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功能性消化不良的患者报告结果措施:系统性审查和COSMIN分析
Xinai Wang1, Yan Fei2, Wenjing Li1
1The School of Graduate, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
BMC gastroenterology
|September 19, 2023
概括
卢旺餐后困扰量表 (LPDS) 是患者报告的功能性消化不良 (FD) 症状的最高结果指标. 需要进一步的研究来改善其跨文化有效性和测量错误评估.
科学领域:
- 胃肠病学 胃肠病学
- 临床结果评估的临床结果评估.
- 心理测量 心理测量 心理测量
背景情况:
- 功能性消化不良 (FD) 是一种脑肠相互作用 (DBGI) 的疾病.
- 患者自我报告对于评估FD症状和临床结果至关重要.
- 确定FD的最佳患者报告结果指标 (PROM) 是非常重要的.
研究的目的:
- 系统地审查和确定功能性消化不良 (FD) 症状的最佳PROM.
- 应用基于共识的标准来选择健康测量仪器 (COSMIN) 的指南,用于PROM评估.
- 评估FD现有的PROM的心理特征.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 搜索了四个数据库,没有日期限制,用于验证FD症状的PROM.
- 通过COSMIN指南和建议评估,开发和评价 (GRADE) 的评级来评估PROM质量.
主要成果:
- 包括30篇文章,详细介绍了24个患者报告的结果指标.
- 卢旺餐后痛苦量表 (LPDS) 显示了足够的内容有效性.
- LPDS显示了适度的内部一致性证据,获得了"A"的推.
结论:
- 目前,LPDS是目前患者报告的FD症状最推的PROM.
- LPDS需要在评估跨文化有效性和测量不变性方面进行改进.
- 进一步的研究应侧重于提高LPDS以解决其局限性.
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