健康结果的最小重要变化和差异:对方法,概念和方法的概述
Joost Dekker1, Michiel de Boer2, Raymond Ostelo3
1Department of Rehabilitation Medicine, Amsterdam UMC, Location Vrij Universiteit, Amsterdam, the Netherlands; Department of Psychiatry, Amsterdam UMC Location Vrije Universiteit, Amsterdam, the Netherlands.
Osteoarthritis and cartilage
|September 15, 2023
概括
本综述阐明了评估健康结果中最小重要变化的方法. 它强调了对标准化定义的需要,并承认评估重要性涉及价值判断.
科学领域:
- 健康 结果 研究 研究 结果
- 临床流行病学 临床流行病学
背景情况:
- 定义最小重要的变化 (MIC) 和最小重要的差异 (MID) 对于解释健康结果至关重要.
- 现有的方法缺乏标准化,阻碍了共识.
研究的目的:
- 审查和综合各种方法,概念和方法来定义和评估MIC和MID.
- 为在这个领域建立共识奠定基础.
主要方法:
- 进行了叙事文学评论.
- 一个概念框架指导了审查过程.
主要成果:
- 区分个人与群体的解释和群体内部与群体间的变化.
- 将应答者方法与小组平均方法进行对比.
- 审查了MIC/MID评估的各种方法.
结论:
- 概念澄清和术语标准化对于MIC/MID评估至关重要.
- 评估健康结果变化的重要性涉及价值判断.
- 这项工作是实现现场共识的初步步骤.
相关概念视频
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Significance Testing: Overview
3.4K
Significance testing is a set of statistical methods used to test whether a claim about a parameter is valid. In analytical chemistry, significance testing is used primarily to determine whether the difference between two values comes from determinate or random errors. The effect of a particular change in the measurement protocol, analyst, or sample itself can cause a deviation from the expected result. In the case of a suspected deviation/outlier, we need to be able to confirm mathematically...
3.4K
Levels of Health Promotion and Illness Prevention
12.7K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.7K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
147
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
147
What is an Experiment?
11.7K
An experiment is a planned activity carried out under controlled conditions. The purpose of an experiment is to investigate the relationship between two variables. When one variable causes change in another, we call the first variable the explanatory or independent variable. The affected variable is called the response or dependent variable. In a randomized experiment, the researcher manipulates values of the explanatory variable and measures the resulting changes in the response variable. The...
11.7K
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K


