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罕见病 PROs 研究:用于制定针对遗传性智力障碍患者的核心患者报告结局集的方案。

PROs for RARE: protocol for development of a core patient reported outcome set for individuals with genetic intellectual disability.

机构信息

Department of Child and Adolescent Psychiatry & Psychosocial Care, Emma Children's Hospital, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands.

Department of Pediatrics, Amsterdam Gastroenterology Endocrinology Metabolism, Emma Children's Hospital, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands.

出版信息

Orphanet J Rare Dis. 2024 Sep 27;19(1):354. doi: 10.1186/s13023-024-03264-0.

Abstract

INTRODUCTION

Rare genetic neurodevelopmental disorders and intellectual disability (ID), collectively called genetic ID (GID), can profoundly impact daily functioning and overall well-being of affected individuals. To improve our understanding of the impact of GID and advancing both care and research, measuring relevant patient reported outcomes (PROs) is crucial. Currently, various PROs are measured for GID. Given the shared comorbidities across disorders, we aim to develop a generic core PRO set for children and adults with GID.

METHODS AND RESULTS

Developing the generic core PRO set entails the following steps: 1) providing an overview of potentially relevant PROs by scoping reviews and qualitative research; 2) integrating and conceptualizing these PROs (i.e., describing the content of the PROs in detail) into a pilot generic core PRO set; and 3) prioritizing relevant PROs by a European Delphi survey and consensus meetings.

CONCLUSIONS

This protocol presents the steps for developing a generic core PRO set for children and adults with GID. The next step involves selecting suitable patient reported outcome measures (PROMs) to adequately measure these PROs: the generic core PROM set. This generic core PROM set needs validation in the GID population, and eventually implementation in care and research, facilitating the aggregation and analysis of PRO data and guaranteeing continuous integration of the patient perspective in both care and research.

摘要

简介

罕见的遗传性神经发育障碍和智力障碍(ID),统称为遗传性 ID(GID),会对受影响个体的日常功能和整体幸福感产生深远影响。为了提高我们对 GID 影响的理解,并推进护理和研究,测量相关的患者报告结局(PRO)至关重要。目前,已经针对 GID 测量了各种 PRO。鉴于跨障碍存在共同的合并症,我们旨在为患有 GID 的儿童和成人开发通用核心 PRO 集。

方法和结果

开发通用核心 PRO 集需要以下步骤:1)通过范围综述和定性研究提供潜在相关 PRO 的概述;2)将这些 PRO 整合和概念化(即,详细描述 PRO 的内容)到一个试点通用核心 PRO 集中;3)通过欧洲 Delphi 调查和共识会议对相关 PRO 进行优先级排序。

结论

本方案介绍了为患有 GID 的儿童和成人开发通用核心 PRO 集的步骤。下一步涉及选择合适的患者报告结局测量(PROM)来充分测量这些 PRO:通用核心 PROM 集。该通用核心 PROM 集需要在 GID 人群中进行验证,并最终在护理和研究中实施,从而促进 PRO 数据的汇总和分析,并确保患者观点在护理和研究中得到持续整合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae97/11428331/ede4826412ba/13023_2024_3264_Fig1_HTML.jpg

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