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Titolo:
Patient-based outcomes after clubfoot surgery
Autore:
Roye, BD; Vitale, MG; Gelijns, AC; Roye, DP;
Indirizzi:
Columbia Univ, Coll Phys & Surg, Int Ctr Hlth Outcomes & Innovat Res, New York, NY USA Columbia Univ New York NY USA h Outcomes & Innovat Res, New York, NY USA
Titolo Testata:
JOURNAL OF PEDIATRIC ORTHOPAEDICS
fascicolo: 1, volume: 21, anno: 2001,
pagine: 42 - 49
SICI:
0271-6798(200101/02)21:1<42:POACS>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; STAGE POSTEROMEDIAL RELEASE; LONG-TERM; IDIOPATHIC CLUBFOOT; SURGICAL-TREATMENT; RESIDUAL CLUBFOOT; FEET; FOOT; DEFORMITY; OSTEOTOMY;
Keywords:
clubfoot; disease-specific instrument; functional status; patient-based outcomes; psychometric analysis; quality of life;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
74
Recensione:
Indirizzi per estratti:
Indirizzo: Vitale, MG InCHOIR, 180 Ft Washington Ave,HP-7, New York, NY 10032 USA InCHOIR 180 Ft Washington Ave,HP-7 New York NY USA 10032 32 USA
Citazione:
B.D. Roye et al., "Patient-based outcomes after clubfoot surgery", J PED ORTH, 21(1), 2001, pp. 42-49

Abstract

Despite decades of experience in the area of clubfoot repair, considerableuncertainty remains regarding indications, surgical technique, and long-term results of treatment. Much of this uncertainty is due to the lack of a standardized and valid method for assessing postoperative outcomes of clubfoot repair. The current study used various end points to compare traditionaland patient-based outcome measures and to develop a disease-specific instrument that is both meaningful to the patient and statistically valid. A cohort of 46 patients was identified, and several types of outcomes data were collected, including traditional end points of outcome (range of motion andradiographic criteria, qualitative patient-based data) and a previously validated instrument measuring pediatric functional status (FSIIr). At an average follow-up of 45 months, radiographic measures and range of motion werecomparable to values published in previous studies. Postoperative functional status, as measured by the FSIIr, did not differ from that of age-matched controls. Psychometric analysis of these data allowed us to generate a 10-item disease-specific instrument (DSI), which conveyed patient-based attitudes toward outcome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 17:17:46