| 梁家琛,昝强,马建兵,等.新版膝关节评分系统测量属性的系统评价.骨科,2025,16(2): 115-123. |
| 新版膝关节评分系统测量属性的系统评价 |
| A systematic review of the measurement properties of the new Knee Society Scoring System |
| 投稿时间：2024-10-29 |
| DOI：10.3969/j.issn.1674-8573.2025.02.004 |
| 中文关键词: 全膝关节置换术 COSMIN指南 测量属性 系统评价 |
| 英文关键词: Total knee arthroplasty COSMIN guidelines Measurement properties Systematic review |
| 基金项目:国家自然科学基金项目（82173627）；陕西省重点研发计划（2023-YBSF-464）；西安市卫生健康委员会面上培育项目（2024ms10）；西安市社会科学规划基金（24TY130）；教育部人文社会科学项目（24YJAZH032） |
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| 中文摘要: |
| 目的 本研究旨在全面评估新版膝关节评分系统（the New Knee Society Scoring System，New-KSS）在全膝关节置换术（total knee arthroplasty，TKA）病人中的测量属性。方法 本研究基于健康测量工具选择的共识标准（consensus-based standards for the selection of health measurement instruments，COSMIN）对New-KSS评分的测量属性进行系统评价。在PubMed、Web of Science、The Cochrane Library、Medline、Embase、PsycINFO、中国知网和维普网中进行系统检索，检索时限为建库至2024年6月11日。主要纳入针对TKA术后病人进行的研究，且系统描述了New-KSS的测量学属性。结果 纳入10篇研究，均未报告测量误差和效标效度。内容效度方法学质量“模糊”，测量属性“充分”。结构效度2项“良好”，8项因子分析缺失，方法学质量“不良”，属性“不确定”。内部一致性和稳定性方法学质量“非常好”，属性“充分”。跨文化效度方法学质量“非常好”，属性“充分”。反应度方法学质量“不良”，属性“不充分”或“充分”。假设检验属性“不充分”。GRADE质量评级显示，内容效度“低”，结构效度“中等”，内部一致性和稳定性“高”，假设检验“中等”，反应度“极低”。结论 New-KSS显示出良好的信效度。未来研究应进一步填补测量误差和效标效度的空白，完善结构效度和反应度的研究，以全面准确地判断New-KSS是否适合中国TKA病人使用。 |
| 英文摘要: |
| Objective This study aims to comprehensively evaluate the measurement properties of the New Knee Society Scoring System (New-KSS) in patients undergoing total knee arthroplasty (TKA). Methods This study systematically evaluated the measurement properties of the New-KSS score based on the consensus-based standards for the selection of health measurement instruments (COSMIN). A comprehensive literature search was conducted in PubMed, Web of Science, The Cochrane Library, Medline, Embase, PsycINFO, CNKI, and VIP Information Database from their inception to June 11, 2024. Studies focusing on patients who underwent TKA were primarily included, and the psychometric properties of the New-KSS were systematically described. Results A total of 10 studies were included, none of which reported measurement error or criterion validity. Content validity was rated as“unclear”in terms of methodological quality but“adequate”in terms of measurement properties. For structural validity, 2 items were rated as“good”, while 8 items lacked factor analysis, resulting in“poor” methodological quality and “uncertain” properties. Internal consistency and reliability were rated as “very good” in methodological quality and“adequate”in properties. Cross-cultural validity was rated as“very good”in both methodological quality and properties. Responsiveness was rated as“poor”in methodological quality and“inadequate”or“adequate”in properties. Hypothesis testing was rated as“inadequate”. The GRADE assessment indicated that content validity was “low”, structural validity was “moderate”, internal consistency and reliability were “high”, hypothesis testing was “moderate”, while responsiveness were “very low”. Conclusion The New-KSS demonstrated satisfactory reliability and validity. Future studies should further address the gaps in measurement error and criterion validity and improve research on structural validity and responsiveness to comprehensively and accurately determine whether the New-KSS is suitable for Chinese TKA patients. |
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