一项范围审查发现,验证多病态模式的研究趋势越来越大,并确定了五种类型的验证方法
Thamer Ba Dhafari1, Alexander Pate1, Narges Azadbakht1
1Division of Informatics, Imaging & Data Sciences, School of Health Sciences, The University of Manchester, M13 9PL Manchester, UK.
Journal of clinical epidemiology
|November 12, 2023
概括
研究人员审查了关于验证多病态模式的研究,发现验证方法的增加. 最常见的方法将模式与临床结果联系起来,强调需要方法指导.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 生物统计学 生物统计学
背景情况:
- 多病性,即多种慢性疾病的同时发生,构成了重大的公共卫生挑战.
- 分析方法越来越多地用于识别患者群体内的多病症复杂模式.
研究的目的:
- 系统地审查和分类用于已发表研究中识别的多病态模式的验证方法.
- 评估一段时间内验证方法的应用趋势.
主要方法:
- 在PubMed和Web of Science进行了系统的文献搜索,搜索了2017年7月至2023年7月期间发表的研究.
- 包括使用分析方法发现多病态模式的研究,并分析了它们的验证策略.
主要成果:
- 在包含的172项研究中,有111项 (64%) 报告确认了已识别的多重疾病模式.
- 包含验证的研究比例从53.13% (2017-2019) 增加到71.25% (2022-2023).
- 确定了五种主要验证类型:与临床结果的关联 (79项研究),亚样本稳定性 (26),临床合理性 (22),方法稳定性 (7) 和共同决定因素 (2).
结论:
- 在研究中验证多病性模式方面,有明显的上升趋势.
- 将多病症模式与临床结果联系起来是主要的验证策略.
- 这些发现强调了对验证多病态模式的标准化方法指导的急需.
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