Assessing the performance of the EQ-VAS in the NHS PROMs programme.

Assessing the performance of the EQ-VAS in the NHS PROMs programme.
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DOI:
10.1007/s11136-013-0537-z
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发表时间:
2014-04
影响因子:
3.5
通讯作者:
Devlin, Nancy J.
Devlin, Nancy J.
中科院分区:
医学2区
文献类型:
--
作者:
Feng, Yan;Parkin, David;Devlin, Nancy J.

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这项研究旨在增加对EQ-VAS(EQ-VAS)在英国NHS患者报告结果测量(PROMS)计划中的表现的了解,该计划涵盖腹股沟疝气、髋关节和膝关节置换以及静脉曲张手术,并为改进数据的收集、编码和分析提出建议。随机选取400例匹配前后的EQ-VAS PROMS反应的扫描图像。这些都是根据它们完成的不同方式进行分类的。使用2009年4月至2011年2月所有患者的与医院事件统计相关联的患者一级PRMS方案数据,分析EQ-VAS与EQ-5D概况、指数加权概况和具体情况工具之间的关系。链接的PROMS和HES数据包括331,951个匿名患者记录。绝大多数(95%)的EQ-VAS答复是以明确的方式完成的,但只有少数(45%)严格遵守了所给出的说明,这给数据编码带来了挑战。EQ-VAS数据与EQ-5D曲线具有可预测和一致的关系,尽管EQ-VAS与其他患者报告的健康指标之间的相关性很弱,无论是手术前还是手术后,以及它们之间的变化。通过对收集和编码提供更好的指导,EQ-VAS数据可能会得到改进。有人认为,EQ-VAS和其他健康测量结果的差异反映了这样一个事实,即它测量了更广泛的健康基础结构,可以说提供了一种更接近患者视角的总体健康总结手段。
The study aims to increase knowledge about the performance of the EuroQol-visual analogue scales (EQ-VAS) in the UK NHS patient-reported outcome measures (PROMs) programme, which covers groin hernia, hip and knee replacement and varicose vein surgery, and make suggestions for improved collection, coding and analysis of data. Four hundred scanned images of matched before-and-after EQ-VAS PROMs responses were selected at random. These were classified according to the different ways in which they were completed. Patient-level PROMs programme data linked to Hospital Episode Statistics for all patients from April 2009 to February 2011 were used to analyse the relationship between the EQ-VAS and the EQ-5D profile, index-weighted profile and condition-specific instruments. The linked PROMs and HES data comprise 331,951 anonymised patient records. A large majority (95 %) of EQ-VAS responses were completed in an unambiguous way, but only a minority (45 %) conformed strictly to the instructions given, posing challenges for data coding. The EQ-VAS data have a predictable and consistent relationship with the EQ-5D profile, although the correlations between the EQ-VAS and other measures of patient-reported health, both before and after surgery and in the change between them, are weak. EQ-VAS data might be improved by providing better guidance on collection and coding. It is argued that the observed differences in results from EQ-VAS and other measures of health reflect the fact that it measures a broader underlying construct of health, arguably providing a means of summarising overall health that is closer to the patient’s perspective.
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发表时间: 1996-07-01
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发表时间: 1997-11-01
期刊: MEDICAL CARE
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