A PRELIMINARY EVALUATION OF THE DIMENSIONALITY AND CLINICAL IMPORTANCE OF PAIN AND DISABILITY IN OSTEOARTHRITIS OF THE HIP AND KNEE
A PRELIMINARY EVALUATION OF THE DIMENSIONALITY AND CLINICAL IMPORTANCE OF PAIN AND DISABILITY IN OSTEOARTHRITIS OF THE HIP AND KNEE
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DOI：
10.1007/bf02032362
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发表时间：
1986-06-01
影响因子：
3.4
通讯作者：
BUCHANAN, WW
中科院分区：
文献类型：
--
作者：
BELLAMY, N;BUCHANAN, WW
目前骨关节炎的临床评估方法显示出高度的可变性。相比之下，类风湿性关节炎患者可以使用许多标准化和验证的指标进行评估。100例原发性髋关节和膝关节骨关节炎患者接受了访谈，以确定他们的不适和残疾的维度，并定义每个组成项目的临床重要性。骨关节炎的病理学由五个疼痛，一个僵硬，二十二个身体，八个社会和十一个情感项目。尽管个体项目的参与频率存在高度变异性，但其临床重要性在维度内和维度间均相似。进一步的研究表明，以确定每个项目的可靠性，有效性和反应性确定为一个前奏，制定一个标准化的方法评估髋关节和膝关节骨关节炎患者。
Current methods of clinical assessment in osteoarthritis show a high degree of variability. By contrast, patients with rheumatoid arthritis may be evaluated using a number of standardized and validated indices. One hundred patients with primary osteoarthritis of the hip and knee were interviewed in order to determine the dimensionality of their discomfort and disability and to define the clinical importance of each component item. The symptomatology of osteoarthritis was captured by five pain, one stiffness, twenty-two physical, eight social and eleven emotional items. In spite of a high degree of variability in the frequency of involvement of the individual items, their clinical importance was similar both within as well as across dimensions. Further studies are indicated to determine the reliability, validity and responsiveness of each of the items identified as a prelude to developing a standardized method of assessing patients with osteoarthritis of the hip and knee.