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确定手术条件的儿童治疗成功的定义
Oliver Rivero-Arias1,2, John Buckell2, Marian Knight3
1Nuffield Department of Population Health, National Perinatal Epidemiology Unit (NPEU), University of Oxford, Oxford, UK oliver.rivero@npeu.ox.ac.uk.
Archives of disease in childhood
|December 22, 2023
概括
开发了一种新的儿童手术结果报告治疗成功分数 (CSOR TSS),以衡量患有手术条件的儿童的成功治疗. 生活质量和生存时间是关键因素,允许对医院结果进行比较.
科学领域:
- 儿科手术 儿科手术
- 健康 结果 研究 研究 结果
- 患者报告的结果
背景情况:
- 在儿科手术中评估治疗成功是复杂的.
- 现有的指标可能无法完全捕捉患者和家庭的优先事项.
- 需要一个标准化的得分来评估儿童手术的结果.
研究的目的:
- 开发一种新的评分来总结任何手术条件的儿童的治疗成功.
- 严格测试这个新得分的临床有效性.
主要方法:
- 一个离散选择实验 (DCE) 涉及患者,护理人员,医疗保健专业人员和普通人群.
- 从六项英国范围内的前性队列研究中获得的数据的二次分析.
- 利用属性的规范化重要性值 (NIVA) 来权衡关键结果属性.
主要成果:
- 生活质量和生存时间被确定为治疗成功的最关键因素.
- 父母/照顾者和成年人均平等地优先考虑两者,而医疗保健专业人员更倾向于生活质量,一般人群更倾向于生存.
- 开发的儿童手术结果报告治疗成功评分 (CSOR TSS) 在婴儿队列中显示出适当的临床变异.
结论:
- 该CSOR TSS有效地总结了儿童手术患者的治疗成功情况.
- 这个分数可以用来比较不同医院的观察结果与预期结果.
- CSOR TSS为改善儿科外科护理质量提供了一个有价值的工具.
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