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膀胱过度活动症治疗核心结局指标集的制定。

Development of a core set of outcome measures for OAB treatment.

作者信息

Foust-Wright Caroline, Wissig Stephanie, Stowell Caleb, Olson Elizabeth, Anderson Anita, Anger Jennifer, Cardozo Linda, Cotterill Nikki, Gormley Elizabeth Ann, Toozs-Hobson Philip, Heesakkers John, Herbison Peter, Moore Kate, McKinney Jessica, Morse Abraham, Pulliam Samantha, Szonyi George, Wagg Adrian, Milsom Ian

机构信息

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA.

International Consortium for Health Outcomes Measurement, Cambridge, MA, USA.

出版信息

Int Urogynecol J. 2017 Dec;28(12):1785-1793. doi: 10.1007/s00192-017-3481-6. Epub 2017 Sep 25.

Abstract

INTRODUCTION AND HYPOTHESIS

Standardized measures enable the comparison of outcomes across providers and treatments giving valuable information for improving care quality and efficacy. The aim of this project was to define a minimum standard set of outcome measures and case-mix factors for evaluating the care of patients with overactive bladder (OAB).

METHODS

The International Consortium for Health Outcomes Measurement (ICHOM) convened an international working group (WG) of leading clinicians and patients to engage in a structured method for developing a core outcome set. Consensus was determined by a modified Delphi process, and discussions were supported by both literature review and patient input.

RESULTS

The standard set measures outcomes of care for adults seeking treatment for OAB, excluding residents of long-term care facilities. The WG focused on treatment outcomes identified as most important key outcome domains to patients: symptom burden and bother, physical functioning, emotional health, impact of symptoms and treatment on quality of life, and success of treatment. Demographic information and case-mix factors that may affect these outcomes were also included.

CONCLUSIONS

The standardized outcome set for evaluating clinical care is appropriate for use by all health providers caring for patients with OAB, regardless of specialty or geographic location, and provides key data for quality improvement activities and research.

摘要

引言与假设

标准化测量能够对不同医疗服务提供者和治疗方法的结果进行比较,为提高医疗质量和疗效提供有价值的信息。本项目的目的是确定一套用于评估膀胱过度活动症(OAB)患者护理的最低标准结局指标和病例组合因素。

方法

国际健康结局测量联盟(ICHOM)召集了一个由顶尖临床医生和患者组成的国际工作组(WG),采用结构化方法制定核心结局指标集。通过改良的德尔菲法确定共识,并通过文献综述和患者反馈来支持讨论。

结果

该标准集测量寻求OAB治疗的成年患者(不包括长期护理机构的居民)的护理结局。工作组关注被患者确定为最重要的关键结局领域的治疗结果:症状负担与困扰、身体功能、情绪健康、症状及治疗对生活质量的影响以及治疗的成功率。还纳入了可能影响这些结局的人口统计学信息和病例组合因素。

结论

用于评估临床护理的标准化结局指标集适用于所有护理OAB患者的医疗服务提供者,无论其专业领域或地理位置如何,并为质量改进活动和研究提供关键数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50f8/5705742/48daa6c50109/192_2017_3481_Fig1_HTML.jpg

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