骨关节炎分类标准和评估工具的概况性系统评价

Classification criteria and assessment tool of osteoarthritis: a scoping review

目的系统分析现有的OA分类标准和评估工具。方法采用概况性系统评价方法全面检索和筛选OA指南、教科书、二次研究和原始研究中报告的OA患者的分类标准和评估工具,对提取数据进行整理总结,并使用Excel软件进行定性分析。 结果检索了63部OA指南,1部教科书,二次研究和原始研究检索239条,补充检索160条,最终纳入5种分类标准,15篇评估工具的系统评价(855项评估工具)。结论现有的分类标准缺乏严格和透明的制定流程,并且较为复杂,无法指导临床进行精准治疗。建议关注OA分类标准的制定和完善应结合优选后的评估工具,并开展临床实践研究进行检验。

Objective To analyze systematically the existing classification criteria and assessment tools for osteoarthritis (OA). MethodsComprehensively searched and screened the available classification criteria and assessment tools reported in OA guidelines, textbooks, including secondary and original researchs. We collected and summarized the extracted data with the methods of scoping review and also used Excel software for qualitative analysis. ResultsA total of 63 OA guidelines, 1 textbook, 239 secondary or original researches, 160 supplementary records were retrieved. The 5 classification criteria and 15 systematic reviews of assessment tools (855 assessment tools) were finally included. ConclusionThe existing classification criteria lack a rigorous and transparent development process, and they are also too complicate to guide clinical treatment. We suggest that the development and improvement of OA classification criteria should be linked with the streamlined assessment tools, and conduct trials to test in clinical practice.