Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway. E-mail:
J Rehabil Med. 2020 Aug 31;52(8):jrm00093. doi: 10.2340/16501977-2726.
To determine how health-related rehabilitation services have been described in recently pub-lished randomized clinical trials, using the International Classification System for Service Organization in Health-Related Rehabilitation (ICSO-R 2.0) as a framework.
Medline was searched for English--language randomized clinical trials (RCTs) published between 1 January 2018 and 31 December 2018. RCTs were eligible if the primary goal was to provide rehabilitation services to targeted patient populations. Two authors independently screened and extracted data, and assessed the methodological quality of eligible trials. Descriptive analysis was used to compare service descriptions between eligible trials and the ICSO-R 2.0 framework (23 categories, 9 categories for provider, 14 categories for delivery).
Twenty-nine RCTs, with a wide range of organizational units and target groups, were included. The median number of categories reported in the provider dimension was 4 (range 3-5). The median number of categories reported in the service delivery dimension was 8 (range 6-12). None of the RCTs described all ICSO-R recommended categories.
Descriptions of service organization in rehabilitation varied widely among recently published randomized clinical trials. Use of the framework for the classification of service organization and standardization of description of services is recommended in future RCTs, to facilitate better comparisons in service research across studies.
使用国际健康相关康复服务组织分类系统（ICSO-R 2.0）作为框架，确定最近发表的随机临床试验中如何描述与健康相关的康复服务。
检索了 2018 年 1 月 1 日至 12 月 31 日期间发表的英文随机临床试验（RCT）的 Medline。如果主要目标是为目标患者群体提供康复服务，则 RCT 符合入选标准。两名作者独立筛选和提取数据，并评估合格试验的方法学质量。描述性分析用于比较合格试验和 ICSO-R 2.0 框架（23 个类别，9 个提供者类别，14 个交付类别）之间的服务描述。
纳入了 29 项 RCT，涉及广泛的组织单位和目标群体。提供者维度报告的类别中位数为 4 个（范围为 3-5）。服务提供维度报告的类别中位数为 8 个（范围为 6-12）。没有 RCT 描述了 ICSO-R 推荐的所有类别。
最近发表的随机临床试验中，康复服务组织的描述差异很大。建议在未来的 RCT 中使用该框架对服务组织进行分类，并对服务进行标准化描述，以促进研究之间在服务研究方面的更好比较。
