Effect of a Specific Questionnaire Sheet on Subclassification of Osteonecrosis of the Femoral Head
Effect of a Specific Questionnaire Sheet on Subclassification of Osteonecrosis of the Femoral Head
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DOI：
10.12659/msm.921327
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发表时间：
2020-05-04
影响因子：
3.1
通讯作者：
Yamamoto, Takuaki
中科院分区：
文献类型：
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作者：
Hatanaka, Hiroyuki;Motomura, Goro;Yamamoto, Takuaki
背景资料：本研究探讨是否使用一个特定的问卷调查表的蕨类-口腔头（ONFH）的非创伤性骨坏死可能会影响ONFH的亚类相比，传统的医疗interview.Material/Methods：研究参与者包括400名ONFH患者谁访问了我们的医院在2011年2月至2015年3月。在第一次访视时的常规医学访谈中获得了全身性类固醇治疗史和习惯性酒精摄入的数据，并在另一次访视时使用特定的问卷调查表进行了重新评估。将患者分为4组：类固醇相关、酒精相关、类固醇/酒精相关或特发性ONFH。使用特定问卷表导致有全身类固醇治疗史的患者比例增加4.0%，从57.3%（n=229）增加至61.3%（n=245），有饮酒习惯者从35.0%（n=140）增加到49.3%（n=197），增加了14.3%。激素/酒精相关性股骨头坏死的比例从2.5%（n=10）上升到17.8%（n=71），而其他3组的比例则下降：激素相关性股骨头坏死从54.8%（n=219）下降到43.5%（n=174），酒精相关性股骨头坏死从32.5%（n=130）下降到31.5%（n=126），激素/酒精相关性股骨头坏死的比例从2.5%（n = 219）下降到43.5%（n=174），酒精相关性股骨头坏死从32.5%（n=130）下降到31.5%（n=126）。原发性股骨头坏死从10.2%（n=41）降至7.2%（n=29）。根据特定问卷表，96例患者（24.0%）被分为不同的亚组。结论：与使用传统病史访谈相比，使用特定问卷表可以改变ONFH亚分类的分布。使用特定的问卷调查表可以更详细地自我报告非创伤性ONFH的潜在致病因素，特别是习惯性饮酒。
Background: This study examined whether use of a specific questionnaire sheet for nontraumatic osteonecrosis of the fern- oral head (ONFH) could affect the subclassification of ONFH compared with a conventional medical interview.Material/Methods: Study participants consisted of 400 patients with ONFH who visited our hospital between February 2011 and March 2015. Data on history of systemic steroid therapy and habitual alcohol intake were obtained during a conventional medical interview at the first visit and were re-evaluated using a specific questionnaire sheet at another visit. Patients were subclassified into 4 groups: steroid-associated, alcohol-associated, steroid/alcohol-associated, or idiopathic ONFH.Results: Use of the specific questionnaire sheet resulted in a 4.0% increase in the proportion of patients with a history of systemic steroid therapy, from 57.3% (n=229) to 61.3% (n=245), and a 14.3% increase for history of habitual alcohol intake, from 35.0% (n=140) to 49.3% (n=197). The proportion of patients with steroid/alcohol-associated ONFH increased from 2.5% (n=10) to 17.8% (n=71), while the proportion in the other 3 groups decreased: steroid-associated ONFH from 54.8% (n=219) to 43.5% (n=174); alcohol-associated ONFH from 32.5% (n=130) to 31.5% (n=126); and idiopathic ONFH from 10.2% (n=41) to 7.2% (n=29). Ninety-six patients (24.0%) were classified into a different subgroup based on the specific questionnaire sheet.Conclusions: The use of a specific questionnaire sheet can change the distribution of ONFH subclassifications compared with use of a conventional medical history interview. Use of a specific questionnaire sheet can allow for more detailed self-reporting regarding potential causative factors for nontraumatic ONFH, especially habitual alcohol intake.