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慢性鼻-鼻窦炎的疗效评估指标

Outcome Measures in Chronic Rhinosinusitis.

作者信息

Ting Fiona, Hopkins Claire

机构信息

1ENT Department, Guy's Hospital, Great Maze Pond, London, SE1 9RT UK.

2King's College London, London, UK.

出版信息

Curr Otorhinolaryngol Rep. 2018;6(3):271-275. doi: 10.1007/s40136-018-0215-3. Epub 2018 Aug 16.

DOI:10.1007/s40136-018-0215-3
PMID:30237935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6133050/
Abstract

PURPOSE OF REVIEW

Chronic rhinosinusitis (CRS) has a significant impact on the quality of life of patients and is a high cost burden to both society and patients. There is a variety of objective and subjective outcome measures that exist to assess the effectiveness of interventions. We aim to review current outcome measures available.

RECENT FINDINGS

Traditionally, results have focused on objective measures, however, subjective outcome measures are gaining traction as being more important. Outcome measures in chronic rhinosinusitis are currently heterogeneous, thus limiting the impact of meta-analysis of past trial results. The development of a core outcome set may standardize the reporting of outcomes in chronic rhinosinusitis.

SUMMARY

We outline the outcome measures currently available and discuss a proposed core outcome set that may facilitate further value of research on interventions for CRS in adults.

摘要

综述目的

慢性鼻-鼻窦炎(CRS)对患者生活质量有重大影响,给社会和患者都带来高昂的成本负担。有多种客观和主观的结局指标可用于评估干预措施的有效性。我们旨在综述当前可用的结局指标。

最新发现

传统上,结果侧重于客观指标,然而,主观结局指标正越来越受到重视,因为其更为重要。慢性鼻-鼻窦炎的结局指标目前存在异质性,因此限制了对过去试验结果进行荟萃分析的影响。核心结局集的制定可能会使慢性鼻-鼻窦炎结局的报告标准化。

总结

我们概述了目前可用的结局指标,并讨论了一个拟议的核心结局集,该核心结局集可能有助于进一步提升针对成人CRS干预措施研究的价值。

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本文引用的文献

1
CHronic Rhinosinusitis Outcome MEasures (CHROME), developing a core outcome set for trials of interventions in chronic rhinosinusitis.慢性鼻-鼻窦炎结局测量(CHROME)研究:为慢性鼻-鼻窦炎干预措施的临床试验制定核心结局集。
Rhinology. 2018 Mar 1;56(1):22-32. doi: 10.4193/Rhin17.247.
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Macrolide and fluoroquinolone mediated cardiac arrhythmias: clinical considerations and comprehensive review.大环内酯类和氟喹诺酮类药物介导的心律失常:临床考量与综述
Postgrad Med. 2017 Sep;129(7):715-724. doi: 10.1080/00325481.2017.1362938. Epub 2017 Aug 10.
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Qualitative development of the sinus control test: a survey evaluating sinus symptom control.鼻窦控制测试的定性研究:一项评估鼻窦症状控制的调查。
Int Forum Allergy Rhinol. 2016 May;6(5):491-9. doi: 10.1002/alr.21690. Epub 2015 Dec 18.
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J Allergy Clin Immunol. 2015 Dec;136(6):1532-1540.e2. doi: 10.1016/j.jaci.2015.10.012.
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Identifying the most important outcomes for systematic reviews of interventions for rhinosinusitis in adults: working with Patients, Public and Practitioners.确定成人鼻窦炎干预措施系统评价中最重要的结局:与患者、公众和从业者合作。
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Laryngoscope. 2016 Mar;126(3):570-4. doi: 10.1002/lary.25656. Epub 2015 Sep 15.
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The predictive value of the preoperative Sinonasal Outcome Test-22 score in patients undergoing endoscopic sinus surgery for chronic rhinosinusitis.术前鼻窦结局测试-22评分对慢性鼻窦炎患者行鼻内镜鼻窦手术的预测价值。
Laryngoscope. 2015 Aug;125(8):1779-84. doi: 10.1002/lary.25318. Epub 2015 Apr 17.
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Laryngoscope. 2015 Jul;125(7):1517-22. doi: 10.1002/lary.25108. Epub 2014 Dec 29.
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EQ-5D-derived health utility values in patients undergoing surgery for chronic rhinosinusitis.慢性鼻窦炎手术患者中基于EQ-5D得出的健康效用值
Laryngoscope. 2015 May;125(5):1056-61. doi: 10.1002/lary.25054. Epub 2014 Nov 28.