摘要
目的:构建人工晶状体多维度价值评估指标体系,以为决策者遴选合适的人工晶状体提供帮助。方法:通过文献研究、专家咨询初步确定人工晶状体价值评估指标,再通过层次分析法计算每个指标的权重并进行排序进而形成评估指标体系。结果:构建了单焦点和屈光性人工晶状体多维度价值评估指标体系,2个体系均包含一级指标3个、二级指标13个,单焦点人工晶状体指标体系包含26个三级指标,屈光性人工晶状体指标体系包含33个三级指标。2个指标体系的一级指标按权重大小排序均为临床维度、经济维度、机构维度。单焦点人工晶状体指标体系二级指标中权重最大的为产品性能,三级指标中权重居前三位的分别为晶状体囊膜生物兼容性、人工晶状体助推受损风险和适用人群范围;屈光性人工晶状体指标体系二级指标中权重最大的为临床有效性(视力),三级指标中权重居前三位的分别为中心视力——远、(散光)旋转稳定性/术后轴位旋转和中心视力——近。结论:构建的人工晶状体多维度价值评估指标体系具有较好的科学性,一定程度上可为人工晶状体的综合价值评估提供参考。
Objective To develop two multi-dimensional value evaluation index systems for intraocular lens(IOL)to assist decision makers in selecting appropriate IOLs.Methods IOL value assessment indexes were determined preliminarily through literature research and expert consultation,and the weights of the indexes were calculated through hierarchical analysis method and then ranked to form two evaluation index systems.Results Two multi-dimensional value evaluation index systems were constructed for monofocal and refractive IOLs respectively,which both contained 3 first-level indicators and 13 second-level indicators;the evaluation index system for monofocal IOL involved in 26 third-level indicators,and the other for refractive IOL had 33 third-level indicators.The three first-level indicators of the two systems were ranked by weight as clinical dimension,economic dimension and institutional dimension.The monofocal IOL evaluation index system had product performance being the second-level indicator with the highest weight,and the top three third-level indicators with the highest weights being lens capsule biocompatibility,risk of intraocular lens damage during implantation and range of applicable populations;the refractive IOL evaluation index system had clinical efficacy(vision)being the second-level indicator with the highest weight,and the top three third-level indicators with the highest weights being distant vision,(astigmatism)rotational stability/postoperative axial rotation and near vision.Conclusion The multi-dimensional value evaluation index systems developed provide references for comprehensive value evaluation of IOLs.
作者
谭宝滢
林艾灵
孙黄颖
彭馨
罗川朝
宣建伟
TAN Bao-ying;LIN Ai-ling;SUN Huang-ying;PENG Xin;LUO Chuan-chao;XUAN Jian-wei(Health Economics Research Institute,School of Pharmaceutical Sciences of Sun Yat-Sen University,Guangzhou 510006,China)
出处
《医疗卫生装备》
CAS
2023年第11期83-89,共7页
Chinese Medical Equipment Journal
关键词
人工晶状体
多维度价值评估
指标体系
层次分析法
专家咨询
intraocular lens
multi-dimensional value evaluation
index system
analytic hierarchy process
expert consul-tation
