Clarke Leigh, Ridgewell Emily, Dillon Michael P
Discipline of Prosthetics and Orthotics, Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Disabil Rehabil. 2024 Sep;46(19):4407-4419. doi: 10.1080/09638288.2023.2275279. Epub 2023 Nov 24.
Little is known about the outcomes that are most important to prosthesis users and funders. A Prosthetic Interventions Core Outcome Set (PI-COS) will help researchers and practitioners measure outcomes that are the most important to prosthesis users and funders.
Prosthesis users and funders rated the importance of 121 International Classification of Functioning, Disability, and Health (ICF) second-level categories using a two-round Delphi survey. A Consensus Meeting using the nominal group technique resolved rating differences between groups. The ICF second-level categories were ranked according to importance and a K-Means Cluster Analysis helped establish the PI-COS.
65 users and 8 funders completed the Delphi surveys, followed by a Consensus Meeting. 26 ICF second-level categories were considered important to prosthesis users and funders and a PI-COS of 14 ICF second-level categories drawn predominantly from five ICF chapters was established: and .
The PI-COS describes the outcomes that are most important to prosthesis users and funders. The PI-COS can help focus on the most important outcome measures in clinical practice and research, including future prosthetic health economic evaluations.
对于假肢使用者和资助者而言，哪些结果最为重要，目前所知甚少。一个假肢干预核心结局集（PI-COS）将有助于研究人员和从业者衡量对假肢使用者和资助者最为重要的结果。
假肢使用者和资助者通过两轮德尔菲调查对121个国际功能、残疾和健康分类（ICF）二级类别进行重要性评级。使用名义群体技术的共识会议解决了各群体之间的评级差异。根据重要性对ICF二级类别进行排序，聚类分析有助于确定PI-COS。
65名使用者和8名资助者完成了德尔菲调查，随后召开了共识会议。26个ICF二级类别被认为对假肢使用者和资助者很重要，并确定了一个主要来自ICF五个章节的14个ICF二级类别的PI-COS：……
PI-COS描述了对假肢使用者和资助者最为重要的结果。PI-COS有助于在临床实践和研究中聚焦于最重要的结局指标，包括未来的假肢健康经济评估。
