Use of both short musculoskeletal function assessment questionnaire and short form-36 among tibial-fracture patients was redundant
Use of both short musculoskeletal function assessment questionnaire and short form-36 among tibial-fracture patients was redundant
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DOI：
10.1016/j.jclinepi.2009.01.014
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发表时间：
2009-11-01
影响因子：
7.2
通讯作者：
Walter, Stephen D.
中科院分区：
文献类型：
--
作者：
Busse, Jason W.;Bhandari, Mohit;Walter, Stephen D.
目的：比较接受胫骨骨折手术治疗的患者的短肌肉骨骼功能评估功能障碍指数 (SMFA DI) 和短表格 36 身体成分总结 (SF-36 PCS) 评分。 研究设计和背景：2000 年 7 月至 2005 年 9 月期间，我们招募了 1,319 名骨骼成熟、患有开放性或闭合性胫骨干骨折且接受髓内治疗的患者。钉。要求患者在出院时以及手术固定后 3、6 和 12 个月完成 SMFA 问卷和 SF-36。结果：SMFA DI 和 SF-36 PCs 评分在手术固定后 3、6 和 12 个月高度相关。手术固定后 3 至 12 个月，SMFA DI 和 SF-36 PC 的平均标准化变化评分差异不具有统计学意义。 SMFA DI 和 SF-36 PCs 评分都能够在术后 3、6 和 12 个月区分愈合和未愈合的胫骨骨折。结论：在胫骨干骨折患者中，SMFA DI 与 SF-36 PCs 评分相比没有显着优势。这些结果以及 SF-36 用于比较人群的有用性，建议在胫骨骨折患者的研究中使用 SF-36 来评估身体功能。 (C) 2009 Elsevier Inc. 保留所有权利。
Objective: To compare the Short Musculoskeletal Function Assessment Dysfunction Index (SMFA DI) and the Short Form-36 Physical Component Summary (SF-36 PCS) scores among patients undergoing operative management of tibial fractures.Study Design and Setting: Between July 2000 and September 2005, we enrolled 1,319 skeletally mature patients with open or closed fractures of the tibial shaft that were managed with intramedullary nailing. Patients were asked to complete the SMFA Questionnaire and SF-36 at discharge and 3, 6, and 12 months post-surgical fixation.Results: The SMFA DI and SF-36 PCs scores were highly correlated at 3, 6. and 12 months post-surgical fixation. The difference in the mean standardized change scores for SMFA DI and SF-36 PCs, from 3 to 12 months post-surgical fixation, was not statistically significant. Both the SMFA DI and SF-36 PCs scores were able to discriminate between healed and nonhealed tibial fractures at 3, 6, and 12 months postsurgery.Conclusion: In patients with tibial-shaft fractures, the SMFA DI offered no significant advantages over the SF-36 PCs score. These results, along with the usefulness of SF-36 for comparing populations, recommend the SF-36 for assessing physical function in studies of patients with tibial fractures. (C) 2009 Elsevier Inc. All rights reserved.