当前位置: X-MOL 学术BMC Musculoskelet. Disord. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Translation, cross-cultural adaptation, and validation of the Italian language Forgotten Joint Score-12 (FJS-12) as an outcome measure for total knee arthroplasty in an Italian population.
BMC Musculoskeletal Disorders ( IF 2.3 ) Pub Date : 2020-01-11 , DOI: 10.1186/s12891-019-2985-2
Valerio Sansone 1, 2 , Peter Fennema 3 , Rachel C Applefield 2 , Stefano Marchina 2 , Raffaella Ronco 4 , Walter Pascale 1, 2 , Valerio Pascale 1, 2
Affiliation  

BACKGROUND With ever-increasing numbers of patients undergoing elective total knee arthroplasty (TKA) and as TKA is performed in increasingly younger patients, patient demands and expectations have also increased. With improved patient outcomes, new PROMs with heightened discriminatory power in well-performing patients are needed. The present study aimed to translate and validate the Italian version of the Forgotten Joint Score (FJS-12) as a tool for evaluating pre-operative through longitudinal post-operative outcomes in an Italian population. METHODS In this prospective study, patients with unilateral osteoarthritis, undergoing TKA surgery between May 2015 and December 2017 were recruited to participate in the study. The FJS-12 and WOMAC were collected pre-operatively and at six and 12 months post-operatively. According to the COSMIN checklist, reliability, internal consistency, validity, responsiveness, effect size, and ceiling effects and floor effects were evaluated. RESULTS One hundred twenty patients completed the study, 66 of which participated in the evaluation of test-retest reliability. Good test-retest reliability was found (ICC = 0.90). The FJS-12 also showed excellent internal consistency (Cronbach α = 0.81). Construct validity with the WOMAC, as a measure of the Pearson correlation coefficient, was moderate (r = 0.45 pre-operatively; r = 0.46 at 6 months and r = 0.42 at 12 months post-operatively). From six to 12 months, the change was slightly greater for the WOMAC than for the FJS-12 patients (effect size d = 0.94; d = 0.75, respectively). At 12-months follow-up, the ceiling effects reflecting the maximum score were 12% for the FJS-12 and 6% for the WOMAC; however, scores within 10% of the maximum score were comprised 30% of the FJS-12 scores and 59% for the WOMAC. CONCLUSION The Italian FJS-12 demonstrated strong measurement properties in terms of reliability, internal consistency, and construct validity in TKA patients. Furthermore, a more detailed look at ceiling effects shows a superior discriminatory capacity when compared to the WOMAC at 12-months follow-up, particularly in better-performing patients. TRIAL REGISTRATION clinicaltrials.gov NCT03805490. Registered 18 January 2019 (retrospectively registered).

中文翻译:

翻译,跨文化适应和意大利语意大利语“ Forgotten Joint Score-12(FJS-12)”的验证,作为意大利人群全膝关节置换术的一项成果指标。

背景技术随着进行选择性全膝关节置换术(TKA)的患者数量不断增加,并且随着TKA在越来越年轻的患者中进行,患者的需求和期望也增加了。随着患者预后的改善,需要表现良好的患者具有更高区分能力的新型PROM。本研究旨在翻译和验证意大利语版本的《被遗忘的关节评分》(FJS-12),该工具可作为评估意大利人群术前和术后纵向预后的工具。方法在这项前瞻性研究中,招募了2015年5月至2017年12月期间接受TKA手术的单侧骨关节炎患者。术前以及术后6个月和12个月收集FJS-12和WOMAC。根据COSMIN清单,评估了可靠性,内部一致性,有效性,响应度,效果大小以及天花板效果和地板效果。结果120位患者完成了研究,其中66位参加了重测信度的评估。发现良好的重测可靠性(ICC = 0.90)。FJS-12还显示出出色的内部一致性(Cronbachα= 0.81)。用WOMAC进行的构建效度作为Pearson相关系数的量度是中等的(术前r = 0.45; 6个月r = 0.46,术后12个月r = 0.42)。从6到12个月,WOMAC的变化略大于FJS-12患者(效应量d = 0.94; d = 0.75)。在12个月的随访中,FJS-12的最高得分反映出最高得分,分别为12%和WOMAC的6%。然而,最高分数的10%以内的分数包括FJS-12分数的30%和WOMAC分数的59%。结论意大利FJS-12在TKA患者中显示出强大的测量性能,包括可靠性,内部一致性和结构有效性。此外,与WOMAC相比,在12个月的随访中,对天花板效果的更详细观察显示出更高的辨别能力,尤其是对于表现更好的患者。试验注册临床试验.gov NCT03805490。已于2019年1月18日注册(追溯注册)。与WOMAC相比,在12个月的随访中,对天花板效果的更详细观察显示出更高的辨别能力,尤其是对于表现更好的患者。试验注册临床试验.gov NCT03805490。已于2019年1月18日注册(追溯注册)。与WOMAC相比,在12个月的随访中,对天花板效果的更详细观察显示出更高的辨别能力,尤其是对于表现更好的患者。试验注册临床试验.gov NCT03805490。已于2019年1月18日注册(追溯注册)。
更新日期:2020-01-13
down
wechat
bug