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纤维肌痛试验中的治疗结果内容在《国际功能、残疾和健康分类》中有体现吗?

Are the contents of treatment outcomes in fibromyalgia trials represented in the International Classification Of Functioning, Disability, and Health?

作者信息

Offenbächer Martin, Cieza Alarcos, Brockow Thomas, Amann Edda, Kollerits Barbara, Stucki Gerold

机构信息

Institute of Medical Psychology, Medical School, University of Munich, Munich, Germany.

出版信息

Clin J Pain. 2007 Oct;23(8):691-701. doi: 10.1097/AJP.0b013e318148b93d.

DOI:10.1097/AJP.0b013e318148b93d
PMID:17885348
Abstract

OBJECTIVES

To identify the concepts contained in treatment outcomes of randomized controlled trials (RCTs) for interventions in patients with fibromyalgia (FM) using the International Classification of Functioning, Disability, and Health (ICF) as external reference.

METHODS

RCTs between 1992 and 2001 were located in MEDLINE and selected according to predefined eligibility criteria. The outcome measures were extracted and the concepts within the outcome measures were identified and linked to the ICF using a content-analytical approach.

RESULTS

Forty-two trials on FM were included. Twenty-seven different questionnaires were extracted. Of all, 79.2% (N=236) of the clinical and physiologic outcomes could be linked to 31 different ICF categories and 84.7% (N=964) of the concepts contained in the health-status questionnaire to 113 ICF categories.

CONCLUSIONS

The ICF provides a useful external reference to identify the concepts contained in outcome measures used in RCTs in FM.

摘要

目的

以《国际功能、残疾和健康分类》(ICF)作为外部参考,确定纤维肌痛(FM)患者干预随机对照试验(RCT)治疗结果中包含的概念。

方法

在MEDLINE中检索1992年至2001年间的RCT,并根据预先确定的纳入标准进行选择。提取结局指标,并使用内容分析法确定结局指标中的概念并将其与ICF相关联。

结果

纳入了42项关于FM的试验。提取了27种不同的问卷。其中,79.2%(N=236)的临床和生理结局可与31种不同的ICF类别相关联,健康状况问卷中84.7%(N=964)的概念可与113种ICF类别相关联。

结论

ICF为确定FM中RCT所使用结局指标中包含的概念提供了有用的外部参考。

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