Duke University Medical Center, Durham, North Carolina 27710, USA.
Otolaryngol Head Neck Surg. 2011 Oct;145(4):572-80. doi: 10.1177/0194599811416063. Epub 2011 Jul 19.
To describe and communicate data collected in the CHEER (Creating Healthcare Excellence through Education and Research) infrastructure proof-of-concept study to facilitate understanding of the potential capabilities of practice-based research networks and to present pilot data for development of future research initiatives.
Prospective observational study of CHEER infrastructure operational capacity using a convenience sample of all patients presenting to the practices with tinnitus, dizziness, or a combination of these symptoms.
The CHEER network of community and academic practice sites.
The data collection exercise collected demographic, clinical, treatment, and health-related quality-of-life surveys on tinnitus, dizziness, and migraine disorders. Descriptive analysis of the data is presented.
Of the sites in the CHEER network, 73% (16/22) successfully enrolled subjects; a total of 1532 patients were enrolled in 8 months. Tinnitus alone, dizziness alone, and both occurred in 28%, 34%, and 29%, respectively. Patients complaining of tinnitus and dizziness had lower quality of life than those sufferers with 1 disorder. Migraine was associated with 27% of patients. The most frequent diagnoses for patients with tinnitus and dizziness were Ménière disease (34%), vertiginous migraine (18%), and benign paroxysmal positional vertigo (16%).
Descriptive data on patients with common disorders can be rapidly collected within the framework of a practice-based research network. The data in this study provide valuable pilot information on the targeted disorders, providing a baseline for development of future epidemiological data and clinical trials.
描述并交流 CHEER(通过教育和研究创造医疗卓越)基础架构概念验证研究中收集的数据,以帮助理解实践为基础的研究网络的潜在能力,并为未来研究计划的发展提供试点数据。
使用所有出现耳鸣、头晕或这些症状组合的患者的便利样本,对 CHEER 基础设施运行能力进行前瞻性观察研究。
CHEER 网络的社区和学术实践地点。
数据收集活动收集了耳鸣、头晕和偏头痛障碍的人口统计学、临床、治疗和健康相关生活质量调查。呈现了数据的描述性分析。
在 CHEER 网络中的站点中,73%(16/22)成功招募了受试者;在 8 个月内共招募了 1532 名患者。单独的耳鸣、单独的头晕和两者都出现的患者分别占 28%、34%和 29%。同时患有耳鸣和头晕的患者的生活质量低于仅患有 1 种疾病的患者。偏头痛与 27%的患者有关。耳鸣和头晕患者最常见的诊断是梅尼埃病(34%)、眩晕性偏头痛(18%)和良性阵发性位置性眩晕(16%)。
在实践为基础的研究网络框架内,可以快速收集常见疾病患者的描述性数据。本研究中的数据为目标疾病提供了有价值的试点信息,为未来的流行病学数据和临床试验提供了基线。