Beruflich Dokumente
Kultur Dokumente
CRITICAL APPRAISAL
Disusun oleh :
Eka Heriyanti 1102015065
Laras Oktaviani 1102015118
Dosen Pembimbing :
DR.dr.Fatimah Eliana, SpPD-KEMD
Nama : ………………..
NIM : …………….
PICO
• Population : Pasien laki laki dewasa dengan keluhan nyeri bahu akut
• Intervention : Menilai perbaikan intensitas nyeri bahu akut
• Comparison : Menilai perbaikan intensitas nyeri bahu kronis
• Outcomes : Durasi gejala gangguan nyeri bahu dapat digunakan untuk
memprediksi prognosis penyakit
1
REVIEW JURNAL
Pendahuluan
To investigate the course and prognosis of shoulder pain in the first 6 months after
presentation to the general practitioner. We separately studied patients with acute, subacute
and chronic shoulder pain, as duration of symptoms at presentation has been shown to be the
strongest predictor of outcome.
Metoda
A prospective cohort study with 6 months follow-up was carried out in The Netherlands,
including 587 patients with a new episode of shoulder pain. Patients were categorized as
having acute (symptoms <6 weeks), subacute (6–12 weeks) or chronic (>3 months) shoulder
pain. The course of shoulder pain, functional disability and quality of life was analysed over
6 months. Patient and disease characteristics, including physical and psychosocial factors,
were investigated as possible predictors of outcome using multivariable regression analyses.
Hasil
Acute shoulder symptoms showed the most favourable course over 6 months follow-up, with
larger pain reduction and improvement of functional disability. Patients with chronic shoulder
symptoms showed the poorest results. The multivariable regression analysis showed
that predictors of a better outcome at 6 months for acute shoulder pain were lower baseline
disability scores and higher baseline pain intensity (explained variance 46%). Predictors of a
better outcome for chronic shoulder pain were lower scores on pain catastrophizing and
higher baseline pain intensity (explained variance 21%)
Kesimpulan
The results indicate that, besides a different course of symptoms in patients presenting with
acute or chronic shoulder pain, predictors of outcome may also differ with psychosocial
factors being more important in chronic shoulder pain.
2
APAKAH HASIL PENELITIAN TERSEBUT VALID?
A. Petunjuk Primer
1. Apakah terdapat sampel yang representatif, terdefinisi jelas, dan berada pada kondisi yang
sama dalam perjalanan penyakitnya?
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B. Petunjuk sekunder
1. Apakah kriteria outcome yang digunakan obyektif dan tanpa bias?
2. Bila ditemukan subgrup dengan prognosis yang beda, apakah dilakukan adjustment untuk
faktor-faktor prognostik yang penting?
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3. Apakah dilakukan validasi pada suatu kelompok independen (test-set)?
TIDAK
5
APA HASILNYA?
1. Bagaimana gambaran outcome menurut waktu?
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2. Seberapa tepat perkiraan prognosis?
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APAKAH HASIL PENELITIAN INI DAPAT DIAPLIKASIKAN?
1. Apakah pasien dalam penelitian tersebut serupa dengan pasien saya?
YA