AIM: To study whether health utility scores can be derived from shoulder-specific scores.METHODS: Authors investigated two questions:(1) do the American Shoulder and Elbow Surgeons(ASES) score and the Constant score c...AIM: To study whether health utility scores can be derived from shoulder-specific scores.METHODS: Authors investigated two questions:(1) do the American Shoulder and Elbow Surgeons(ASES) score and the Constant score correlate with the EuroQo L(EQ-5D), a measure of health utility?(2) can the ASES and Constant scores be obtained from a complete study sample without bias? Thirty subjects with various shoulder diagnoses completed ASES, Constant, and EQ-5D instruments. Pearson correlations were calculated to assess the associations between EQ-5D score and ASES and Constant scores.RESULTS: The correlation between EQ-5D score and ASES score was 0.60(P < 0.001); it was 0.54 for EQ-5D and Constant scores(P < 0.003). A multiple regression model containing ASES score, Constant score, age, and gender failed to adequately predict EQ-5D. Moreover, 25% of patients meeting the inclusion criteria did not complete the ASES questionnaire because they did not feel that specific questions, such as "do usual sport-list" and "throw ball overhand," applied to them.CONCLUSION: Authors' results do not support the use of the ASES and Constant scores in predicting EuroQ ol health utility values. However, the Constant score was more suitable for this patient population because all patients were able to complete it.展开更多
目的探讨采用PHILOS锁定钢板治疗肱骨近端粉碎性骨折的临床疗效。方法收集2010年1月至2012年6月应用PHILOS锁定钢板治疗16例肱骨近端骨折患者，通过影像学资料、Constant-Murley评分（Constant-Murley score，CMS）及美国肩肘外科医师（...目的探讨采用PHILOS锁定钢板治疗肱骨近端粉碎性骨折的临床疗效。方法收集2010年1月至2012年6月应用PHILOS锁定钢板治疗16例肱骨近端骨折患者，通过影像学资料、Constant-Murley评分（Constant-Murley score，CMS）及美国肩肘外科医师（ American shoulder and elbow surgeons, ASES） 评分对患者骨折愈合情况、肩关节功能及并发症等进行评估。结果16例患者均获随访，平均随访时间17（6～25）个月。16例（100％）患者获得骨性愈合，14例患者基本获得解剖复位（87．5％），1例（6．2％）患者术后肩关节轻度疼痛，1例（6．2％）患者术后肩关节功能严重障碍。所有病例无钢板螺钉断裂、肱骨头缺血性坏死发生；平均ASES评分为80．5（40～96）分，平均Constant评分为72．4（32-93）分；其中患肢肩关节功能优12例（75．0％）、良3例（18．8％）、差1例（6．2％）。结论采用PHILOS锁定钢板治疗肱骨近端粉碎型骨折，尤其对老年性骨质疏松患者，不仅可提供稳定的骨折固定，而且能进行早期功能锻炼，从而取得较好的疗效。展开更多
基金Supported by Department of Orthopaedic Surgery,University of Michigan
文摘AIM: To study whether health utility scores can be derived from shoulder-specific scores.METHODS: Authors investigated two questions:(1) do the American Shoulder and Elbow Surgeons(ASES) score and the Constant score correlate with the EuroQo L(EQ-5D), a measure of health utility?(2) can the ASES and Constant scores be obtained from a complete study sample without bias? Thirty subjects with various shoulder diagnoses completed ASES, Constant, and EQ-5D instruments. Pearson correlations were calculated to assess the associations between EQ-5D score and ASES and Constant scores.RESULTS: The correlation between EQ-5D score and ASES score was 0.60(P < 0.001); it was 0.54 for EQ-5D and Constant scores(P < 0.003). A multiple regression model containing ASES score, Constant score, age, and gender failed to adequately predict EQ-5D. Moreover, 25% of patients meeting the inclusion criteria did not complete the ASES questionnaire because they did not feel that specific questions, such as "do usual sport-list" and "throw ball overhand," applied to them.CONCLUSION: Authors' results do not support the use of the ASES and Constant scores in predicting EuroQ ol health utility values. However, the Constant score was more suitable for this patient population because all patients were able to complete it.
文摘目的探讨采用PHILOS锁定钢板治疗肱骨近端粉碎性骨折的临床疗效。方法收集2010年1月至2012年6月应用PHILOS锁定钢板治疗16例肱骨近端骨折患者，通过影像学资料、Constant-Murley评分（Constant-Murley score，CMS）及美国肩肘外科医师（ American shoulder and elbow surgeons, ASES） 评分对患者骨折愈合情况、肩关节功能及并发症等进行评估。结果16例患者均获随访，平均随访时间17（6～25）个月。16例（100％）患者获得骨性愈合，14例患者基本获得解剖复位（87．5％），1例（6．2％）患者术后肩关节轻度疼痛，1例（6．2％）患者术后肩关节功能严重障碍。所有病例无钢板螺钉断裂、肱骨头缺血性坏死发生；平均ASES评分为80．5（40～96）分，平均Constant评分为72．4（32-93）分；其中患肢肩关节功能优12例（75．0％）、良3例（18．8％）、差1例（6．2％）。结论采用PHILOS锁定钢板治疗肱骨近端粉碎型骨折，尤其对老年性骨质疏松患者，不仅可提供稳定的骨折固定，而且能进行早期功能锻炼，从而取得较好的疗效。
