Clinical validation of self-reported osteoarthritis
Clinical validation of self-reported osteoarthritis
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DOI：
10.1053/joca.1997.0098
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发表时间：
1998-03-01
影响因子：
7
通讯作者：
Bagge, E
中科院分区：
文献类型：
--
作者：
March, LM;Schwarz, JM;Bagge, E
目的：评价邮寄调查在社区骨关节炎(OA)检测中的应用和计量学家检测临床骨关节炎的能力。方法：随机抽取悉尼北部卫生区45-年龄段的居民进行问卷调查，询问肌肉骨骼疾病和诊断的详细情况。在过去的6个月中，如果有“骨关节炎”或“退行性关节炎”、“关节疲劳”和关节疼痛的报道，则对骨关节炎进行问卷定义。106名受试者的手、臀部和膝盖由两名训练有素的计量师中的一人根据ACR的OA临床标准进行检查。第二个样本由两名计量学家和两名风湿科医生独立检查，以测试观察者之间的差异。结果：在两次邮寄后，59%的人回复(男性526人，女性796人)。男性52例(10%)，女性155例(19.5%)；男性62例(11.8%)，女性164例(20.6%)。检查后，81%的自我报告的“确定的”OA得到确认，而57%的“可能的”和一名自我报告的“阴性”被确定为临床OA。对具体联合开放存取的报告不如一般开放存取高度可靠的自我报告可靠。风湿科医生和计量学家在临床诊断上有很好的一致性。结论：邮寄问卷有可能在社区中发现骨性关节炎。临床诊断可以由训练有素的计量师确认。有必要在其他人群中对该工具进行进一步评估。
Objective: To evaluate the use of a postal survey to detect subjects in the community with osteoarthritis (OA) and the ability of metrologists to detect clinical OA.Methods: Questionnaires were posted to a random sample of residents of the Northern Sydney Health Area, aged 45-64 years old, asking for details of musculoskeletal complaints and diagnoses. A questionnaire definition of OA was made if 'osteoarthritis' was reported or 'degenerative arthritis', 'joints wearing' out together with pain in joints during the previous 6 months. Hands, hips, and knees of 106 subjects were examined by one of two trained metrologists according to ACR clinical criteria for OA. A second subsample was examined by two metrologists and two rheumatologists independently to test for inter-observer variation. Data were analyzed for percentage agreement and concordance using the kappa statistic.Results: After two mailouts, 59% responded (526 males and 796 females). Definite OA (excluding spine alone) was reported by 52 males (10%), 155 females (19.5%) and possible OA by 62 males (11.8%), 164 females (20.6%). Following examination, 81% of self-reported 'definite' OA was confirmed, while 57% of 'possibles' and one self-reported 'negative' were determined to have clinical OA. Reporting of specific joint OA was less reliable than the highly reliable self-reporting of general OA. Good agreement was demonstrated between rheumatologists and metrologists in the clinical diagnosis.Conclusion: Postal questionnaires have the potential to detect OA in the community. The clinical diagnosis can be confirmed by a trained metrologist. Further evaluation of this instrument is warranted in other populations.