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在慢性病中评估身体功能的基于绩效的措施的测量特性:来自COSMIN系统审查的建议
Jennifer M MacRae1, Oksana Harasemiw2,3, Courtney J Lightfoot4
1Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Clinical kidney journal
|November 2, 2023
概括
在慢性病 (CKD) 中,标准化身体功能测试至关重要. 短物理性能电池 (SPPB) 和其他电池在CKD患者中显示出可靠测量的前景.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 老年病的医生 老年病的医生
- 康复医学 康复医学 康复医学
背景情况:
- 身体功能测试中的异质性阻碍了慢性病 (CKD) 的证据综合.
- 为了在CKD群体中得到一致的临床和研究应用,需要标准化措施.
研究的目的:
- 确定和评估用于慢性病 (CKD) 标准化使用的身体功能测量方法.
- 推可靠和有效的测试来评估CKD患者的身体功能.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE等) 进行系统的文献搜索. 在2022年3月之前.
- 使用COSMIN和GRADE方法的临界性能 (有效性,可靠性,测量误差,响应性) 的评估.
- 包括评估客观测量,基于表现的身体功能在所有CKD阶段和年龄的研究.
主要成果:
- 在50项研究中评估了22项身体功能测试,共有21,315名参与者.
- 短物理性能电池 (SPPB),定时启动和启动 (TUG) 和坐立测试 (STS-5,STS-60) 显示了对CKD使用的有利特性.
- 有效性和可靠性的证据质量有限,特别是在血液透析患者之外.
结论:
- 在移植,CKD和透析患者中,SPPB显示了最高质量的可靠性和有效性证据.
- 建议的测试 (SPPB,TUG,STS) 应纳入常规实践中,用于CKD患者群体.
- 这一审查促进了在CKD研究和临床环境中物理功能测量工具的标准化.
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