference would exist among the 3 assessment tools. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: A total of 207 consecutive patients (mean ± SD: age, 52.6 ± 14.3 years) with arthroscopically confirmed meniscal tear were included. Preoperatively, 3 knee function and quality-of-life scores were obtained: KOOS, WOMAC, and WOMET. The relative outcome scores of the questionnaires were compared postoperatively. Results: The sum scores (relative scores) were as follows: 234.2 ± 92.5 (55.7%) for the KOOS, 132.6 ± 54.3 (55.5%) for the WOMAC, and 113 ± 30.8 (71%) for the WOMET. The relative score results for the WOMET were significantly higher than those for the WOMAC and the KOOS (both P < .01), while no significant difference was found between the WOMAC and the KOOS ( P = .735). Conclusion: A greater impact on health-related quality of life for patients with meniscal tears can be measured with the WOMET when compared with the WOMAC and the KOOS. Therefore, using the WOMET can be recommended for the evaluation of knee function and quality-of-life impairment of patients with meniscal tears.
机译:背景:半月板撕裂是膝盖疼痛和残疾的常见原因。半月板撕裂患者健康相关生活质量的客观测量在临床评估和治疗决策中起着关键作用。已经使用了几种评估工具来测量半月板撕裂对膝盖功能和生活质量的影响。但是,大多数这些工具对于半月板病理学不是特定的。目的/假设:本研究的目的是比较三种常用的膝盖评估工具测量半月板撕裂对膝盖功能和生活质量的影响的能力:西安大略省和麦克马斯特大学骨关节炎指数(WOMAC),膝关节损伤和骨关节炎结果评分(KOOS),以及西安大略省半月板评估工具(WOMET)。我们的零假设是这三种评估工具之间不会存在差异。研究设计:队列研究(诊断);证据等级:2。方法:纳入了207例经关节镜检查证实为半月板撕裂的连续患者(平均±SD:年龄,52.6±14.3岁)。术前获得3个膝关节功能和生活质量评分:KOOS,WOMAC和WOMET。术后比较问卷的相对结果得分。结果:总分(相对得分)如下:KOOS为234.2±92.5(55.7%),WOMAC为132.6±54.3(55.5%),WOMET为113±30.8(71%)。 WOMET的相对得分结果显着高于WOMAC和KOOS的得分(均为P <.01),而WOMAC和KOOS的得分没有显着差异(P = .735)。结论:与WOMAC和KOOS相比,WOMET可以测量出对半月板撕裂患者健康相关生活质量的更大影响。因此,可以推荐使用WOMET评估半月板撕裂患者的膝盖功能和生活质量损害。

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