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在赫尔辛基大学医院的临床环境中使用真实世界的有效性测量:系统文献回顾。

The use of real-world effectiveness measurements in clinical settings at Helsinki University Hospital: a systematic literature review.

机构信息

External Evaluation Unit, University of Helsinki & Helsinki University Hospital, University of Eastern Finland, Finland.

Hospital District of Helsinki and Uusimaa, External Evaluation Unit, Tynnyrintekijänkatu 1 C, Helsinki, Finland.

出版信息

J Comp Eff Res. 2020 Apr;9(5):321-326. doi: 10.2217/cer-2019-0159. Epub 2020 Mar 6.

Abstract

Patient reported outcomes collected alongside clinical trials do not reflect real-world effectiveness (RWE). This review assessed the use of RWE measurements in routine clinical treatment and the instruments applied to collect that data. The RWE articles published from HUS (Helsinki University Hospital) were extracted from several databases. Out of 170 eligible articles, generic health-related quality of life instruments were used in 87 (51.2%) and disease-specific health-related quality of life instruments in 58 (34.1%) articles as a primary measurement. Most of the articles pertained to surgery, gynecology and pediatric surgery. The number of articles assessing RWE is very limited compared with all the articles published from HUS. Thus, we still have limited information about the effectiveness of the treatment in real life.

摘要

患者报告的结局数据与临床试验结果并不一致,无法反映真实世界的疗效(RWE)。本研究评估了 RWE 测量方法在常规临床治疗中的应用以及用于收集这些数据的工具。从赫尔辛基大学医院(HUS)发表的 RWE 文章中提取了多个数据库中的数据。在 170 篇合格文章中,87 篇(51.2%)使用了通用健康相关生活质量量表,58 篇(34.1%)使用了疾病特异性健康相关生活质量量表作为主要测量方法。大多数文章涉及外科、妇科和小儿外科。与 HUS 发表的所有文章相比,评估 RWE 的文章数量非常有限。因此,我们对真实生活中治疗的有效性的了解仍然有限。

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