Development of a pelvic discomfort index to evaluate outcome following fixation for pelvic ring injury

被引:18
作者
Borg, Tomas [1 ]
Hernefalk, Bjorn [1 ]
Carlsson, Marianne [2 ]
Larsson, Sune [1 ]
机构
[1] Uppsala Univ, Dept Orthoped, Uppsala, Sweden
[2] Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden
关键词
fracture fixation; internal; patient outcome assessment; pelvis; quality of life; FRACTURES;
D O I
10.1177/230949901502300205
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose. To develop a pelvic discomfort index (PDI) to evaluate outcome following fixation for pelvic ring injury. Methods. 29 female and 44 male consecutive patients (mean age, 36 years) underwent internal fixation for pelvic ring injury of type B1 (n=10), B2 (n=22), B3 (n=15), C1 (n=18), C2 (n=5), and C3 (n=3), based on the AO/OTA classification. At postoperative 6, 12, and 24 months, patients were asked to assess their discomfort in the pelvis using a 14-item questionnaire. Three questions were open-ended, and responses were categorised by a single assessor. The remaining 11 questions were closed-ended and had 6 ordinal options from 'no discomfort' (score=0) to' extremely severe discomfort' (score=5). The content validity and relevance of the 11 closed-ended questions was determined. The 14-item questionnaire was compared with the 36-item Short Form Health Survey (SF-36). Results. Respectively at postoperative 6, 12, and 24 months, 78%, 71%, and 71% of the patients completed the 14-item questionnaire. Based on the factor analysis and responses to the open-ended questions, the number of items was reduced to 6 including pain, walking, mobility of the hips, loss of sensation in the legs, sexual life, and operation scar. Four factors could explain 96% of the total variance. The first factor involved the first 3 items (pain, walking, and hip motion) and addressed 'pelvis', whereas 3 factors involved the remaining items and each addressed peripheral neurology, sexual life, and operation scar. A PDI was developed using these 6 items. The PDI had high internal reliability (alpha=0.89), adequate content and criterion validity, and moderate correlation with the SF-36 total score or scores of physical function, bodily pain, and general health (r=0.50-0.77). Conclusion. The PDI provides valid, specific, and relevant information to assess
引用
收藏
页码:146 / 149
页数:4
相关论文
共 11 条
[1]   Questionnaire to assess treatment outcomes of acetabular fractures [J].
Borg, Tomas ;
Carlsson, Marianne ;
Larsson, Sune .
JOURNAL OF ORTHOPAEDIC SURGERY, 2012, 20 (01) :55-60
[2]   The Oswestry Disability Index [J].
Fairbank, JCT ;
Pynsent, PB .
SPINE, 2000, 25 (22) :2940-2952
[3]   Reporting and interpretation of the functional outcomes after the surgical treatment of disruptions of the pelvic ring A SYSTEMATIC REVIEW [J].
Lefaivre, K. A. ;
Slobogean, G. P. ;
Valeriote, J. ;
O'Brien, P. J. ;
Macadam, S. A. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2012, 94B (04) :549-555
[4]   What Outcomes Are Important for Patients After Pelvic Trauma? Subjective Responses and Psychometric Analysis of Three Published Pelvic-Specific Outcome Instruments [J].
Lefaivre, Kelly A. ;
Slobogean, Gerard P. ;
Ngai, Jacqueline T. ;
Broekhuyse, Henry M. ;
O'Brien, Peter J. .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2014, 28 (01) :23-27
[5]   GRADING THE OUTCOME OF PELVIC FRACTURES [J].
MAJEED, SA .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1989, 71 (02) :304-306
[6]  
Miranda MA, 1996, CLIN ORTHOP RELAT R, P152
[7]  
Strainer D., 2008, Health measurement scale: a practical guide to their development and use, V4th
[8]  
Svensson E, 1998, STAT MED, V17, P2923, DOI 10.1002/(SICI)1097-0258(19981230)17:24<2923::AID-SIM104>3.0.CO
[9]  
2-#
[10]  
Tabachnick BG., 2007, Using Multivariate Statistics, Vxxvii, P980