Exploration on the Main Factors Affecting the Prognosis of Osteonecrosis of Femoral Head Based on the Delphi Method
10.19879/j.cnki.1005-5304.202310045
- VernacularTitle:基于德尔菲法探究影响股骨头坏死预后的主要因素
- Author:
Shiyi SUN
1
;
Guangyi ZHANG
;
Haijun HE
;
Zixuan WU
;
Cheng ZHANG
Author Information
1. 中国中医科学院望京医院,北京 100102
- Keywords:
osteonecrosis of femoral head;
prognosis;
Delphi method
- From:
Chinese Journal of Information on Traditional Chinese Medicine
2024;31(11):147-152
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the entries of prognostic factors affecting osteonecrosis of the femoral head(ONFH);To determine optimized and uniform prognostic influences.Methods Through literature pre-search and clinical research,the questionnaire was designed.Experts were selected based on the Delphi method and the questionnaire was distributed to the experts online,and after the questionnaire was recovered,Excel 2016 and SPSS 26.0 software were applied to process the data.The positive coefficients of experts,the degree of authority of experts,the degree of coordination of experts'opinions,the degree of concentration of experts'opinions,and the weight coefficients of the entries were calculated for the evaluation of the importance.Results Totally 116 articles were included.A list of prognostic factors indicators based on original literature was extracted.The first and second rounds of consultation had 30 and 40 experts respectively,and the collected questionnaires were all valid.Finally,10 major prognostic factors affecting ONFH were identified,including whether strictly on crutches,whether in pain(duration of pain),hip mobility,time to confirmation of osteonecrosis,ARCO staging,JIC staging,whether the anterolateral column is preserved,necrotic area,CT supracondylar subchondral fracture zone,and oral administration of traditional Chinese medicine.Conclusion This article summarizes the relevant factors that affect the progression of ONFH,which can further enhance clinical physicians'understanding of the prognosis of ONFH,and can delay the progression of ONFH by effectively intervening in important factors.
