Capturing quality of life in pediatric orthopaedics: Two recent measures compared
Capturing quality of life in pediatric orthopaedics: Two recent measures compared
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DOI：
10.1097/00004694-200109000-00015
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发表时间：
2001-09-01
影响因子：
1.7
通讯作者：
Roye, DP
中科院分区：
文献类型：
--
作者：
Vitale, MG;Levy, DE;Roye, DP
显然需要标准化的措施来评估健康状况，这些措施应有效并适合有矫形问题的儿童的需要。儿童健康问卷和美国骨科医生学会儿科结局数据收集工具，两个新的儿科健康状况的措施，评估他们的能力，以检测儿童骨科人群的健康状况差异。这些工具有一系列旨在衡量身心健康各个方面的量表。242例诊断范围广泛的患者参加了这项横断面研究。这些工具在某些领域表现出天花板效应，但在这一大型队列中通常表现为预期效果。使用次要因素分析，它表明，域的工具适当区分身体和心理健康。每个工具的几个领域区分诊断组和合并症数量不同的患者。这两项措施都显示出巨大的希望，并在帮助确定儿童骨科问题的结果中发挥了重要作用。
There is a clear need for standardized measures to assess health status that are valid and appropriate to the needs of children with orthopaedic problems. The Child Health Questionnaire and the American Academy of Orthopaedic Surgeons Pediatric Outcomes Data Collection Instrument, two new pediatric health status measures, were assessed for their ability to detect differences in health states in a pediatric orthopaedic population. The instruments have a range of scales designed to measure various aspects of physical and psychosocial health. Two hundred forty-two patients with wide-ranging diagnoses were enrolled in this cross-sectional study. The instruments exhibited ceiling effects in some domains but generally performed as they were intended in this large cohort. Using secondary factor analysis, it was shown that the domains of the instruments appropriately distinguish physical and psychosocial health. Several domains from each instrument discriminated between diagnosis groups and patients with varying numbers of comorbidities. Both of these measures show significant promise and have an important role in helping define the outcomes of children with orthopaedic problems.