临床质量注册和数据库中的响应率,这些数据库收集患者报告的结果指标:范围审查
Rasa Ruseckaite1, Chethana Mudunna2, Marisa Caruso2
1School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, 3004, Australia. rasa.ruseckaite@monash.edu.
Health and quality of life outcomes
|July 11, 2023
概括
随着时间的推移,临床注册表中的患者报告结果指标 (PROM) 的响应率 (RRs) 逐渐下降. 需要一致的数据收集和报告,以提高患者护理和临床实践.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 以患者为中心的护理
背景情况:
- 患者报告结果测量 (PROM) 越来越多地用于临床登记,以捕捉患者对治疗的看法.
- 了解响应率 (RRs) 对注册表数据的有效性和实用性至关重要.
研究的目的:
- 在临床注册表中描述PROM响应率 (RRs).
- 检查随着时间的推移,按注册表类型,地区和疾病的RR趋势.
主要方法:
- 对多个数据库 (MEDLINE,EMBASE,Google Scholar) 和灰色文献进行了范围文献审查.
- 包括121个捕获PROM的注册表,并提取了在各种随访时间点上的RR数据.
- 亚组分析检查了平均RRs,标准偏差和随时间变化的区域和健康状况.
主要成果:
- 基线时PROMs的整体平均RR为71%,在10年以上的随访后下降到56%.
- 在亚洲登记处 (99%) 和慢性疾病登记处 (85%) 观察到最高的基线RR.
- 随着随访时间的增加,平均RRs的总体下降趋势被注意到.
结论:
- 在所有注册表中观察到PROMs RRs的显著变化和下降趋势.
- 需要为一致的PROMs数据收集,跟进和在注册表中报告的正式建议.
- 需要进一步的研究来确定在临床注册表中PROMs的可接受RRs.
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