患者报告结局测量工具(patient-reported outcome measures,PROMs)测量属性研究是指研究者为效验PROMs的测量属性(如信度)而进行的一系列研究。如果在这些测量属性研究的设计和统计分析过程中存在缺陷,就会产生偏倚,影响测量工具的质量...患者报告结局测量工具(patient-reported outcome measures,PROMs)测量属性研究是指研究者为效验PROMs的测量属性(如信度)而进行的一系列研究。如果在这些测量属性研究的设计和统计分析过程中存在缺陷,就会产生偏倚,影响测量工具的质量。COSMIN(consensus-based standards for the selection of health measurement instruments)指导委员会开发了COSMIN-RoB清单用以评估测量属性研究的偏倚风险,该清单可用于制作PROMs测量属性的系统评价,同时对于PROMs开发者而言,也可使用该清单指导测量工具的开发。目前,在国内尚缺乏测量属性研究的偏倚风险评估工具,因此本文旨在介绍COSMIN-RoB清单的基本情况和使用原则,同时结合实例对内部结构研究部分的评价清单进行解读,以期指导研究者使用COSMIN-RoB清单。展开更多
Objective： The reporting of patient-reported outcomes （PRO） instrument development is vital for both researchers and clinicians to determine its validity, thus, we propose the Preferred Reporting Items for PRO Inst...Objective： The reporting of patient-reported outcomes （PRO） instrument development is vital for both researchers and clinicians to determine its validity, thus, we propose the Preferred Reporting Items for PRO Instrument Development （PRIPROID） to improve the quality of reports. Methods： Abiding by the guidance published by the Enhancing the QUAlity and Transparency Of health Research （EQUATOR） Network, we had performed 6 steps for items development： identified the need for a guideline, performed a literature review, obtained funding for the guideline initiative, identified participants, conducted a Delphi exercise and generated a list of PRIPROID items for consideration at the face-to-face meeting. Results： Twenty three items subheadings under 7 topics were included： title and structured abstract, rationale, objectives, intention, eligibility criteria, conceptual framework, items generation, response options, scoring, times, administrative modes,burden assessment, properties assessment, statistical methods, participants, main results, and additional analysis, summary of evidence, limitations, clinical attentions, and conclusions, item pools or final form, and funding. Conclusions： The PRIPROID contains many elements of the PRO research, and this assists researchers to report their results more accurately and to a certain degree use this instrument to evaluate the quality of the research methods.展开更多
AIM To translate the Victorian Institute of Sports AssessmentAchilles(VISA-A) questionnaire into the Dutch language(VISA-A-NL), and to assess its reliability, validity, and applicability to non-athletes.METHODS After ...AIM To translate the Victorian Institute of Sports AssessmentAchilles(VISA-A) questionnaire into the Dutch language(VISA-A-NL), and to assess its reliability, validity, and applicability to non-athletes.METHODS After translation according to a forward-backward protocol, 101 patients with complaints of Achilles tendinopathy were asked to fill out the VISA-A-NL at two time points together with visual analogue scale, the Foot and Ankle Outcome Score, and the Short Form-36 questionnaires. Reliability, internal consistency, construct validity, and content validity were tested.RESULTS The VISA-A-NL showed high reliability(0.97, 95%CI: 0.95-0.98). Cronbach's alpha(internal consistency) was 0.80. It increased to 0.88 without activity domain. Correlation with other questionnaires was moderate or poorer.CONCLUSION The VISA-A-NL proved to be an excellent evaluation instrument for the Dutch physician. If applied to nonathletes, using a modified score(questions 1-6) should be considered.展开更多
目的初步构建基于工作流理念的患者报告结局测量信息系统中国中心(Patient‑reported Outcomes Measurement Information System National Center‑China,PNC‑China)信息化管理系统,优化PNCChina的管理流程。方法通过质性访谈了解PNC‑Chin...目的初步构建基于工作流理念的患者报告结局测量信息系统中国中心(Patient‑reported Outcomes Measurement Information System National Center‑China,PNC‑China)信息化管理系统,优化PNCChina的管理流程。方法通过质性访谈了解PNC‑China工作人员对信息化管理系统的构建需求及功能设想;结合工作流理论的三大要素,构建PNC‑China信息化管理系统初步框架。结果通过质性访谈归纳提炼出PNC‑China信息化管理需求的三大主题,即相关工作流程繁琐,急需信息化工具辅助;文件管理工具较落后,急需实现系统化、信息化管理;合作管理欠规范,急需实现标准化。结合需求及功能设想,构建出PNC‑China信息化管理系统的3个功能框架,即PROMIS中文版翻译工作流程框架、临床检验工作流程框架及临床应用工作流程框架。结论基于工作流理念,贴合PNC‑China工作内容和流程构建的信息化管理系统框架,将有助于推动我国患者报告结局测量信息系统的相关研究和临床实践。展开更多
