The subjective knee value is a valid single-item survey to assess knee function in common knee disorders.


Journal

Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Titre abrégé: Arch Orthop Trauma Surg
Pays: Germany
ID NLM: 9011043

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 15 07 2020
accepted: 12 01 2021
pubmed: 2 2 2021
medline: 22 7 2022
entrez: 1 2 2021
Statut: ppublish

Résumé

The patient's perspective plays a key role in judging the effect of knee disorders on physical function. We have introduced the Subjective Knee Value (SKV) to simplify the evaluation of individual's knee function by providing one simple question. The purpose of this prospective study was to validate the SKV with accepted multiple-item knee surveys across patients with orthopaedic knee disorders. Between January through March 2020, consecutive patients (n = 160; mean age 51 ± 18 years, range from 18 to 85 years, 54% women) attending the outpatient clinic for knee complaints caused by osteoarthritis (n = 69), meniscal lesion (n = 45), tear of the anterior cruciate ligament (n = 23) and focal chondral defect (n = 23) were invited to complete a knee-specific survey including the SKV along with the Knee Injury Osteoarthritis Outcome Score (KOOS) and the International Knee Documentation Committee subjective knee form (IKDC-S). The Pearson correlation coefficient was used to evaluate external validity between the SKV and each patient-reported outcome measure (PROM) separately. Furthermore, patient's compliance was assessed by comparing responding rates. Overall, the SKV highly correlated with both the KOOS (R = 0.758, p < 0.05) and the IKDC-S (R = 0.802, p < 0.05). This was also demonstrated across all investigated diagnosis- and demographic-specific (gender, age) subgroups (range 0.509-0.936). No relevant floor/ceiling effects were noticed. The responding rate for the SKV (96%) was significantly higher when compared with those for the KOOS (81%) and the IKDC-S (83%) (p < 0.05). At baseline, the SKV exhibits acceptable validity across all investigated knee-specific PROMs in a broad patient population with a wide array of knee disorders. The simplified survey format without compromising the precision to evaluate individual's knee function justifies implementation in daily clinical practice. II, cohort study (diagnosis).

Identifiants

pubmed: 33523264
doi: 10.1007/s00402-021-03794-3
pii: 10.1007/s00402-021-03794-3
pmc: PMC9296395
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1723-1730

Informations de copyright

© 2021. The Author(s).

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Auteurs

Fabian Plachel (F)

Center for Musculoskeletal Surgery, Campus Mitte, Charité-Universitaetsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany. fabian.plachel@charite.de.

Tobias Jung (T)

Center for Musculoskeletal Surgery, Campus Mitte, Charité-Universitaetsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.

Benjamin Bartek (B)

Center for Musculoskeletal Surgery, Campus Mitte, Charité-Universitaetsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.

Katja Rüttershoff (K)

Center for Musculoskeletal Surgery, Campus Mitte, Charité-Universitaetsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.

Carsten Perka (C)

Center for Musculoskeletal Surgery, Campus Mitte, Charité-Universitaetsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.

Clemens Gwinner (C)

Center for Musculoskeletal Surgery, Campus Mitte, Charité-Universitaetsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.

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