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Inicio Revista Española de Cirugía Ortopédica y Traumatología Valoración de resultados en Cirugía Ortopédica y Traumatología
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Vol. 49. Issue S1.
Pages 119-142 (October 2005)
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Vol. 49. Issue S1.
Pages 119-142 (October 2005)
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Valoración de resultados en Cirugía Ortopédica y Traumatología
Assessment of results in Orthopaedic
Visits
...
E.. Cáceres-Paloua,
Corresponding author
ecaceres@imas.imim.es

Correspondencia: E. Cáceres-Palou. Servicio COT. IMAS. Hospitales del Mar y la Esperanza. Passeig Marítim, 25-29. 08003 Barcelona. ecaceres@imas.imim.es
, F.. López-Pratsa, M.. Mesa-Ramosa, J.. Sánchez-Soteloa, S.. Suso-Vergaraa
a IMAS (Hospitales del Mar y la Esperanza). Barcelona
Article information
Abstract
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Statistics
Introducción

Existe un interés creciente en nuestra especialidad por el empleo de instrumentos de valoración del estado de salud para la evaluación de resultados. La esencia del quehacer médico consiste en determinar el grado de malestar del paciente, identificar los problemas que amenazan su bienestar (establecer un diagnóstico), recomendar acciones que ayuden a restablecer su salud (establecer una indicación) y ejecutar dichas acciones.

Estado actual

En este artículo revisaremos el estado actual del tema tras un profundo análisis de la bibliografía.

Conclusiones

En resumen, para la medición de la función específica en la columna vertebral, los cuestionarios de Roland y Morris y el índice de discapacidad de Oswestry son los más recomendables. El SF-36 es el más útil para evaluar el estado de salud global y el dolor crónico. Para el estatus laboral puede utilizarse la dimensión funcional del SF-36 o escalas más específicas como el WL-26 y finalmente el PSS para la satisfacción del paciente.

Palabras clave:
resultados
valoración
cirugía ortopédica
Introduction

There is growing interest among practitioners in our specialty in the use of instruments to assess health status for outcome evaluation. The essence of the physician's task is to evaluate the patient's discomfort, identify problems that threaten their well-being (establish a diagnosis), recommend actions that help to restore health (establish the indication), and execute these actions.

State of the art

We assessed the state of the art after a review of the literature.

Conclusions

Specific spinal column function is measured best using the Roland and Morris questionnaires, and the Oswestry disability index. SF-36 is the most useful instrument for evaluating overall health and chronic pain. Occupational status can be assessed with the SF-36 or more specific scales like WL-26. Finally, the PSS is useful for assessing patient satisfaction.

Keywords:
results
assessment
Orthopaedic Surgery
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