用患者生成数据测量现实世界的临床结果的数字健康技术:系统范围审查
Evelyn Pyper1, Sarah McKeown1, Jamie Hartmann-Boyce2,3
1Department for Continuing Education, University of Oxford, Oxford, United Kingdom.
Journal of medical Internet research
|October 11, 2023
概括
数字健康技术 (DHT) 越来越多地用于收集各种疾病的真实患者数据. 需要更多的研究来确认这些数据是否可靠地改善了患者的治疗结果.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 现实世界的数据
背景情况:
- 数字健康技术 (DHT) 对医疗管理和患者监测至关重要.
- DHTs促进了现实世界的数据收集,用于患者的表征和治疗反应评估.
- 需要一个全面的证据地图为DHT测量患者的结果在不同的条件和技术.
研究的目的:
- 通过使用患者生成的数据,研究DHT在测量现实世界的临床结果中的应用.
- 系统地审查和绘制DHT现有的证据,以测量现实世界的结果.
主要方法:
- 按照乔安娜·布里格斯研究所的方法进行了系统的范围审查.
- 在多个数据库 (MEDLINE,CINAHL,Cochrane,Embase,PsycINFO,ClinicalTrials.gov,欧盟临床试验注册) 进行了对2000-2022年研究的搜索.
- 包括的研究涉及从任何健康状况的临床访问以外的患者收集被动或主动的数字健康数据.
主要成果:
- 包括510项研究,涵盖20多个治疗领域和44个国家的169种疾病.
- 心理健康和成研究的DHT最为普遍 (21.8%),移动应用程序是最常见的DHT类型 (49%).
- 生理学,临床症状和行为数据是最频繁收集的数据类型,显示证据深度,DHT种类和先进分析随着时间的推移而增长.
结论:
- 本综述提供了对DHT应用程序,数据类型和在现实环境中的分析方法的全面概述.
- 进一步严格的研究是必要的,以验证可靠的捕获现实世界的数据及其对患者结果的影响.
- 这些发现是指导医疗保健提供者,政策制定者和生命科学行业未来研究的存储库.
关键词:
临床干预是指临床干预.数字生物标志物数字生物标志物数字健康数字健康数字健康管理数字健康管理数字工具是数字工具.电子健康记录 电子健康记录健康结果的健康结果.移动健康 移动健康 移动健康 移动健康移动健康的移动健康手机电话手机电话手机电话由患者生成的健康数据.现实世界的数据.现实世界的证据.可穿戴设备可以穿戴.更多相关视频
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