最小临床重要差异的变化计算和报告在耳鼻喉学文献
Siddhant H Tripathi1, Susie Min1, Alexander S Cody1
1Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, U.S.A.
The Laryngoscope
|November 7, 2023
概括
耳鼻喉学研究往往未能遵循计算最小临床重要差异 (MCID) 的最佳实践. 许多研究没有报告MCID的预测能力,例如灵敏度和特异性.
科学领域:
- 耳鼻喉科的研究研究
- 临床结果评估评估临床结果评估
背景情况:
- 最佳实践最小临床重要差异 (MCID) 计算涉及补充方法和报告预测能力.
- 耳鼻喉科文献对这些最佳实践的坚持尚未得到充分证实.
研究的目的:
- 评估耳鼻喉科研究中的MCID计算和报告模式.
- 在该领域内识别MCID确定中与已建立的最佳实践的偏差.
主要方法:
- 在 Embase,PubMed 和 Web of Science 的系统文献搜索.
- 包括在耳鼻喉学期刊中专门报告MCID确定性的研究.
- 分析计算方法 (基于,基于分布) 和预测能力 (灵敏度,特异性) 的报告.
主要成果:
- 35项耳鼻喉学研究符合纳入标准.
- 88.6%的人报告了患者报告的结果的MCID.
- 82.9%使用了基于的方法,68.6%使用了基于分布的方法,51.4%使用了两种方法.
- 只有25.7%的人报告MCID的敏感性和特异性.
结论:
- 耳鼻喉科文献显示,在MCID计算和报告方面,有偏离最佳实践的情况.
- 近一半的研究仅使用一种MCID计算方法.
- 几乎四分之三的人没有报告预测能力 (灵敏度/特异性).
- 在报告时,MCIDs表现出比敏感性更高的特异性.
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