文摘目的 对重症患儿在院期间进行的基于患者报告结局的健康测量的应用相关文献进行范围审查,剖析该领域目前的研究特点和进展。方法 以Arksey范围综述方法学为框架,系统检索包括PubMed、The Cochrane Library、CINAHL、Embase、中国知网、万方数据库、维普中文科技期刊数据库和中国生物医学文献数据库,对各数据库建库至2023年1月25日的中英文原始研究文献进行检索和筛选,汇总纳入文献信息并分析。结果 最终纳入文献19篇。基于患者报告结局的重症患儿院内健康测量主要应用于以疼痛和心理健康为主的症状功能评估、健康相关生活质量评估,以及临床干预效果评价。重症监护(intensive care unit ICU)期间的自我报告主要是单维疼痛强度评估,其他更多基于自我报告的测量评价集中在ICU转出前后至出院前。临床以联合使用多种或多维测量工具为主,工具多为普适性,多数工具存在显著的年龄覆盖范围问题。结论 在重症患儿院内照护过程中对其自我报告的健康结局进行标准化测量是提高医疗照护质量、促进患儿院外康复和健康成长的重要保障。但目前重症患儿院内患者报告结局测量的研究与实践均处于较初级阶段,有必要扩大重症患儿院内自我报告健康结局的应用领域、时间范围和形式等,谨慎选择科学全面的患者报告结局测量工具,强化院内基线测量并开展高质量纵向追踪研究,以全面描绘重症患儿的全程健康,提高患儿长期生存质量。
文摘患者报告结局测量工具(patient-reported outcome measures,PROMs)测量属性研究是指研究者为效验PROMs的测量属性(如信度)而进行的一系列研究。如果在这些测量属性研究的设计和统计分析过程中存在缺陷,就会产生偏倚,影响测量工具的质量。COSMIN(consensus-based standards for the selection of health measurement instruments)指导委员会开发了COSMIN-RoB清单用以评估测量属性研究的偏倚风险,该清单可用于制作PROMs测量属性的系统评价,同时对于PROMs开发者而言,也可使用该清单指导测量工具的开发。目前,在国内尚缺乏测量属性研究的偏倚风险评估工具,因此本文旨在介绍COSMIN-RoB清单的基本情况和使用原则,同时结合实例对内部结构研究部分的评价清单进行解读,以期指导研究者使用COSMIN-RoB清单。
基金Supported by the National Natural Science Foundation of China(No.81073163)Eleventh Five-Year National Key Technology Research and Development Program(No.2006BA104A12)
文摘Objective： The reporting of patient-reported outcomes （PRO） instrument development is vital for both researchers and clinicians to determine its validity, thus, we propose the Preferred Reporting Items for PRO Instrument Development （PRIPROID） to improve the quality of reports. Methods： Abiding by the guidance published by the Enhancing the QUAlity and Transparency Of health Research （EQUATOR） Network, we had performed 6 steps for items development： identified the need for a guideline, performed a literature review, obtained funding for the guideline initiative, identified participants, conducted a Delphi exercise and generated a list of PRIPROID items for consideration at the face-to-face meeting. Results： Twenty three items subheadings under 7 topics were included： title and structured abstract, rationale, objectives, intention, eligibility criteria, conceptual framework, items generation, response options, scoring, times, administrative modes,burden assessment, properties assessment, statistical methods, participants, main results, and additional analysis, summary of evidence, limitations, clinical attentions, and conclusions, item pools or final form, and funding. Conclusions： The PRIPROID contains many elements of the PRO research, and this assists researchers to report their results more accurately and to a certain degree use this instrument to evaluate the quality of the research methods.
文摘AIM To translate the Victorian Institute of Sports AssessmentAchilles(VISA-A) questionnaire into the Dutch language(VISA-A-NL), and to assess its reliability, validity, and applicability to non-athletes.METHODS After translation according to a forward-backward protocol, 101 patients with complaints of Achilles tendinopathy were asked to fill out the VISA-A-NL at two time points together with visual analogue scale, the Foot and Ankle Outcome Score, and the Short Form-36 questionnaires. Reliability, internal consistency, construct validity, and content validity were tested.RESULTS The VISA-A-NL showed high reliability(0.97, 95%CI: 0.95-0.98). Cronbach's alpha(internal consistency) was 0.80. It increased to 0.88 without activity domain. Correlation with other questionnaires was moderate or poorer.CONCLUSION The VISA-A-NL proved to be an excellent evaluation instrument for the Dutch physician. If applied to nonathletes, using a modified score(questions 1-6) should be considered.
文摘目的初步构建基于工作流理念的患者报告结局测量信息系统中国中心(Patient‑reported Outcomes Measurement Information System National Center‑China,PNC‑China)信息化管理系统,优化PNCChina的管理流程。方法通过质性访谈了解PNC‑China工作人员对信息化管理系统的构建需求及功能设想;结合工作流理论的三大要素,构建PNC‑China信息化管理系统初步框架。结果通过质性访谈归纳提炼出PNC‑China信息化管理需求的三大主题,即相关工作流程繁琐,急需信息化工具辅助;文件管理工具较落后,急需实现系统化、信息化管理;合作管理欠规范,急需实现标准化。结合需求及功能设想,构建出PNC‑China信息化管理系统的3个功能框架,即PROMIS中文版翻译工作流程框架、临床检验工作流程框架及临床应用工作流程框架。结论基于工作流理念,贴合PNC‑China工作内容和流程构建的信息化管理系统框架,将有助于推动我国患者报告结局测量信息系统的相关研究和临床实践。
