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中华关节外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (01) : 27 -33. doi: 10.3877/ cma.j.issn.1674-134X.2025.01.005

临床论著

全球股髋撞击综合征临床研究注册信息的分析与思考
张卿1, 张长青2, 黄轶刚2,()   
  1. 1. 200065 上海,同济大学附属同济医院临床研究中心
    2. 200233 上海交通大学医学院附属第六人民医院骨科
  • 收稿日期:2024-04-01 出版日期:2025-02-01
  • 通信作者: 黄轶刚
  • 基金资助:
    国家自然科学基金面上项目(82072525)上海申康医院发展中心三年行动计划项目(SHDC2022CRS048)

Analysis and consideration of registration information of global femoroacetabular impingement syndrome clinical researches

Qing Zhang1, Changqing Zhang2, Yigang Huang2,()   

  1. 1. Clinical Research Unite,Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China
    2. Department of Orthopedics,Sixth People’s Hospital, Shanghai 200233, China
  • Received:2024-04-01 Published:2025-02-01
  • Corresponding author: Yigang Huang
引用本文:

张卿, 张长青, 黄轶刚. 全球股髋撞击综合征临床研究注册信息的分析与思考[J/OL]. 中华关节外科杂志(电子版), 2025, 19(01): 27-33.

Qing Zhang, Changqing Zhang, Yigang Huang. Analysis and consideration of registration information of global femoroacetabular impingement syndrome clinical researches[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2025, 19(01): 27-33.

目的

分析在美国临床试验数据库(ClinicalTrials.gov)和中国临床试验注册中心(ChiCTR)注册发布的股髋撞击综合征(FAIS)临床研究的信息特征,比较国内外研究差异,为开展后续临床研究提供借鉴。

方法

在美国临床试验数据库和中国临床试验注册中心数据库进行检索,纳入自建库至2023年12月31日注册发布且研究信息完整的FAIS临床研究,排除非临床研究和信息不完整的数据。分析临床研究数量、国家分布、研究的状态、资助情况、研究类型、入组人数、干预方式、研究设计等特征,并采用IBM SPSS 22.0软件运用频数和构成比对数据进行描述性统计和归纳分析。

结果

全球从2012年开始有FAIS临床研究项目在美国临床试验数据库注册发布,截至2023年底共检索到88项,其中完成的研究31项,正在招募受试者的17项;企业资助的临床试验(IST)8项,非企业资助的临床试验(IIT)80项;干预性研究58项,观察性研究30项;样本量以小于200例为主;研究干预方式以手术、药物、医疗器械为主,多采用随机、盲法、平行分配、治疗为目的的研究设计;常用的结局指标包括疼痛评分、iHOT-33国际髋关节评分、生活质量评分等;仅8项研究在数据库中发布了研究结果。中国在2020年首次于美国临床试验数据库发布FAIS临床研究,至检索截止日期共注册8项,排名第4;研究全部为观察性、单中心研究,主要由北京1家医院完成;在2019年首次于中国临床试验注册中心数据库发布FAIS临床研究,至检索截止日期共注册3项。

结论

我国FAIS临床研究起步较晚,开展FAIS研究的机构少,可以通过科学的方案设计如多中心、随机对照研究等获得循证医学证据,提升研究质量,促进临床实践。

Objective

To analyze the information characteristics of clinical research on femoroacetabular impact syndrome (FAIS) registered on ClinicalTrials.gov in the United States and Chinese Clinical Trial Registry (ChiCTR) in China, compare domestic and international research differences, and provide reference for the good management of followed-up research.

Methods

All the clinical research on FAIS were searched on ClinicalTrials.gov and ChiCTR.Inclusion criteria:FAIS clinical researches first posted on the above databases with complete information from inception to December 31st, 2023.Exclusion criteria:non-.clinical researches and clinical researches with incomplete information.The registration characteristics of research, such as number, country distribution, status, funder, study types, enrollment, interventions and study designs, etc., were summarized.IBM SPSS 22.0 software was used to perform descriptive statistics and inductive analysis on frequency and composition comparison data.

Results

Since 2012, FAIS clinical research had been registered and posted on ClinicalTrials.gov.A total of 88 clinical studies were collected.Among them,31 studies were completed and 17 studies were recruiting, eight studies were industry-sponsored and 80 studies were investigator-initiated, 58 studies were interventional studies and 30 were observational studies.The sample size is mainly less than 200 cases.The research intervention methods mainly focused on surgery, medication,and medical devices.Randomized, masking, parallel assignment, and treatment purpose study designs were mainly adopted.Common outcome measures included pain score, International Hip Outcome Tool-33, quality of life, etc.Only eight studies posted results.China first posted FAIS clinical studies on ClinicalTrials.gov in 2020, and a total of eight studies were registered, fouth in the world.Among them, mainly were observational and single center studies, and completed by one hospital in Beijing.On ChiCTR,China first posted FAIS clinical studies in 2019, and a total of three studies were registered.

Conclusions

Clinical research on FAIS in our country started relatively late, and there are few institutions conducting FAIS research.Evidence will be obtained through scientific protocol design based on evidence-based medicine, such as multicenter, randomized controlled studies, etc., to improve research quality and facilitate clinical practice.

