Patient-Reported Outcome Measures in Colon and Rectal Surgery: A Systematic Review and Quality Assessment.
Patient-Reported Outcome Measures in Colon and Rectal Surgery: A Systematic Review and Quality Assessment.
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DOI：
10.1097/dcr.0000000000001717
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发表时间：
2020-08
影响因子：
3.9
通讯作者：
Penson DF
中科院分区：
文献类型：
--
作者：
Hawkins AT;Rothman RL;Geiger TM;Canedo JR;Edwards-Hollingsworth K;LaNeve DC;Penson DF
在结直肠手术中，使用患者报告的结局指标来支持基于价值的护理越来越受到关注。为了得出关于患者报告结局数据的有效结论，需要具有稳健测量属性的测量。评估结直肠手术中患者报告结局指标的使用和质量。在三个主要数据库中检索了在结直肠手术背景下使用患者报告结局指标的研究。在有效性比较分析中，使用患者报告结局指标作为结直肠手术干预结局的文献。排除标准包括：排除年龄大于11岁、非英语、年龄小于18岁、患者少于40例、病例报告、综述文章和无比较的研究。使用先前报告的心理测量特性检查表进行质量评估。从2007年到2018年，有368项研究被认为符合纳入标准。这些研究使用了165个不同的患者报告结局指标。30个被使用五次或更多次，并被选择用于质量评估。总体而言，这些措施通常是高质量的，21（70%）得分14或以上的18分量表。明显的弱点包括缺失数据的管理（14%）和识字水平的描述（0%）。使用原创文章进行质量评估。质量分析的指标选择基于使用频率，而不是其他因素，如文章的影响或研究中的患者数量。患者报告的结局指标广泛用于结直肠研究。现有的措施范围很广，许多措施只用过一次。最经常使用的衡量标准一般都是高质量的，但大多数缺乏如何处理缺失的数据和识字水平信息的细节。随着使用患者报告的结果指标来评估结直肠手术干预的增加，研究人员和从业人员需要更多地了解可用的措施及其质量。
There is growing interest in using patient-reported outcome measures to support value-based care in colorectal surgery. To draw valid conclusions regarding patient-reported outcomes data, measures with robust measurement properties are required. To assess the use and quality of patient-reported outcome measures in colorectal surgery. Three major databases were searched for studies using patient-reported outcome measures in the context of colorectal surgery. Articles that used patient-reported outcome measures as outcome for colorectal surgical intervention in a comparative effectiveness analysis. Exclusion criteria included: articles older than 11 years, non-English language, age less than 18, fewer than 40 patients, case reports, review articles and studies without comparison were excluded. Quality assessment using a previously reported checklist of psychometric properties. From 2007–2018, 368 studies were deemed to meet inclusion criteria. These studies used 165 distinct patient-reported outcome measures. Thirty were used five or more times and were selected for quality assessment. Overall, the measures were generally high quality, with 21 (70%) scoring 14 or greater on an 18-point scale. Notable weaknesses included management of missing data (14%), and description of literacy level (0%). Use of original articles for quality assessment. Measures were selected for quality analysis based on frequency of use rather than other factors such as impact of the article or number of patients in the study Patient-reported outcome measures are widely used in colorectal research. There was a wide range of measures available and many were used only once. The most frequently used measures are generally high quality, but a majority lack details on how to deal with missing data and information on literacy levels. As the use of patient-reported outcome measures to assess colorectal surgical intervention increases, researchers and practitioners need to become more knowledgeable about the measures available and their quality.