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[青光眼的价值导向医疗]

[Value-based medicine for glaucoma].

作者信息

Hirneiss C, Kampik A, Neubauer A S

机构信息

Augenklinik der Ludwig-Maximilians-Universität, München, Deutschland.

出版信息

Ophthalmologe. 2010 Mar;107(3):223-7. doi: 10.1007/s00347-009-2035-9.

DOI:10.1007/s00347-009-2035-9
PMID:20182735
Abstract

The application of value-based medicine (VBM) tenets in the area of glaucoma research requires valid and reliable data concerning the quality of life with glaucoma. A multitude of instruments for measuring quality of life of patients with glaucoma have been employed in the past. Any instrument used would need to capture peripheral vision loss and its influence on patient-reported quality of life as this is one of the hallmarks of this disease. Cost-utility analyses can then be based on the reported quality of life and the cost of glaucoma therapy. Several cost-utility analyses have been applied in the field of glaucoma screening as well as treating ocular hypertension and based on this a recommendation regarding population subgroups which can be treated cost efficiently can be made.

摘要

在青光眼研究领域应用基于价值的医学(VBM)原则需要有关青光眼患者生活质量的有效且可靠的数据。过去已采用了多种用于测量青光眼患者生活质量的工具。所使用的任何工具都需要捕捉周边视力丧失及其对患者报告的生活质量的影响,因为这是该疾病的特征之一。然后,成本效用分析可以基于所报告的生活质量和青光眼治疗的成本。在青光眼筛查以及治疗眼压升高领域已经应用了一些成本效用分析,并据此可以对能够以成本效益方式进行治疗的人群亚组提出建议。

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Patient-reported Outcomes, Functional Assessment, and Utility Values in Glaucoma.青光眼患者报告结局、功能评估和效用值。
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引用本文的文献

1
[Conventional perimetry. Antiquated or indispensable for functional glaucoma diagnostics?].[传统视野检查法。对于青光眼功能诊断而言是过时了还是不可或缺?]
Ophthalmologe. 2012 Apr;109(4):325-36. doi: 10.1007/s00347-012-2543-x.

本文引用的文献

1
Utility assessment among patients of primary angle closure/glaucoma in China: a preliminary study.中国原发性闭角型青光眼患者的效用评估:一项初步研究。
Br J Ophthalmol. 2009 Jul;93(7):871-4. doi: 10.1136/bjo.2008.139295. Epub 2009 Feb 10.
2
Assessing quality of life in patients with glaucoma using the Glaucoma Quality of Life-15 (GQL-15) questionnaire.使用青光眼生活质量-15(GQL-15)问卷评估青光眼患者的生活质量。
J Glaucoma. 2009 Jan;18(1):6-12. doi: 10.1097/IJG.0b013e3181752c83.
3
Depression and quality of life in patients with glaucoma: a cross-sectional analysis using the Geriatric Depression Scale-15, assessment of function related to vision, and the Glaucoma Quality of Life-15.
青光眼患者的抑郁与生活质量:一项使用老年抑郁量表-15、视力相关功能评估及青光眼生活质量-15的横断面分析
J Glaucoma. 2008 Oct-Nov;17(7):546-51. doi: 10.1097/IJG.0b013e318163bdd1.
4
Economic evaluation of screening for open-angle glaucoma.开角型青光眼筛查的经济学评估
Int J Technol Assess Health Care. 2008 Spring;24(2):203-11. doi: 10.1017/S0266462308080288.
5
Which quality of life score is best for glaucoma patients and why?哪种生活质量评分对青光眼患者最适用,原因是什么?
BMC Ophthalmol. 2008 Jan 23;8:2. doi: 10.1186/1471-2415-8-2.
6
Practical recommendations for measuring rates of visual field change in glaucoma.青光眼视野变化率测量的实用建议。
Br J Ophthalmol. 2008 Apr;92(4):569-73. doi: 10.1136/bjo.2007.135012. Epub 2008 Jan 22.
7
Cost-effectiveness of treating ocular hypertension.治疗高眼压症的成本效益
Ophthalmology. 2008 Jan;115(1):94-8. doi: 10.1016/j.ophtha.2007.01.040.
8
Impact of visual field loss on health-related quality of life in glaucoma: the Los Angeles Latino Eye Study.视野缺损对青光眼患者健康相关生活质量的影响:洛杉矶拉丁裔眼病研究
Ophthalmology. 2008 Jun;115(6):941-948.e1. doi: 10.1016/j.ophtha.2007.08.037. Epub 2007 Nov 12.
9
Minimal clinically important improvement/difference (MCII/MCID) and patient acceptable symptom state (PASS): what do these concepts mean?最小临床重要改善/差异(MCII/MCID)与患者可接受症状状态(PASS):这些概念是什么意思?
Ann Rheum Dis. 2007 Nov;66 Suppl 3(Suppl 3):iii40-1. doi: 10.1136/ard.2007.079798.
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Evaluation of minimum clinically meaningful changes in scores on the National Eye Institute Visual Function Questionnaire (NEI-VFQ) SST Report Number 19.国立眼科研究所视觉功能问卷(NEI-VFQ)得分的最小临床有意义变化评估。SST报告第19号。
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