在使用临床计量仪器的狗骨科患者中,客户报告的结果中回忆偏差
Eirini Pappa1, Thomas W Maddox1,2, Edward Crystal1
1Department of Small Animal Clinical Science, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Neston, United Kingdom of Great Britain and Northern Ireland.
概括
客户使用LOAD和犬类简要疼痛清单 (CBPI) 调查问卷来回忆他们狗的健康状况,随着时间的推移是不可靠的. 这种回忆偏差影响了兽医骨科医学中追溯临床计量数据的准确性.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 狗类整形外科 狗类整形外科
- 临床计量学 临床计量学
背景情况:
- 客户报告的结果测量在兽医临床研究中至关重要.
- 评估临床计量仪器所有者回忆的准确性对于可靠的数据收集至关重要.
- 狗骨关节炎和的研究经常依赖于所有者填写的问卷.
研究的目的:
- 为了评估客户对他们的狗在咨询前状态的记忆的准确性.
- 评估Liverpool Osteoarthritis in Dogs (LOAD) 和Canine Brief Pain Inventory (CBPI) 调查问卷对回顾性数据的可靠性. 为了评估利物浦骨关节炎在狗 (LOAD) 和犬 Brief Pain Inventory (CBPI) 问卷对回顾性数据的可靠性.
- 为了确定回忆偏差对临床计量学数据的影响,在向转诊骨科诊所提交的狗中.
主要方法:
- 一项纵向前性队列研究涉及217只客户拥有的狗出现.
- 业主在初始咨询 (T0) 和咨询后的2,6个月和12个月 (T1,T2,T3) 填写了LOAD和CBPI问卷,以回忆T0状态.
- 使用类内相关系数 (ICC) 来衡量初始和被召回分数之间的一致性.
主要成果:
- 在T0和T1 (ICC:0.64) 和T0和T2 (ICC:0.53) 之间的LOAD分数中,发现了适度的一致性,但在T3 (ICC:0.496) 中的一致性很差.
- 在所有时间点 (ICC <0.5) 观察到CBPI疼痛严重性得分的差异很小.
- 在T0和T1 (ICC:0.57) 和T2 (ICC:0.56) 之间的CBPI疼痛干扰得分中,发现了适度的一致性,在T3 (ICC:0.43) 中,一致性很差.
结论:
- 无论是LOAD还是CBPI问卷,都可能产生回忆偏差.
- 由于潜在的不准确性,应谨慎解释回顾性收集的犬类骨科临床计量数据.
- 业主召回的可靠性在较长的时间 (12个月) 上显著下降.
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