Cargando…
High variation among clinical studies in the assessment of physical function after knee replacement: a systematic review
PURPOSE: The purpose of this study was to summarise the current use of outcome measures for the assessment of physical function after knee joint replacement. METHODS: A systematic approach following the PRISMA guidelines was used. Literature search was performed on MEDLINE database via PubMed and on...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10435639/ https://www.ncbi.nlm.nih.gov/pubmed/36907938 http://dx.doi.org/10.1007/s00167-023-07375-2 |
_version_ | 1785092147733594112 |
---|---|
author | Adriani, Marco Becker, Roland Milano, Giuseppe Lachowski, Krzysztof Prill, Robert |
author_facet | Adriani, Marco Becker, Roland Milano, Giuseppe Lachowski, Krzysztof Prill, Robert |
author_sort | Adriani, Marco |
collection | PubMed |
description | PURPOSE: The purpose of this study was to summarise the current use of outcome measures for the assessment of physical function after knee joint replacement. METHODS: A systematic approach following the PRISMA guidelines was used. Literature search was performed on MEDLINE database via PubMed and on Epistemonikos. Clinical trials (level of evidence I-II) on knee joint replacement reporting data on the ‘physical function’ domain published between January 2017 and June 2022 were included. Descriptive statistics were used to summarise the evidence. RESULTS: In the 181 articles that met the inclusion criteria, 49 different outcome measurements were used to evaluate clinical outcomes after knee joint replacement. The most frequently adopted patient-reported outcome measures (PROMs) were the Knee Society Score (KSS) (78 studies; 43.1%), the Western Ontario and McMaster Universities (WOMAC) Arthritis Index (62 studies; 34.3%), the Oxford Knee Score (OKS) (51 studies; 28.2%) and the Knee Injury and Osteoarthritis Outcome Score (KOOS) (36 studies; 20%). The most frequently used performance-based outcome measures (PBOMs) were the Timed-Up-and-Go (TUG) test (30 studies; 16.6%) and the 6-min-walk test (6MWT) (21 studies; 11.6%). Among impairment-based outcome measures (IBOMs), range of motion (ROM) was the most used (74 studies; 40.9%). CONCLUSION: There is considerable variation among clinical studies regarding the assessment of the physical function of patients after knee joint replacement. PROMs were found to be the most commonly adopted outcome measures; however, no single PROM was used in more than half of the papers analysed. LEVEL OF EVIDENCE: Level II, systematic review of level I-II studies. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version contains supplementary material available at 10.1007/s00167-023-07375-2. |
format | Online Article Text |
id | pubmed-10435639 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-104356392023-08-19 High variation among clinical studies in the assessment of physical function after knee replacement: a systematic review Adriani, Marco Becker, Roland Milano, Giuseppe Lachowski, Krzysztof Prill, Robert Knee Surg Sports Traumatol Arthrosc Knee PURPOSE: The purpose of this study was to summarise the current use of outcome measures for the assessment of physical function after knee joint replacement. METHODS: A systematic approach following the PRISMA guidelines was used. Literature search was performed on MEDLINE database via PubMed and on Epistemonikos. Clinical trials (level of evidence I-II) on knee joint replacement reporting data on the ‘physical function’ domain published between January 2017 and June 2022 were included. Descriptive statistics were used to summarise the evidence. RESULTS: In the 181 articles that met the inclusion criteria, 49 different outcome measurements were used to evaluate clinical outcomes after knee joint replacement. The most frequently adopted patient-reported outcome measures (PROMs) were the Knee Society Score (KSS) (78 studies; 43.1%), the Western Ontario and McMaster Universities (WOMAC) Arthritis Index (62 studies; 34.3%), the Oxford Knee Score (OKS) (51 studies; 28.2%) and the Knee Injury and Osteoarthritis Outcome Score (KOOS) (36 studies; 20%). The most frequently used performance-based outcome measures (PBOMs) were the Timed-Up-and-Go (TUG) test (30 studies; 16.6%) and the 6-min-walk test (6MWT) (21 studies; 11.6%). Among impairment-based outcome measures (IBOMs), range of motion (ROM) was the most used (74 studies; 40.9%). CONCLUSION: There is considerable variation among clinical studies regarding the assessment of the physical function of patients after knee joint replacement. PROMs were found to be the most commonly adopted outcome measures; however, no single PROM was used in more than half of the papers analysed. LEVEL OF EVIDENCE: Level II, systematic review of level I-II studies. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version contains supplementary material available at 10.1007/s00167-023-07375-2. Springer Berlin Heidelberg 2023-03-13 2023 /pmc/articles/PMC10435639/ /pubmed/36907938 http://dx.doi.org/10.1007/s00167-023-07375-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Knee Adriani, Marco Becker, Roland Milano, Giuseppe Lachowski, Krzysztof Prill, Robert High variation among clinical studies in the assessment of physical function after knee replacement: a systematic review |
title | High variation among clinical studies in the assessment of physical function after knee replacement: a systematic review |
title_full | High variation among clinical studies in the assessment of physical function after knee replacement: a systematic review |
title_fullStr | High variation among clinical studies in the assessment of physical function after knee replacement: a systematic review |
title_full_unstemmed | High variation among clinical studies in the assessment of physical function after knee replacement: a systematic review |
title_short | High variation among clinical studies in the assessment of physical function after knee replacement: a systematic review |
title_sort | high variation among clinical studies in the assessment of physical function after knee replacement: a systematic review |
topic | Knee |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10435639/ https://www.ncbi.nlm.nih.gov/pubmed/36907938 http://dx.doi.org/10.1007/s00167-023-07375-2 |
work_keys_str_mv | AT adrianimarco highvariationamongclinicalstudiesintheassessmentofphysicalfunctionafterkneereplacementasystematicreview AT beckerroland highvariationamongclinicalstudiesintheassessmentofphysicalfunctionafterkneereplacementasystematicreview AT milanogiuseppe highvariationamongclinicalstudiesintheassessmentofphysicalfunctionafterkneereplacementasystematicreview AT lachowskikrzysztof highvariationamongclinicalstudiesintheassessmentofphysicalfunctionafterkneereplacementasystematicreview AT prillrobert highvariationamongclinicalstudiesintheassessmentofphysicalfunctionafterkneereplacementasystematicreview |