■患者报告的结果指标在患者的临床评估中变得至关重要。适当的选择,在年轻人口中,该工具对于提供以患者为中心的循证医疗保健至关重要。本系统综述应用基于Consensus的标准选择健康测量指标方法,以提供针对下肢受损的儿科骨科患者的患者报告结局指标的严格评估概述。
■对电子数据库进行系统搜索,以确定报告患者报告的评估儿童下肢损伤的结果指标的发展和/或验证的原始研究。数据提取,质量评估,和偏倚风险评估是根据基于社区的健康测量指标指南选择标准以及系统评价和荟萃分析声明的首选报告项目进行的。
■共筛选了6919篇文章。包括33项研究,报告13种不同患者报告结局指标和20种翻译的测量特性的证据.四项研究报告了内容的有效性和患者报告的结局指标的发展。结构效度研究的方法学质量,内容有效性,或患者报告的结局指标发展大多被评为“可疑”或“非常好”。“关于测量特性的证据质量差异显著,大多数研究需要提高他们的方法学质量来证明他们的结果。
■本综述广泛概述了儿科骨科下肢损伤患者所有可用的患者报告结局指标。我们谨慎建议使用四种患者报告的结果指标。然而,关于内容有效性和患者报告结局指标制定的研究很少,这凸显了未来研究努力的一个领域,以提高我们对当前可用的患者报告结局指标的认识.
■诊断级别1。
UNASSIGNED: Patient-reported outcome measures have become crucial in the clinical evaluation of patients. Appropriate selection, in a young population, of the instrument is vital to providing evidence-based patient-centered healthcare. This systematic review applies the
COnsensus-based Standards for selection of health Measurement INstruments methodology to provide a critically appraised overview of patient-reported outcome measures targeted at pediatric orthopedic patients with lower limb impairment.
UNASSIGNED: A systematic search of electronic databases was performed to identify original studies reporting the development and/or validation of patient-reported outcome measures evaluating children with impairment of the lower extremity. Data extraction, quality assessment, and risk of bias evaluation were performed following the
COnsensus-based Standards for selection of health Measurement INstruments
guidelines and Preferred Reporting Items for Systematic reviews and Meta-Analyses statement.
UNASSIGNED: A total of 6919 articles were screened. Thirty-three studies were included, reporting evidence on the measurement properties of 13 different patient-reported outcome measures and 20 translations. Four studies reported on content validity and patient-reported outcome measure development. The methodological quality of studies on structural validity, content validity, or patient-reported outcome measure development was mostly rated as \"doubtful\" or \"very good.\" The quality of evidence on measurement properties varied noticeably, with most studies needing to perform improve their methodological quality to justify their results.
UNASSIGNED: This review provides an extensive overview of all available patient-reported outcome measures for patients with lower extremity impairment within pediatric orthopedics. We cautiously advise the use of four patient-reported outcome measures. However, the scarce availability of research on content validity and patient-reported outcome measure development highlights an area for future research endeavors to improve our knowledge on the currently available patient-reported outcome measures.
UNASSIGNED: Diagnostic level 1.