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首页> 外文期刊>Orthopedics >Responsiveness and Internal Validity of Common Patient-Reported Outcome Measures Following Total Shoulder Arthroplasty
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Responsiveness and Internal Validity of Common Patient-Reported Outcome Measures Following Total Shoulder Arthroplasty

机译：普通患者报告的综合关节置换术后患者报告的结果措施的响应性和内部有效性

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摘要

The Constant-Murley (Constant) score, Western Ontario Osteoarthritis of the Shoulder (WOOS) index, American Shoulder and Elbow Surgeons (ASES) score, and Single Assessment Numeric Evaluation (SANE) score are commonly used to assess patient-reported function following shoulder surgery. However, psychometric properties for these tools are mostly unknown for patients with primary glenohumeral arthritis who have undergone anatomic total shoulder arthroplasty (TSA). The purposes of this study were to (1) compare the responsiveness and internal validity between the 4 patient-reported outcomes (PROs) and (2) identify PRO score values associated with patient satisfaction after TSA. A total of 234 primary TSAs were performed for primary glenohumeral osteoarthritis with a 2-year or greater follow-up. The Constant score, WOOS index, ASES score, SANE score, and patient satisfaction were assessed preoperatively and 2 to 5 years postoperatively. Effect sizes, standardized response means, and relative efficiency were calculated to determine responsiveness, and internal validity was determined via the presence of floor and/or ceiling effects. Receiver operator characteristic (ROC) curves were constructed to identify the minimum outcome score that could correctly identify a satisfied patient. At final follow-up, 88% of patients were satisfied. The PROs had large effect sizes and standardized response means (>= 0.83). The minimum score that most correctly identified a patient as satisfied was 78 for ASES score, 18 for WOOS index, 73 for Constant score, and 58 for SANE score. However, the ASES score, WOOS index, and SANE score had marked postoperative ceiling effects, whereas the Constant score was the most responsive and internally valid tool. These results suggest that the Constant score should serve as the primary PRO for patients with primary glenohumeral arthritis, whereas the WOOS index, ASES score, and SANE score could be supplementary assessments.
机译：恒村（常数）得分，肩部（WOOS）指数，美国肩部和肘外科医生（ASES）评分和单一评估数值评估（SANE）评分常用于肩部后的患者报告的功能外科手术。然而，对于患有解剖学总肩部关节置换术（TSA）的原发性胶质肿瘤性关节炎患者来说，这些工具的心理性质主要是未知的。本研究的目的是（1）比较4患者报告的结果（专利）和（2）之间的响应性和内部有效性，识别与TSA后与患者满意相关的Pro评分值。对于初级胶质骨质骨关节炎进行了总共234个初级TSA，2年或更高的后续行动。术后和术后2至5年评估恒定得分，WOOS指数，ASE评分，SANE评分和患者满意度。计算效果尺寸，标准化响应装置和相对效率来确定响应性，通过存在地板和/或天花板效应来确定内部有效性。构建接收器操作员特征（ROC）曲线以确定可以正确识别满意患者的最小结果分数。在最终随访中，满足88％的患者。优点具有很大的效果尺寸和标准化响应装置（> = 0.83）。对于ASES分数，最严重识别患者的最低分数为78，对于WOOS指数，73持续得分为73，以及SANE评分的58。然而，ASES得分，WOOS指数和理智评分具有术后天花板效应，而恒定得分是最敏感和内部有效的工具。这些结果表明，恒定得分应作为原发性胶质瘤关节炎患者作为初级专业，而WOOS指数，ASES评分和理智评分可能是补充评估。

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