图1 不同国家在美国临床试验数据库注册的FAIS(股髋撞击综合征)临床研究项目数量
Figure 1 Number of FAIS clinical research projects registered onclinicaltrials.gov by different countries
图2 美国和中国每年在美国临床试验数据库注册FAIS(股髋撞击综合征)临床研究项目数量
Figure 2 The number of FAIS clinical research projects registered annually on clinicaltrials.gov by America and China
表1 FAIS临床研究特征[例(%)]
Table 1 Studycharacteristics of FAIS clinical researches
表2 FAIS临床研究干预方式
Table 2 Intervention methods of FAIS clinical research
表3 FAIS临床研究设计
Table 3 Design ofFAIS clinical research
表4 FAIS临床研究结局指标
Table 4 Outcome measures of FAIS clinical research
图3 FAIS(股髋撞击综合征)临床研究在美国临床试验数据库中首次发布的研究结果
Figure 3 First posted study results of FAIS clinical research on clinicaltrials.gov
图4 中国临床试验注册中心数据库发布的FAIS(股髋撞击综合征)临床研究特征
Figure 4 Study characteristics of FAIS clinical research registered on Chinese Clinical Trial Registry
[1]
Hanish S, Muhammed M, Kelly S, et al.Postoperative rehabilitation for arthroscopic management of femoroacetabular impingement syndrome: a contemporary review[ J].Curr Rev Musculoskelet Med,2023, 16( 9 ): 381-391.
[2]
Gómez-Verdejo F, Alvarado-Solorio E, Suarez-Ahedo C.Review of femoroacetabular impingement syndrome[J].J Hip Preserv Surg,2024, 11( 4 ): 315-322.
[3]
Trigg SD, Schroeder JD, Hulsopple C.Femoroacetabular impingement syndrome [J].Curr Sports Med Rep, 2020, 19( 9 ):360-366.
[4]
Fortier LM, Popovsky D, Durci MM, et al.An updated review of femoroacetabular impingement syndrome [J/OL].Orthop Rev,2022, 14( 3 ): 37513.DOI:10.52965/001c.37513.
[5]
Ganz R, Parvizi J, Beck M, et al.Femoroacetabular impingement: a cause for osteoarthritis of the hip[ J].Clin Orthop Relat Res, 2003( 417 ): 112-120.
[6]
Wylie JD, Peters CL, Aoki SK.Natural history of structural hip abnormalities and the potential for hip preservation[ J].J Am Acad Orthop Surg, 2018, 26( 15 ): 515-525.
[7]
饶志涛, 俞光荣, 王树青.股骨髋臼撞击综合征的诊断与治疗进展[J/CD].中华关节外科杂志( 电子版 ), 2009, 3( 3 ): 368-373.
[8]
于康康, 吴毅东, 李春宝, 等.股骨髋臼撞击综合征的诊断与治疗研究进展[J].中国矫形外科杂志, 2022,30( 5 ): 426-430.
[9]
栗智, 安沛桐, 李杰,等.髋臼股骨撞击症髋臼软骨损伤的发生机制及诊疗进展[J].中华骨科杂志, 2023, 43( 23 ): 1610-1620.
[10]
Minkara AA, Westermann RW, Rosneck J, et al.Systematic review and meta-analysis of outcomes after hip arthroscopy in femoroacetabular impingement[ J].Am J Sports Med, 2019, 47( 2 ):488-500.
[11]
Park JW, Hwang JM, Yoo JJ.Arthroscopic treatment of femoroacetabular impingement syndrome: an updated review [J].Clin Orthop Surg, 2024, 16( 4 ): 517-525.
[12]
Mohammed C, Kong R, Kuruba V, et al.Outcomes and complications of hip arthroscopy for femoroacetabular impingement syndrome: a narrative review[ J/OL].J Clin Orthop Trauma, 2024, 58: 102797.DOI:10.1016/j.jcot.2024.102797.
[13]
Swenson KM, Erickson J, Peters C, et al.Hip pain in young adults:diagnosing femoroacetabular impingement [J].JAAPA, 2015, 28( 9 ): 39-45.
[14]
Griffin DR, Dickenson EJ, O'Donnell J, et al.The Warwick Agreement on femoroacetabular impingement syndrome ( FAI syndrome ): an international consensus statement[J].Br J Sports Med, 2016, 50( 19 ): 1169-1176.
[15]
Murphy NJ, Eyles J, Spiers L, et al.Moderators, mediators, and prognostic indicators of treatment with hip arthroscopy or physical therapy for femoroacetabular impingement syndrome: secondary analyses from the Australian FASHIoN trial[ J].Am J Sports Med,2023, 51( 1 ): 141-154.
[16]
Foldager FN, Kierkegaard-Brøchner S, Kemp JL, et al.First-line treatment for femoroacetabular impingement syndrome and hiprelated quality of life: study protocol for a multicentre randomised controlled trial comparing a 6-month supervised strength exercise intervention to usual care( the Better Hip Trial ) [J/OL].BMJ Open, 2024, 14( 6 ): e078726.DOI:10.1136/bmjopen-2023-078726.
[17]
Palmer AJR, Gupta VA, Fernquest S, et al.Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement:multicentre randomised controlled trial [J/OL].BMJ,2019, 364:l185.DOI:10.1136/bmj.l185.
[18]
Kemp JL, Johnston RTR, Coburn SL, et al.Physiotherapistled treatment for femoroacetabular impingement syndrome ( the PhysioFIRST study ): a protocol for a participant and Assessorblinded randomised controlled trial[ J/OL].BMJ Open, 2021, 11( 4 ):e041742.DOI:10.1136/bmjopen-2020-041742.
[19]
Griffin DR, Dickenson EJ, Wall PDH, et al.Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome( UK FASHIoN ): a multicentre randomised controlled trial[ J].Lancet, 2018, 391( 10136 ): 2225-2235.
[20]
刘亮, 桂琦, 赵峰, 等.髋关节镜下盂唇修补与盂唇切除治疗髋关节退变性盂唇损伤的近期疗效比较[J].中国现代手术学杂志, 2021, 25( 2 ): 110-116.
[21]
黄洪杰, 孙昊, 蒋艳芳, 等.青少年凸轮型髋关节撞击综合征诊治专家共识[J].中国微创外科杂志, 2022, 22( 10 ): 769-778.
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