测量眼整形患者的生活质量。
Measuring quality of life in oculoplastic patients.
作者信息
Ridyard Edward, Inkster Clare
机构信息
University of Manchester, Oxford Road, Manchester, Greater Manchester, M13 9PL, UK.
The Eye Unit, Royal Bolton Hospital, Minerva Road, Farnworth, BL4 0JR, UK.
出版信息
Int J Ophthalmol. 2014 Feb 18;7(1):133-8. doi: 10.3980/j.issn.2222-3959.2014.01.25. eCollection 2014.
AIM
To investigate if there is any published evidence of impaired quality of life in conditions which are corrected by oculoplastic surgery and whether there is proven benefit in the quality of life such procedures.
METHODS
We searched a number of databases to determine the level of evidence available for common conditions amenable to oculoplastic surgery. Search terms concentrated on quality of life measures rather than anatomical correction of deformities.
RESULTS
The level of evidence available for different conditions was very variable. Certain conditions had extensive research documenting reduction in quality of life, with some evidence for improvement after surgery. Some other common conditions had little or no evidence supporting of reduction in quality of life to support the need for surgery.
CONCLUSION
The evidence is sparse for quality of life improvement after some of our most commonly performed procedures. Many of these procedures are now being identified by primary care trusts (PCTs) as of "low clinical value", and are no longer being routinely commissioned in certain parts of the UK. There is a need to address this lack of evidence to determine whether oculoplastic surgery should continue to be commissioned by PCTs.
目的
调查是否有已发表的证据表明在可通过眼部整形手术矫正的病症中存在生活质量受损的情况，以及此类手术在生活质量方面是否有已证实的益处。
方法
我们检索了多个数据库，以确定可用于适合眼部整形手术的常见病症的证据水平。检索词集中在生活质量测量方面，而非畸形的解剖学矫正。
结果
不同病症的可用证据水平差异很大。某些病症有大量研究记录了生活质量的下降，并有一些术后改善的证据。其他一些常见病症几乎没有或没有证据支持生活质量下降以证明手术的必要性。
结论
对于我们一些最常开展的手术术后生活质量改善的证据很少。现在，许多此类手术被初级保健信托基金（PCTs）认定为“临床价值低”，在英国某些地区不再常规开展。有必要解决这一证据不足的问题，以确定眼部整形手术是否应继续由PCTs委托开展。
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