Systematic Review of the Use of Patient Reported Outcome Measures in Studies of Electively-Managed Hand Conditions.
Systematic Review of the Use of Patient Reported Outcome Measures in Studies of Electively-Managed Hand Conditions.
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在选择性管理的手部疾病研究中使用患者报告的结果测量的系统审查。
DOI：
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Abhilash Jain
中科院分区：
文献类型：
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作者：
H. Lloyd;L. Geoghegan;J. Rodrigues;M. Peters;D. Beard;A. Price;Abhilash Jain
背景：仅在英国国家医疗服务体系中，选择性管理的疾病每年就有超过10万例住院手术，并在英国其他地区进行进一步的手术，或在门诊进行。为了保证护理的质量和进行研究，有效的结果测量是至关重要的。传统的以外科医生为中心的结果测量与手功能相关性差，对患者很少重要。在手外科手术中使用患者报告的预后指标(PROMS)已经出现，尽管PROMS的选择似乎缺乏共识。这篇系统的综述旨在描述相关PROM在选择性管理性手部疾病临床研究中的应用。方法：采用符合PRISMA的方法学。与一名搜索策略师联合开发了一种定制搜索策略，并在1992至2017年6月期间应用于Medline、EMBASE、CINAHL和SouInfo。使用预先规定的逐步纳入标准来确定描述成年患者接受治疗的成年患者的研究，这些患者接受治疗，使用一个或多个PROM测量临床结果。结果：在4554个结果中，834个符合纳入标准。确定的PROM包括9个疾病特定的、8个特定地点的和4个通用的生活质量测量。在所有的残疾中，手臂、肩膀和手的残疾(DASH)是最常用的(总频率为41.0%)。最常见的疾病特异性测量方法是波士顿腕管问卷(总频率为23.0%)。最常被报道的通用生活质量测量是SF-36(总频率4%)。时间分析表明，自2000年以来，特定地点的PROM占据了优势。结论：各种PROM已被用于研究选择性管理的手部状况，尤其是特定部位的PROM最受欢迎。然而，在选择上似乎存在有限的共识。未来对已发表的已确定的胎膜早破的心理测量学特性的系统评估可能会为测量的标准化提供信息。
Background: Electively-managed conditions account for over 100 000 inpatient surgeries a year in the English National Health Service alone, with further procedures in other regions of the UK, or performed on an outpatient basis. To quality assure this care and to conduct research, effective outcome measurement is critical. Traditional surgeon-centric outcome measures correlate poorly with hand function and are seldom important to patients. There has been an advent in the use of patient reported outcome measures (PROMs) in hand surgery although consensus of PROM choice appears to be lacking. This systematic review aimed to describe the use of relevant PROMs in clinical research of electively-managed hand conditions. Methods: A PRISMA-compliant methodology was used. A bespoke search strategy was developed in conjunction with a search strategist, and applied to Medline, EMBASE, CINAHL and PSYCHINFO from 1992 to June 2017. Pre-specified stepwise inclusion criteria were used to identify studies describing adult patients undergoing treatment for electively-managed hand conditions distal to the distal radius, with clinical outcomes measured using one or more PROMs. Results: Of 4554 results, 834 met inclusion criteria. PROMs identified included 9 disease-specific, 8 site-specific and 4 generic quality of life measures. Across all, the Disabilities of the Arm, Shoulder and Hand (DASH) was the most commonly used (overall frequency 41.0%). The most commonly reported disease-specific measure was the Boston Carpal Tunnel Questionnaire (overall frequency 23.0%). The most commonly reported generic quality of life of measure was the SF-36 (overall frequency 4%). Time-analysis demonstrated predominance of site-specific PROMs since the year 2000. Conclusions: Various PROMs have been used to study electively-managed hand conditions, with site-specific PROMs most popular. However, there appears to be limited consensus on choices. A future systematic evaluation of the published psychometric properties of identified PROMs may inform standardisation of measurement.
影响因子：
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作者：
MEENAN, RF;MASON, JH;KAZIS, LE
通讯作者：
KAZIS, LE
影响因子：
5.3
作者：
Beaton, DE;Wright, JG;Katz, JN
通讯作者：
Katz, JN
DOI：
10.2106/00004623-199311000-00002
发表时间：
1993-11-01
影响因子：
5.3
作者：
LEVINE, DW;SIMMONS, BP;KATZ, JN
通讯作者：
KATZ, JN