构建髋膝骨关节炎外科诊疗指标体系及专病标准数据集

Index system and standardized dataset of hip and knee osteoarthritis

为规范化髋、膝骨关节炎(OA)的临床诊疗、提升诊疗数据的科研转化利用率,上海4家三级甲等医院骨科与科研院校方法学专家组成的骨关节炎诊疗共识组,基于现有循证指南与国际队列数据标准,采用德尔菲法进行专家函询,最终形成髋、膝OA外科诊疗指标体系共识并建立专病标准数据集。共识专家来自国内OA临床外科诊疗、流行病及统计方法学领域。共识形成了包含74个要素特征的指标体系,涵盖疾病诊断、治疗以及随访监测三方面并建立了12个数据集标准模块。所构建的指标体系和专病标准数据集为提升我国髋、膝OA外科诊疗水平及后续建立专病数据库、开展高质量真实世界研究提供依据。

To standardize the clinical diagnosis and treatment for hip and knee osteoarthritis(OA)and improve the scientific utilization of clinical data,an expert correspondence was conducted applying the Delphi method.According to the existing evidence-based guidelines for hip and knee OA and referring to international cohort data standards,an expert consensus on the index system and corresponding standard dataset for hip and knee OA were formed.The experts in the specialist consensus group were selected from the department of orthopedics and academic methodolgical experts in four tertiary A hospitals and colleges in Shanghai.The established index system contained 74 element characteristics,covering the aspects of disease diagnosis,treatment and follow-up,were corresponding to the 12 standard modules in the dataset.The index system and standardized dataset provided a basis for improving clinical management and setting up the database for hip and knee OA,which might further support the conduct of high-quality real-world studies.