Simplified Chinese Version of University of California at Los Angeles Activity Score for Arthroplasty and Arthroscopy: Cross-Cultural Adaptation and Validation

Simplified Chinese Version of University of California at Los Angeles Activity Score for Arthroplasty and Arthroscopy: Cross-Cultural Adaptation and Validation
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DOI:
10.1016/j.arth.2017.03.057
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发表时间:
2017-09-01
影响因子:
3.5
通讯作者:
Qian, Qirong
Qian, Qirong
中科院分区:
医学2区
文献类型:
--
作者:
Cao, Shiqi;Liu, Ning;Qian, Qirong

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背景:将加州大学洛杉矶分校(UCLA)活动评分翻译成简体中文版(UCLA-C)并进行跨文化适应,评估 UCLA-C 对于膝关节镜和全膝关节置换术患者的信度和效度。方法:根据国际公认的美国骨科医师学会成果委员会指南进行跨文化适应。本研究共招募了 200 名参与者(其中 100 名接受关节镜检查,100 名接受全膝关节置换术)。使用组内相关系数(ICC)来确定可靠性。通过评估 UCLA-C 与 Tegner 活动评分、膝关节损伤和骨关节炎结果评分以及简短 (36) 健康调查之间的相关性,对结构效度进行了分析。结果:UCLA 活动评分的原始版本经过了跨文化的良好改编并翻译成简体中文。 UCLA-C 在关节镜检查(ICC = 0.984,95% 置信区间 0.976-0.989)和关节成形术(ICC = 0.946,95% 置信区间 0.920-0.964)方面均具有出色的可靠性。对于关节镜检查和关节成形术组,通过最小可检测变化评估的绝对可靠性分别为 0.789 和 0.837。 UCLA-C 与 Tegner 活动评分之间存在中度至高度相关性(0.799,P
Background: To translate and cross-culturally adapt the University of California at Los Angeles (UCLA) activity score into a simplified Chinese version (UCLA-C) and evaluate the reliability and validity of the UCLA-C for patients with both knee arthroscopy and total knee arthroplasty.Methods: Cross-cultural adaptation was performed according to the internationally recognized guidelines of the American Academy of Orthopaedic Surgeons Outcome Committee. A total of 200 participants (100 arthroscopy and 100 total knee arthroplasty) were recruited in this study. An intraclass correlation coefficient (ICC) was used to determine reliability. Construct validity was analyzed by evaluating the correlations between UCLA-C and the Tegner activity score, Knee Injury and Osteoarthritis Outcome Score, and the short-form (36) health survey.Results: The original version of the UCLA activity score was cross-culturally well adapted and translated into simplified Chinese. UCLA-C was found to have excellent reliability in both arthroscopy (ICC = 0.984, 95% confidence interval 0.976-0.989) and arthroplasty (ICC = 0.946, 95% confidence interval 0.920-0.964). Absolute reliability as evaluated by minimal detectable change was 0.789 and 0.837 for both arthroscopy and arthroplasty groups. Moderate to high correlations between UCLA-C and Tegner activity score (0.799, P