Institute of Systems, Molecular, and Integrative Biology, University of Liverpool, Liverpool, UK.
International Consortium for Health Outcomes Measurement, London, UK.
Epilepsia. 2024 Jul;65(7):1938-1961. doi: 10.1111/epi.17976. Epub 2024 May 17.
At present, there is no internationally accepted set of core outcomes or measurement methods for epilepsy clinical practice. The International Consortium for Health Outcomes Measurement (ICHOM) convened an international working group of experts in epilepsy, people with epilepsy, and their representatives to develop minimum sets of standardized outcomes and outcome measurement methods for clinical practice. Using modified Delphi consensus methods with consecutive rounds of online voting over 12 months, a core set of outcomes and corresponding measurement tool packages to capture the outcomes were identified for infants, children, and adolescents with epilepsy. Consensus methods identified 20 core outcomes. In addition to the outcomes identified for the ICHOM Epilepsy adult standard set, behavioral, motor, and cognitive/language development outcomes were voted as essential for all infants and children with epilepsy. The proposed set of outcomes and measurement methods will facilitate the implementation of the use of patient-centered outcomes in daily practice.
目前,国际上尚无一套公认的癫痫临床实践核心结局或测量方法。国际健康结果测量联合会(ICHOM)召集了一个由癫痫专家、癫痫患者及其代表组成的国际工作组,以制定用于临床实践的标准化结局和结局测量方法的最小集。使用改良 Delphi 共识方法,经过 12 个月的连续在线投票,确定了一组针对癫痫婴幼儿的核心结局及其相应的测量工具包。共识方法确定了 20 个核心结局。除了 ICHOM 癫痫成人标准集确定的结局外,行为、运动和认知/语言发育结局被投票认为是所有癫痫婴幼儿的基本结局。所提出的结局和测量方法集将有助于在日常实践中实施以患者为中心的结局。