Yao Li, Li Qiaoxing, Liu Yan, Li Qinqin, Wang Tingrui, Zhou Zihan, Yin Jiajia
School of Management and Collaborative Innovation Laboratory of Digital Transformation and Governance, Guizhou University, Guiyang, Guizhou, China.
Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
Front Public Health. 2025 Mar 27;13:1525593. doi: 10.3389/fpubh.2025.1525593. eCollection 2025.
To comprehensively and systematically collect the methods used in the evaluation of patients with multiple chronic diseases both domestically and internationally, summarize and analyze the purpose, characteristics and validity of their initial development, and provide reference for health managers to choose appropriate evaluation methods for multiple chronic diseases.
Analysis of the literature was based on searches conducted across eight electronic databases, including PubMed, EMBASE, Web of Science Core Collection, Scopus, Cochrane Library, CNKI, Wan Fang Database, and the Chinese Biomedical Literature Database (CBM). The initial search was completed on January 8, 2024, and the most recent update was conducted on December 10, 2024, with no restriction on the date of publication. The search process adhered to the 2020 PRISMA guidelines for systematic review.
54 literatures meeting the criteria were included, involving 54 evaluation methods of multiple chronic diseases. It can be divided into four categories: (1) assessment based on equal weight of disease count and disease severity; (2) based on physiological and psychological health status assessment; (3) evaluation based on drug use; (4) natural language processing evaluation system.
Attention should be paid to the assessment of patients with multiple chronic diseases, and standardized and unified assessment methods should be developed in the future to expand the coverage of diseases and deepen the depth of assessment, so as to provide more comprehensive and accurate health management for the growing number of patients with multiple chronic diseases.
This systematic review is primarily based on the comprehensive analysis of published literature and did not involve new data collection or direct participation of patients, hence there was no direct contribution from patients or the public.
https://www.crd.york.ac.uk/prospero/, CRD42024530474.
全面、系统地收集国内外用于评估慢性病患者的方法，总结并分析其最初开发的目的、特点和有效性，为卫生管理人员选择合适的慢性病评估方法提供参考。
基于对八个电子数据库的检索进行文献分析，这些数据库包括PubMed、EMBASE、Web of Science核心合集、Scopus、Cochrane图书馆、中国知网、万方数据库和中国生物医学文献数据库（CBM）。初始检索于2024年1月8日完成，最近一次更新于2024年12月10日进行，对出版日期无限制。检索过程遵循2020年PRISMA系统评价指南。
纳入54篇符合标准的文献，涉及54种慢性病评估方法。可分为四类：（1）基于疾病数量和疾病严重程度同等权重的评估；（2）基于生理和心理健康状况的评估；（3）基于药物使用的评估；（4）自然语言处理评估系统。
应重视慢性病患者的评估，未来应制定标准化、统一的评估方法，扩大疾病覆盖范围，加深评估深度，以便为越来越多的慢性病患者提供更全面、准确的健康管理。
本系统评价主要基于对已发表文献的综合分析，未涉及新的数据收集或患者的直接参与，因此患者或公众没有直接贡献。
