专家小组对下肢缺失的结果措施的分类和建议由专家小组提出
Friedbert Kohler1,2,3,4, Gregory R J Halford1,5, Martina Lukin1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17
1International Society of Prosthetics and Orthotics (ISPO), Copenhagen, Denmark.
Prosthetics and orthotics international
|October 25, 2023
概括
没有完全推的结果指标,但有23个符合使用在评估下肢缺失 (LLA) 个体的条件. 这一审查指导了为未来的共识选择心理测量上合理的措施.
科学领域:
- 康复医学 康复医学 康复医学
- 假肢和整形手术
- 健康 结果 研究 研究 结果
背景情况:
- 选择适当的结果措施对于评估患者的进展和为下肢缺失 (LLA) 患者的医疗保健政策提供信息至关重要.
- 在LLA人群中测量结果的现有心理测量证据需要系统审查,以指导临床和研究应用.
研究的目的:
- 审查和分类用于下肢缺失 (LLA) 个体的结果指标的心理测量证据.
- 确定具有足够心理测量特性的措施,以便纳入利益相关者的共识过程.
主要方法:
- 一个专家小组通过系统的文献搜索对通过系统的文献搜索发现的结果措施进行了三阶段的审查.
- 根据心理测量特性对措施进行了分类,需要至少70%的小组协议才能达成共识.
主要成果:
- 没有任何措施获得了"推"评级;23项措施 (12项患者报告,11项基于绩效) 获得了"推有资格"的评级.
- 由于证据不足,36项措施"无法推".
- 在60项措施中,59项达成共识,插座舒适度得分是例外.
结论:
- 总结了对LLA结果措施的当前心理测量证据,承认这可能会随着新的研究而演变.
- 这些发现将为涉及临床医生,政策制定者和LALA患者的更广泛的共识进程提供信息.
- 确定的"建议与资格"措施适合在国际假肢和骨架学会下肢共识结果措施项目中进行进一步评估.
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