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[患者报告结局的实证评估及健康相关生活质量的示例介绍]

[Empirical Assessment of Patient-Reported Outcomes and Exemplary Introduction to Health-Related Quality of Life].

作者信息

Obbarius Alexander, Fischer Kathrin I, Fischer Felix, Liegl Gregor, Obbarius Nina, Nolte Sandra, Rose Matthias

出版信息

Psychother Psychosom Med Psychol. 2018 Dec;68(12):534-547. doi: 10.1055/a-0764-4691. Epub 2018 Dec 4.

Abstract

Health-related quality of life (HRQoL) acquires increased importance as a target parameter for different stakeholders in healthcare, e. g. to assess treatment outcome in chronically ill patients. In this educational article, we explain the levels of the health-related quality of life construct and associated main dimensions including physical, mental and social health. State-of-the-art approaches for assessment of patient-reported outcomes (PROs) are introduced on the basis of the HRQoL model. Furthermore, modern test-theoretical approaches and their applications are presented, which are aimed at standardizing and improving the assessment of PROs (e. g., computer-adaptive testing). Finally, we present 2 major international PRO initiatives (PROMIS and EORTC Quality of Life Group) that have been influential in advancing the assessment of patient outcomes over the last few years.

摘要

与健康相关的生活质量(HRQoL)作为医疗保健中不同利益相关者的目标参数,其重要性日益增加,例如用于评估慢性病患者的治疗结果。在这篇教育性文章中,我们解释了与健康相关的生活质量结构的层次以及相关的主要维度,包括身体、心理和社会健康。基于HRQoL模型介绍了评估患者报告结局(PROs)的最新方法。此外,还介绍了现代测试理论方法及其应用,其目的是规范和改进PROs的评估(例如计算机自适应测试)。最后,我们介绍了2项主要的国际PRO倡议(PROMIS和欧洲癌症研究与治疗组织生活质量小组),它们在过去几年中对推进患者结局评估产生了影响。

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