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选择接受定期血液透析患者的个体差异。

Individual differences in selecting patients for regular haemodialysis.

作者信息

Taylor T R, Aitchison J, Parker L S, Moore M F

出版信息

Br Med J. 1975 May 17;2(5967):380-1. doi: 10.1136/bmj.2.5967.380.

Abstract

Eight clinicians in a renal dialysis unit were asked to classify the suitability of 100 cases (some real, some simulated) for regulat haemodialysis. Seven categories were used, ranging from "excellent prospect: accept without reservation" to "unequivocal rejection," based on 18 items of information previously agreed on as sufficient for the purpose. The ways in which they classified the cases different considerably; only six cases were placed in the same category by all eight clinicians, and this was the "unequivocal rejection" category. Analysis of the extent to which they made effective use of the items showed that between three and nine items were used to a sufficient extent to reach significance for the 100 cases.

摘要

一家肾透析单位的八位临床医生被要求对100例病例(一些是真实病例,一些是模拟病例)进行常规血液透析适宜性分类。基于先前商定足以用于此目的的18项信息,使用了七个类别,范围从“前景极佳:毫无保留地接受”到“明确拒绝”。他们对病例的分类方式差异很大;八位临床医生中只有六例被归为同一类别,即“明确拒绝”类别。对他们有效利用这些项目的程度进行分析表明,对于这100例病例,三到九个项目被充分利用到具有显著意义的程度。

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