The knee pain map: reliability of a method to identify knee pain location and pattern.
The knee pain map: reliability of a method to identify knee pain location and pattern.
复制标题
膝盖疼痛图：识别膝盖疼痛位置和模式的方法的可靠性。
DOI：
10.1002/art.24543
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发表时间：
2009
影响因子：
--
通讯作者：
OsteoarthritisInitiativeInvestigators
中科院分区：
文献类型：
--
作者：
Thompson,LauraR;Boudreau,Robert;Hannon,MichaelJ;Newman,AnneB;Chu,ConstanceR;Jansen,Mary;Nevitt,MichaelC;Kwoh,CKent;OsteoarthritisInitiativeInvestigators
ObjectiveTo描述膝关节疼痛地图（Knee Pain Map）在慢性、频繁膝关节疼痛患者中的位置和模式，并评估该地图的内部和内部可靠性（inter-and intrarater reliability of the map.MethodsA cohort of 799 participants from the University of Pittsburgh Osteoarthritis Initiative Clinical Center who have knee pain in the last 12 months）。经过培训的访谈者评估并记录了参与者报告的膝关节疼痛模式，分为8个局部区域、4个局部区域或弥漫性。使用Fleiss' kappa.ResultsParticipants之间和intrarater的可靠性进行了评估，最常报告的局部（69%），其次是区域（14%）或弥漫性（10%）膝关节疼痛。在局部疼痛的患者中，最常报告的位置是内侧（56%）和外侧（43%）关节线。在局部疼痛的患者中，最常报告的区域是髌骨（44%）和内侧区域（38%）。对于局部和区域疼痛模式的识别，评分者间可靠性极佳（κ分别为0.7-0.9和0.7-0.8）。当某个部位疼痛的参与者数量>4时，特定部位的评分者间可靠性也非常好（κ = 0.7-1.0）。局部疼痛的Kappa值在0.7- 1.0之间。结论大多数受试者能够识别膝关节疼痛的部位，经过训练的访谈者能够可靠地记录这些部位。位置的变化表明膝关节OA疼痛有多种来源。需要进一步的研究来确定特定的膝关节疼痛模式是否与X线片或磁共振图像上的离散病理结果相关。
ObjectiveTo describe the location and pattern of knee pain in patients with chronic, frequent knee pain using the Knee Pain Map, and to evaluate the inter‐ and intrarater reliability of the map.MethodsA cohort of 799 participants from the University of Pittsburgh Osteoarthritis Initiative Clinical Center who had knee pain in the last 12 months were studied. Trained interviewers assessed and recorded participant‐reported knee pain patterns into 8 local areas, 4 regional areas, or as diffuse. Inter‐ and intrarater reliability were assessed using Fleiss' kappa.ResultsParticipants most often reported localized (69%) followed by regional (14%) or diffuse (10%) knee pain. In those with localized pain, the most commonly reported locations were the medial (56%) and lateral (43%) joint lines. In those with regional pain, the most commonly reported regions were the patella (44%) and medial region (38%). There was excellent interrater reliability for the identification of localized and regional pain patterns (κ = 0.7–0.9 and 0.7–0.8, respectively). The interrater reliability for specific locations was also excellent (κ = 0.7–1.0) when the number of participants with pain in a location was >4. For regional pain, the kappa for specific regions varied from 0.7–1.0.ConclusionThe majority of participants could identify the location of their knee pain, and trained interviewers could reliably record those locations. The variation in locations suggests that there are multiple sources of pain in knee OA. Additional studies are needed to determine whether specific knee pain patterns correlate with discrete pathologic findings on radiographs or magnetic resonance images.