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将儿童QLTM 4.0映射到CHU-9D上:在中国的功能性消化不良患者中进行的横截面研究
Qiqi Wang1, Chuchuan Wan1, Maozhen Li1
1The Research Center of National Drug Policy & Ecosystem, China Pharmaceutical University, Nanjing, China.
一个新的映射算法准确地将儿科生活质量库存 (Peds QL 4.0) 评分转换为功能性消化不良儿童的儿童健康实用 9D (CHU-9D) 值.
科学领域:
- 儿科健康研究成果研究成果
- 卫生经济学 卫生经济学
- 心理测量 心理测量 心理测量
背景情况:
- 功能性消化不良 (FD) 严重影响儿童的生活质量.
- 准确的健康实用测量对于健康技术评估 (HTA) 至关重要.
- 现有的数据通常依赖于诸如儿科生活质量库存TM 4.0 (Peds QL 4.0) 等仪器,而不是直接提供实用值.
研究的目的:
- 开发和验证一个映射算法,将Peds QL 4.0分数与儿童健康实用程序9D (CHU-9D) 值联系起来.
- 为了使儿童群体中的Peds QL 4.0数据能够估计健康实用值.
- 支持HTA在只有Peds QL 4.0数据可用的研究中.
主要方法:
- 利用了2152名被诊断患有FD的中国儿童和青少年的截面数据.
- 采用了六种回归模型,包括托比特回归,用于直接和响应映射.
- 使用诸如平均绝对误差 (MAE),根平均平方误差 (RMSE) 和一致相关系数 (CCC) 等指标评估模型性能.
主要成果:
- 托比特回归模型,结合Peds QL 4.0项目分数,性别和年龄,显示出最高的预测准确度.
- 该研究确定了独立变量的最佳组合,以便准确地绘制地图.
- 性能指标证实了开发的映射算法的可靠性.
结论:
- 一个经过验证的映射算法有效地将Peds QL 4.0数据转换为CHU-9D健康实用值.
- 这种算法在临床研究中对HTA有价值,仅限于Peds QL 4.0数据收集.
- 促进了儿科FD研究中更全面的经济评估.
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