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一套用于腭裂治疗综合评估的标准结局指标

A Standard Set of Outcome Measures for the Comprehensive Appraisal of Cleft Care.

作者信息

Allori Alexander C, Kelley Thomas, Meara John G, Albert Asteria, Bonanthaya Krishnamurthy, Chapman Kathy, Cunningham Michael, Daskalogiannakis John, de Gier Henriette, Heggie Andrew A, Hernandez Cristina, Jackson Oksana, Jones Yin, Kangesu Loshan, Koudstaal Maarten J, Kuchhal Rajiv, Lohmander Anette, Long Ross E, Magee Leanne, Monson Laura, Rose Elizabeth, Sitzman Thomas J, Taylor Jesse A, Thorburn Guy, van Eeden Simon, Williams Chris, Wirthlin John O, Wong Karen W

出版信息

Cleft Palate Craniofac J. 2017 Sep;54(5):540-554. doi: 10.1597/15-292. Epub 2016 May 25.

Abstract

Care of the patient with cleft lip and/or palate remains complex. Prior attempts at aggregating data to study the effectiveness of specific interventions or overall treatment protocols have been hindered by a lack of data standards. There exists a critical need to better define the outcomes-particularly those that matter most to patients and their families-and to standardize the methods by which these outcomes will be measured. This report summarizes the recommendations of an international, multidisciplinary working group with regard to which outcomes a typical cleft team could track, how those outcomes could be measured and recorded, and what strategies may be employed to sustainably implement a system for prospective data collection. It is only by agreeing on a common, standard set of outcome measures for the comprehensive appraisal of cleft care that intercenter comparisons can become possible. This is important for quality-improvement endeavors, comparative effectiveness research, and value-based health-care reform.

摘要

唇腭裂患者的护理仍然很复杂。此前汇总数据以研究特定干预措施或总体治疗方案有效性的尝试,因缺乏数据标准而受阻。迫切需要更好地界定结果,尤其是那些对患者及其家庭最为重要的结果,并使测量这些结果的方法标准化。本报告总结了一个国际多学科工作组的建议,内容涉及典型腭裂治疗团队可以追踪哪些结果、如何测量和记录这些结果,以及可以采用哪些策略来可持续地实施前瞻性数据收集系统。只有就一套用于全面评估腭裂护理的通用标准结果指标达成一致,中心间的比较才有可能实现。这对于质量改进工作、比较效果研究和基于价值的医疗改革而言至关重要。

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