...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine >Impact of a surgical screening clinic for patients with knee osteoarthritis: A descriptive study
【24h】

Impact of a surgical screening clinic for patients with knee osteoarthritis: A descriptive study

机译：手术筛查诊所对膝关节骨关节炎患者的影响：描述性研究

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: To evaluate a surgical screening clinic for patients with knee osteoarthritis (OA) referred for total knee arthroplasty (TKA) and explore management before referral. Design: Descriptive study using retrospective chart review. Setting: Large Canadian teaching hospital. Participants: Patients with knee OA referred for TKA over a 1-year period. Interventions: Patients underwent standardized assessment by physicians who practice sport medicine to determine eligibility for surgical consultation. Main Outcome Measures: Proportion of patients deemed eligible for surgical consultation and undergoing TKA, and conservative management options tried before clinic referral. Results: Of the 327 patients, 172 (52.6%) were referred to the surgeon, of whom 76% underwent TKA. Options used before referral were medications (92.0%), injections (41.3%), and physiotherapy (34.9%). Patients referred to the surgeon, compared with those who were not, were more likely to have met all referral criteria (86.5% vs 33.3%, P < 0.001), tried 3 or more options (70.9% vs 49.7%, P < 0.01), used injections (58.7% vs 32.3%, P < 0.001), scored higher on the Hip-Knee Priority Tool (45 vs 24, P < 0.001), and had been referred by a physician who practices sport medicine (88.2% vs 46.2%, P < 0.001). Conclusions: Orthopedic surgical screening by trained physicians using standardized tools halved the number of surgical consultations. Few conservative management options were tried before referral, indicating the need to enhance presurgical care for patients with knee OA.
机译：目的：评价膝关节关节骨膜术（TKA）的膝关节骨关节炎（OA）的手术筛查诊所，并在推荐之前探索管理。设计：使用回顾性图表评论的描述性研究。环境：大加拿大教学医院。参与者：膝关节OA患者在1年内提到了TKA。干预：患者经过实践体育医学的医生进行标准化评估，以确定外科咨询的资格。主要观察措施：被视为有资格参加手术咨询和接受TKA的患者的比例，并在诊所推荐之前尝试过保守的管理选择。结果：327例患者，172名（52.6％）被提交给外科医生，其中76％接受了TKA。转诊前使用的选项是药物（92.0％），注射（41.3％）和物理治疗（34.9％）。与那些没有的人提到外科医生的患者更有可能达到所有推荐标准（86.5％vs 33.3％，p <0.001），尝试了3种或更多选择（70.9％Vs 49.7％，P <0.01） ，二手注射（58.7％vs 32.3％，P <0.001），臀部膝关节优先工具（45 Vs 24，P <0.001）上得分更高，并由实践运动医学的医生（88.2％Vs 46.2）提及％，p <0.001）。结论：训练有素的医师使用标准化工具的矫形外科筛查减少了手术咨询的数量。在推荐之前尝试了一些保守的管理选择，表明需要增强膝关节OA患者的预设护理。

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