Defining an International Standard Set of Outcome Measures for Patients With Hip or Knee Osteoarthritis: Consensus of the International Consortium for Health Outcomes Measurement Hip and Knee Osteoarthritis Working Group
Defining an International Standard Set of Outcome Measures for Patients With Hip or Knee Osteoarthritis: Consensus of the International Consortium for Health Outcomes Measurement Hip and Knee Osteoarthritis Working Group
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DOI：
10.1002/acr.22868
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发表时间：
2016-11-01
影响因子：
4.7
通讯作者：
Franklin, Patricia D.
中科院分区：
文献类型：
--
作者：
Rolfson, Ola;Wissig, Stephanie;Franklin, Patricia D.
目的定义一个最低标准的结果指标和病例组合因素的监测，比较，并改善医疗保健的患者临床诊断髋关节或膝关节骨关节炎（OA），重点是定义的结果，最重要的patients.MethodsAn国际工作组的患者，关节成形术注册专家，整形外科医生，初级保健医生，风湿病学家，和物理治疗师代表10个国家聚集在一起，审查现有的文献和实践，以评估药物和非药物OA治疗的结果，包括手术。一系列的8个电话会议，将修改后的德尔菲过程中，举行了达成共识。ResultsThe工作组达成共识的一套简洁的结果措施，以评估患者的关节疼痛，身体功能，健康相关的生活质量，工作状态，死亡率，再手术，再入院，和整体满意度的治疗结果。为了支持这些结局指标的分析，定义了相关的基线特征和风险因素指标。年度结果测量建议为所有patients.ConclusionWe已经定义了一个标准的一套结果的措施，用于监测临床诊断的髋关节或膝关节OA的人的护理，是适合使用在所有的治疗和护理设置。我们认为，该标准集提供了有意义、可比且易于解释的指标，可在全球诊所和/或登记中心实施。我们认为这组数据是第一步，当与成本数据相结合时，将促进髋关节和膝关节OA治疗中基于价值的医疗保健改善。
ObjectiveTo define a minimum Standard Set of outcome measures and case-mix factors for monitoring, comparing, and improving health care for patients with clinically diagnosed hip or knee osteoarthritis (OA), with a focus on defining the outcomes that matter most to patients.MethodsAn international working group of patients, arthroplasty register experts, orthopedic surgeons, primary care physicians, rheumatologists, and physiotherapists representing 10 countries was assembled to review existing literature and practices for assessing outcomes of pharmacologic and nonpharmacologic OA therapies, including surgery. A series of 8 teleconferences, incorporating a modified Delphi process, were held to reach consensus.ResultsThe working group reached consensus on a concise set of outcome measures to evaluate patients' joint pain, physical functioning, health-related quality of life, work status, mortality, reoperations, readmissions, and overall satisfaction with treatment result. To support analysis of these outcome measures, pertinent baseline characteristics and risk factor metrics were defined. Annual outcome measurement is recommended for all patients.ConclusionWe have defined a Standard Set of outcome measures for monitoring the care of people with clinically diagnosed hip or knee OA that is appropriate for use across all treatment and care settings. We believe this Standard Set provides meaningful, comparable, and easy to interpret measures ready to implement in clinics and/or registries globally. We view this set as an initial step that, when combined with cost data, will facilitate value-based health care improvements in the treatment of hip and knee OA.